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Developing New Methods for Person-Centred Approaches to Adjudicate Context–Mechanism–Outcome Configurations in Realist Evaluation

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  • Seán Paul Teeling

    (UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery & Health Systems, University College Dublin, D04 V1W8 Dublin, Ireland
    Mater Misericordiae University Hospital, Eccles Street, D07 AX57 Dublin, Ireland
    Centre for Person-Centred Practice Research Division of Nursing, School of Health Sciences, Queen Margaret University, Queen Margaret University Drive, Musselburgh, East Lothian EH21 6UU, UK)

  • Jan Dewing

    (Centre for Person-Centred Practice Research Division of Nursing, School of Health Sciences, Queen Margaret University, Queen Margaret University Drive, Musselburgh, East Lothian EH21 6UU, UK)

  • Deborah Baldie

    (Centre for Person-Centred Practice Research Division of Nursing, School of Health Sciences, Queen Margaret University, Queen Margaret University Drive, Musselburgh, East Lothian EH21 6UU, UK
    NHS Grampian, Aberdeen AB25 2ZN, UK)

Abstract

Realist evaluation provides a general method of evaluating the application of interventions including policy, legislation, projects, and new processes in social settings such as law enforcement, healthcare and education. Realist evaluation focuses on what about interventions works, for whom, and in what circumstances, and there is a growing body of work using realist evaluation to analyse interventions in healthcare organizations, including those using Lean Six Sigma improvement methodologies. Whilst realist evaluation facilitates the analysis of interventions using both qualitative and quantitative research, there is little guidance given on methods of data collection and analysis. The purpose of this study is to address this lack of guidance through detailing the use of innovative person-centred methods of data collection and analysis in a realist evaluation that enabled us to understand the contribution of Lean Six Sigma to person-centred care and cultures. This use of person-centred principles in the adjudication of identified program theories has informed novel methods of collecting and analysing data in realist evaluation that facilitate a person-centred approach to working with research participants and a way of making the implicit explicit when adjudicating program theory.

Suggested Citation

  • Seán Paul Teeling & Jan Dewing & Deborah Baldie, 2022. "Developing New Methods for Person-Centred Approaches to Adjudicate Context–Mechanism–Outcome Configurations in Realist Evaluation," IJERPH, MDPI, vol. 19(4), pages 1-17, February.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2370-:d:752777
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    References listed on IDEAS

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    1. Lisa O’Mahony & Kerrie McCarthy & Josephine O’Donoghue & Seán Paul Teeling & Marie Ward & Martin McNamara, 2021. "Using Lean Six Sigma to Redesign the Supply Chain to the Operating Room Department of a Private Hospital to Reduce Associated Costs and Release Nursing Time to Care," IJERPH, MDPI, vol. 18(21), pages 1-14, October.
    2. Nancy Leech & Anthony Onwuegbuzie, 2009. "A typology of mixed methods research designs," Quality & Quantity: International Journal of Methodology, Springer, vol. 43(2), pages 265-275, March.
    3. W. Edwards Deming, 2000. "The New Economics for Industry, Government, Education, 2nd Edition," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262541165, December.
    4. Sean Paul Teeling & Carmel Davies & Marlize Barnard & Laserina O’Connor & Alice Coffey & Veronica Lambert & Martin McNamara & Dympna Tuohy & Timothy Frawley & Catherine Redmond & Suja Somanadhan & Mar, 2021. "A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice," IJERPH, MDPI, vol. 18(22), pages 1-18, November.
    5. Ailish Daly & Nicola Wolfe & Seán Paul Teeling & Marie Ward & Martin McNamara, 2021. "Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    6. Shaun Cardiff & Brendan McCormack & Tanya McCance, 2018. "Person‐centred leadership: A relational approach to leadership derived through action research," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3056-3069, August.
    7. Seán Paul Teeling & Jan Dewing & Deborah Baldie, 2021. "A Realist Inquiry to Identify the Contribution of Lean Six Sigma to Person-Centred Care and Cultures," IJERPH, MDPI, vol. 18(19), pages 1-21, October.
    8. Patricia Egan & Anthony Pierce & Audrey Flynn & Sean Paul Teeling & Marie Ward & Martin McNamara, 2021. "Releasing Operating Room Nursing Time to Care through the Reduction of Surgical Case Preparation Time: A Lean Six Sigma Pilot Study," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    9. Zoe Radnor & Stephen P. Osborne, 2013. "Lean: A failed theory for public services?," Public Management Review, Taylor & Francis Journals, vol. 15(2), pages 265-287, February.
    10. Michele Hardiman & Jan Dewing, 2019. "Using two models of workplace facilitation to create conditions for development of a person‐centred culture: A participatory action research study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2769-2781, August.
    11. Anne Dempsey & Ciara Robinson & Niamh Moffatt & Therese Hennessy & Annmarie Bradshaw & Sean Paul Teeling & Marie Ward & Martin McNamara, 2021. "Lean Six Sigma Redesign of a Process for Healthcare Mandatory Education in Basic Life Support—A Pilot Study," IJERPH, MDPI, vol. 18(21), pages 1-18, November.
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    Cited by:

    1. Martin McNamara & Marie Ward & Seán Paul Teeling, 2023. "Making a Sustainable Difference to People, Processes and Systems: Whole-Systems Approaches to Process Improvement in Health Systems," IJERPH, MDPI, vol. 20(7), pages 1-5, March.

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