What are the mechanisms that support healthcare professionals to adopt assisted decision-making practice? A rapid realist review

Davies, Carmel; Fattori, Francesco; O’Donnell, Deirdre; Donnelly, Sarah; Shé, Éidín Ní; Shea, Marie O.; Prihodová, Lucia; Gleeson, Caoimhe; Flynn, Áine; Rock, Bernadette; Grogan, Jacqueline; O’Brien, Michelle; O’Hanlon, Shane; Cooney, Marie Therese; Tighe, Marie; Kroll, Thilo

doi:10.1186/s12913-019-4802-x

“…Underpinned by realist evaluation methodology (12) rapid realist review (RRR) has emerged as a popular approach in health service research and is well suited to a national evaluation of implementing QCP-Ms in Nursing and Midwifery practice. Unlike a systematic review which will control context, a realist review embraces contextual complexity making it a very appropriate approach for studying healthcare implementation and quality improvement 17 . It focuses on understanding how an intervention (i.e., QCP-Ms) works (or not) within a particular context, taking account of individual behaviours and system influences 12 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Quality care process metrics (QCP-Ms) in nursing and midwifery care processes: a rapid realist review (RRR) protocol

O’Connor

¹

,

Coffey

²

,

Lambert

³

et al. 2021

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Background: In 2018, the Office of the Nursing and Midwifery Services Director (ONMSD) completed phase one of work which culminated in the development and launch of seven research reports with defined suites of quality care process metrics (QCP-Ms) and respective indicators for the practice areas – acute care, midwifery, children’s, public health nursing, older persons, mental health and intellectual disability nursing in Ireland. This paper presents a rapid realist review protocol that will systematically review the literature that examines QCP-Ms in practice; what worked, or did not work for whom, in what contexts, to what extent, how and why? Methods: The review will explore if there are benefits of using the QCP-Ms and what are the contexts in which these mechanisms are triggered. The essence of this rapid realist review is to ascertain how a change in context generates a particular mechanism that produces specific outcomes. A number of steps will occur including locating existing theories on implementation of quality care metrics, searching the evidence, selecting relevant documents, data extraction, validation of findings, synthesising and refining programme theory. This strategy may help to describe potential consequences resulting from changes in context and their interactions with mechanisms. Initial theories will be refined throughout the process by the local reference panel, comprised of eight key intervention stakeholders, knowledge users such as healthcare professionals and an expert panel. Ethical approval is not required for this rapid realist review. Conclusion: It is anticipated that the final programme theory will help to explain how QCP-Ms work in practice; for whom, why and in what circumstances. Findings of this review could help to give insights into the use of a rapid realist review as a framework and how nursing and midwifery QCP-Ms have been implemented previously.

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“…Social-cultural barriers, such as societal constructions of masculinity, appear to prevent men from active involvement 5 . Women and girls' sexual and reproductive health is mainly perceived as "female business", with men taking on the role of the provider of funds 5,[12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

What contextual factors and mechanisms facilitate male involvement in women's sexual and reproductive health in Sub-Saharan Africa? A rapid realist review protocol

Mwendwa

¹

,

Karani

²

,

Kamolo

³

et al. 2021

HRB Open Res

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1

0

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Background: Sexual and reproductive health (SRH) outcomes of women within low resource contexts continue to be of concern to policymakers. Notably, sub-Saharan Africa (SSA) continues to lag behind other regions of the world in improving SRH outcomes for women in the region. A key suggested strategy is male involvement through interventions that respect, promote and facilitate women in taking care of themselves and their new-borns. However, factors such as social-cultural barriers may preclude men's involvement in these programmes. There is a need for a context-specific understanding of gender dynamics and interaction and the mechanisms that enhance or impede men's involvement. Methods: We will employ a rapid realist review (RRR) methodology to examine what mechanisms and contextual factors are essential to facilitate the involvement of men in women's SRH programmes in SSA. In keeping with the realist literature we will follow six steps, which will include: (1) developing a theory, (2) developing a search strategy, (3) selecting and appraising documents, (4) extracting data, (5) analysing data and synthesising the evidence, and (6) presenting and disseminating a revised theory. We will also engage with key stakeholders who will provide local contextual insights and with experts in the subject area. The review findings will be shared with relevant stakeholders using a variety of avenues including through publications, at conferences and on social media platforms. Discussion: This review will identify the mechanisms and contextual factors that facilitate or hinder men's involvement in women's SRH programmes in SSA. The rationale for adopting an RRR approach is to help gather the information within a relatively short period to ensure relevance of findings to policymakers in SSA. Results from this work also have the potential to be adapted to the other contexts, for example, Ireland and the UK, which have a growing population of people from SSA.

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“…Social-cultural barriers, such as societal constructions of masculinity, appear to prevent men from active involvement 11 . Women and girls' sexual and reproductive health is mainly perceived as "female business", with men taking on the role of the provider of funds [11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

“…Other barriers to male partner involvement include economic barriers related to missed work opportunities due to accompaniment to health facilities as well as additional costs such as transport, more especially for men in the low-income bracket 11,13 . The perceived negative attitudes of staff at health facilities and in other cases, a lack of privacy at facilities, may preclude men's involvement [11][12][13] . Limited knowledge among men on the importance of engaging in women's health as well as lack of interest in women's health are other notable barriers 15 .…”

Section: Introductionmentioning

confidence: 99%

What contextual factors and mechanisms facilitate male involvement in women's sexual and reproductive health in Sub-Saharan Africa? A rapid realist review protocol

Mwendwa

¹

,

Karani

²

,

Kamolo

³

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Sexual and reproductive health (SRH) outcomes of women within low resource contexts continue to be of concern to policymakers. Notably, sub-Saharan Africa (SSA) continues to lag behind other regions of the world in improving SRH outcomes for women in the region. A key suggested strategy is male involvement through interventions that respect, promote and facilitate women in taking care of themselves and their new-borns. However, factors such as social-cultural barriers may preclude men's involvement in these programmes. There is a need for a context-specific understanding of gender dynamics and interaction and the mechanisms that enhance or impede men's involvement. Methods: We will employ a rapid realist review (RRR) methodology to examine what mechanisms and contextual factors are essential to facilitate the involvement of men in women's SRH programmes in SSA. In keeping with the realist literature we will follow six steps, which will include: (1) developing a theory, (2) developing a search strategy, (3) selecting and appraising documents, (4) extracting data, (5) analysing data and synthesising the evidence, and (6) presenting and disseminating a revised theory. We will also engage with key stakeholders who will provide local contextual insights and with experts in the subject area. The review findings will be shared with relevant stakeholders using a variety of avenues including through publications, at conferences and on social media platforms. Discussion: This review will identify the mechanisms and contextual factors that facilitate or hinder men's involvement in women's SRH programmes in SSA. The rationale for adopting an RRR approach is to help gather the information within a relatively short period to ensure relevance of findings to policymakers in SSA. Results from this work also have the potential to be adapted to the other contexts, for example, Ireland and the UK, which have a growing population of people from SSA.

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What are the mechanisms that support healthcare professionals to adopt assisted decision-making practice? A rapid realist review

Cited by 29 publications

References 64 publications

Quality care process metrics (QCP-Ms) in nursing and midwifery care processes: a rapid realist review (RRR) protocol

Quality care process metrics (QCP-Ms) in nursing and midwifery care processes: a rapid realist review (RRR) protocol

What contextual factors and mechanisms facilitate male involvement in women's sexual and reproductive health in Sub-Saharan Africa? A rapid realist review protocol

What contextual factors and mechanisms facilitate male involvement in women's sexual and reproductive health in Sub-Saharan Africa? A rapid realist review protocol

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