The Development and Implementation of a Participatory and Solution-Focused Framework for Clinical Research: A case example

Walsh, Ken; Ford, Karen; Morley, Claire; McLeod, Erin; McKenzie, Duncan; Chalmers, Leanne; Gordon-Croal, Sharon; Peterson, Gregory M.

doi:10.1016/j.colegn.2016.06.003

Cited by 15 publications

(15 citation statements)

References 23 publications

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“…Of the articles reporting type of setting where the implementation project/research took place, a majority were undertaken in hospitals ( n = 126) [ 26 , 27 , 30 , 38 , 39 , 41 , 42 , 45 , 49 , 51 – 55 , 60 , 62 – 64 , 67 , 70 – 72 , 77 , 84 , 85 , 88 , 89 , 95 – 98 , 103 , 106 , 107 , 111 , 115 – 118 , 120 – 122 , 128 , 131 , 132 , 136 , 137 , 139 , 143 , 146 , 149 , 151 , 153 – 155 , 157 , 161 , 165 , 167 – 169 , 172 , 173 , 175 , 180 – 182 , 184 , 186 , 190 – 193 , 205 , 207 , 212 , 215 , 221 , 223 , 227 , 230 , 231 ,…”

Section: Resultsmentioning

confidence: 99%

“…A total of 203 (55%) included articles provided information on how the PARIHS framework was used in the evaluation of study findings, in terms of contributing to the discussion and interpretation of results [ 13 , 52 , 58 – 82 , 84 – 89 , 95 – 121 , 149 – 214 , 243 – 259 , 261 – 284 , 313 , 314 , 316 – 320 , 323 – 331 , 339 , 341 – 350 , 359 – 365 , 386 , 389 ]. The majority ( n = 167) of these were empirical studies [ 52 , 58 – 82 , 84 – 89 , 95 – 121 , 149 – 214 , 243 – 259 , 261 – 284 , 386 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 102 (28%) articles described testing or validating PARIHS, or provided comments on the validity of the framework [ 3 , 13 , 23 , 24 , 35 , 44 , 46 , 58 , 60 , 62 , 64 , 67 , 71 , 74 , 76 , 78 – 81 , 84 , 85 , 89 , 98 , 105 , 107 , 110 , 113 , 115 , 120 , 121 , 143 , 149 , 150 , 153 , 155 , 157 – 159 , 166 , 168 , 170 , 172 , 180 – 182 , 187 , 188 , 190 , 191 , 195 , 198 , 201 , 203 , 204 , 206 – 209 , 211 , 212 , 214 , 229 , 246 , 249 , 250 , 252 , 253 , 255 , 264 , 267 , 268 , 277 , 278 ...…”

Section: Resultsmentioning

confidence: 99%

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The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature

et al. 2020

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Background: The Promoting Action on Research Implementation in Health Services (PARIHS) framework was developed two decades ago and conceptualizes successful implementation (SI) as a function (f) of the evidence (E) nature and type, context (C) quality, and the facilitation (F), [SI = f (E,C,F)]. Despite a growing number of citations of theoretical frameworks including PARIHS, details of how theoretical frameworks are used remains largely unknown. This review aimed to enhance the understanding of the breadth and depth of the use of the PARIHS framework. Methods: This citation analysis commenced from four core articles representing the key stages of the framework's development. The citation search was performed in Web of Science and Scopus. After exclusion, we undertook an initial assessment aimed to identify articles using PARIHS and not only referencing any of the core articles. To assess this, all articles were read in full. Further data extraction included capturing information about where (country/ countries and setting/s) PARIHS had been used, as well as categorizing how the framework was applied. Also, strengths and weaknesses, as well as efforts to validate the framework, were explored in detail. Results: The citation search yielded 1613 articles. After applying exclusion criteria, 1475 articles were read in full, and the initial assessment yielded a total of 367 articles reported to have used the PARIHS framework. These articles were included for data extraction. The framework had been used in a variety of settings and in both high-, middle-, and low-income countries. With regard to types of use, 32% used PARIHS in planning and delivering an intervention, 50% in data analysis, 55% in the evaluation of study findings, and/or 37% in any other way. Further analysis showed that its actual application was frequently partial and generally not well elaborated. Conclusions: In line with previous citation analysis of the use of theoretical frameworks in implementation science, we also found a rather superficial description of the use of PARIHS. Thus, we propose the development and adoption of reporting guidelines on how framework(s) are used in implementation studies, with the expectation that this will enhance the maturity of implementation science.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature

et al. 2020

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“…This situation is potentially further exacerbated by the problemfocused approach usually applied to change. [8][9][10] This problem focus is reflected in everyday language, "you have a problem", "that's not my problem, that's your problem", or, "who caused the problem in the first place?". 9 In this way, problems (things that need changing) have negativity, blame and ownership attached to them.…”

Section: Facilitating Change and Choosing Ticp-compatible Methods And Processesmentioning

confidence: 99%

<p>Using Participatory Methods to Engage Multidisciplinary Clinical Staff in the Embedding of Trauma-Informed Care and Practice Principles in a Sub-Acute Mental Health Inpatient Unit</p>

Walsh¹,

Benjamin²

2020

JMDH

Self Cite

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Changing multidisciplinary team practice is difficult, even in circumstances where the staff support such change. This methodology paper describes the successful use of respectful and participatory methods and processes to engage multidisciplinary clinical staff in practice change. These methods are described and discussed in relation to a clinical practice change project that sought to embed trauma-informed care and practice (TICP) in a sub-acute mental health unit. TICP is a critical new paradigm for multidisciplinary mental health services that involves the recognition of the high rates of abuse and trauma suffered by those with mental illness and the need to both understand the effects of this abuse and trauma and to respond to them appropriately. The principles of the paradigm need to be introduced throughout mental health services, but especially in inpatient units where a predominantly biomedical perspective can preclude a more holistic approach. This paper outlines the background of TICP and describes in detail the four TICP-compatible, participatory methods and processes used to engage staff in the embedding of TICP principles in their everyday practice. The participatory approaches employed reflected TICP principles and addressed issues including the engagement of staff in the change project, the identification of TICPcompatible care practices currently used in the unit, the identification of issues related to the further embedding of TICP in everyday care, and the generation of solutions to the issues raised. The processes undertaken were underpinned by a heuristic framework to maintain staff engagement. This paper is not intended to be a recipe for TICP change. However, the methods and processes described may be adapted to be of practical use in the design of TICP and other practice change initiatives in multidisciplinary clinical settings.

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“…Previous research has suggested that problem-solving based peer support groups may be beneficial in reducing stress and burnout in healthcare professionals (Peterson, Bergström, Samuelsson, Åsberg, & Nygren, 2008). Additionally, several studies have highlighted how person-centred and solution-focused theories can be integrated effectively in clinical research (Walsh et al, 2017) and therapy (Cepeda & Davenport, 2006;Fitzgerald & Leudar, 2010). By integrating these two models, it is anticipated that the peer support group will provide a space where nurses will feel psychologically supported, valued, and be encouraged to think about practical ways of negotiating problems in the workplace in collaboration with their peers.…”

Section: Solution-focused Theorymentioning

confidence: 99%

Experiences of peer support for newly qualified nurses in a dedicated online group: Study protocol

Webster

Jenkins

Oyebode

et al. 2019

Journal of Advanced Nursing

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Aim To explore experiences of online peer support for newly qualified nurses. Design Qualitative study using semi‐structured interviews and thematic analysis. Method Phase one involves conducting focus groups with newly qualified nurses in the West Midlands area to refine the online peer support environment. Phase two involves 30–40 new nurses joining an online peer group for 3 months; participants will be able to access a general chat community alongside a more structured discussion board. Phase 3 will collect written interview data from all participants about their experiences of online peer support. Face‐to‐face interviews with 10–12 participants will also be undertaken. The study will run from May 2018–October 2019. Findings Data from focus groups, written and verbal interviews will be analysed using thematic analysis with the aid of NVivo software. Findings will be disseminated to participants and key stakeholders involved in the study and also via publication and networking events. Conclusion If online peer support is found to be beneficial to new nurses, it may be adopted by local NHS trusts as part of an innovation scheme. Impact It is important that the psychological well‐being of nurses is addressed as more nurses are now leaving than joining the profession; this is an international concern. Online peer support may offer a sustainable and accessible means of promoting psychological well‐being in the nursing workforce. In such a way, contributory factors to low retention rates such as burnout, stress and job dissatisfaction may also be reduced.

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The Development and Implementation of a Participatory and Solution-Focused Framework for Clinical Research: A case example

Cited by 15 publications

References 23 publications

The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature

The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature

<p>Using Participatory Methods to Engage Multidisciplinary Clinical Staff in the Embedding of Trauma-Informed Care and Practice Principles in a Sub-Acute Mental Health Inpatient Unit</p>

Experiences of peer support for newly qualified nurses in a dedicated online group: Study protocol

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