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dc.contributor.authorRycroft-Malone, J.
dc.contributor.authorMcCormack, Brendan
dc.contributor.authorHutchinson, Alison M.
dc.contributor.authorDeCorby, Kara
dc.contributor.authorBucknall, Tracey K.
dc.contributor.authorKent, Bridie
dc.contributor.authorSchultz, Alyce
dc.contributor.authorSnelgrove-Clarke, Erna
dc.contributor.authorStetler, Cheryl B.
dc.contributor.authorTitler, Marita
dc.contributor.authorWallin, Lars
dc.contributor.authorWilson, Valerie
dc.date.accessioned2018-06-29T21:38:03Z
dc.date.available2018-06-29T21:38:03Z
dc.date.issued2012-04
dc.identifierER3475
dc.identifier.citationRycroft-Malone, J., McCormack, B., Hutchinson, A., DeCorby, K., Bucknall, T., Kent, B., Schultz, A., Snelgrove-Clarke, E., Stetler, C., Titler, M., Wallin, L. & Wilson, V. (2012) Realist synthesis: illustrating the method for implementation research Implementation Science, Implementation Science, vol. 7, , ,
dc.identifier.issn1748-5908, ESSN: 1748-5908
dc.identifier.urihttps://doi.org/10.1186/1748-5908-7-33
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3475
dc.description.abstractBackground Realist synthesis is an increasingly popular approach to the review and synthesis of evidence, which focuses on understanding the mechanisms by which an intervention works (or not). There are few published examples of realist synthesis. This paper therefore fills a gap by describing, in detail, the process used for a realist review and synthesis to answer the question 'what interventions and strategies are effective in enabling evidence-informed healthcare?' The strengths and challenges of conducting realist review are also considered. Methods The realist approach involves identifying underlying causal mechanisms and exploring how they work under what conditions. The stages of this review included: defining the scope of the review (concept mining and framework formulation); searching for and scrutinising the evidence; extracting and synthesising the evidence; and developing the narrative, including hypotheses. Results Based on key terms and concepts related to various interventions to promote evidence-informed healthcare, we developed an outcome-focused theoretical framework. Questions were tailored for each of four theory/intervention areas within the theoretical framework and were used to guide development of a review and data extraction process. The search for literature within our first theory area, change agency, was executed and the screening procedure resulted in inclusion of 52 papers. Using the questions relevant to this theory area, data were extracted by one reviewer and validated by a second reviewer. Synthesis involved organisation of extracted data into evidence tables, theming and formulation of chains of inference, linking between the chains of inference, and hypothesis formulation. The narrative was developed around the hypotheses generated within the change agency theory area. Conclusions Realist synthesis lends itself to the review of complex interventions because it accounts for context as well as outcomes in the process of systematically and transparently synthesising relevant literature. While realist synthesis demands flexible thinking and the ability to deal with complexity, the rewards include the potential for more pragmatic conclusions than alternative approaches to systematic reviewing. A separate publication will report the findings of the review.
dc.publisherBiomed Central
dc.relation.ispartofImplementation Science
dc.titleRealist synthesis: illustrating the method for implementation research Implementation Science
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_nur
dc.description.volume7
dc.identifier.doihttp://10.1186/1748-5908-7-33
dc.description.ispublishedpub
dc.description.eprintid3475
rioxxterms.typearticle
qmu.authorMcCormack, Brendan
dc.description.statuspub
dc.description.number33


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