Developing initial programme theories for a realist synthesis on digital clinical consultations in maternity care: contributions from stakeholder involvement.

Autor:	Evans C; Professor in Evidence Based Healthcare, School of Health Sciences, University of Nottingham, Nottingham, UK., Clancy G; Research Fellow, School of Health Sciences, University of Nottingham, Nottingham, UK., Evans K; Senior Clinical Academic Midwife and Associate Professor, School of Health Sciences, University of Nottingham, Nottingham, UK., Booth A; Professor in Evidence Synthesis, ScHARR, University of Sheffield, Sheffield, UK., Nazmeen B; Assistant Professor, School of Allied Health Professionals and Midwifery, University of Bradford, Bradford, UK., Timmons S; Professor of Health Services Management, Nottingham University Business School, University of Nottingham, Nottingham, UK., Sunney C; Lay Researcher, Nottingham Maternity Research Network, Nottingham, UK., Clowes M; Information Scientist, ScHARR, University of Sheffield, Sheffield, UK., Jones NW; Clinical Associate Professor, School of Medicine, University of Nottingham, Sheffield, UK., Spiby H; Professor of Midwifery, School of Health Sciences, University of Nottingham, Nottingham, UK.
Jazyk:	angličtina
Zdroj:	Journal of research in nursing : JRN [J Res Nurs] 2024 Mar; Vol. 29 (2), pp. 127-140. Date of Electronic Publication: 2024 Mar 08.
DOI:	10.1177/17449871241226911
Abstrakt:	Background: The COVID pandemic prompted an increase in the use of digital clinical consultations (telephone or video calls) within midwifery and nursing care. This paper reports on a realist review project related to maternity care that seeks to illuminate for whom such consultations can safely and acceptably be used, how, for what purposes and in what contexts. Aims: This paper addresses the first phase of a realist enquiry - initial programme theory development - focusing particularly on the role of stakeholder involvement (including digital transformation leaders, midwives, obstetricians, service users and community organisations). Methods: Three sub-stages of initial programme theory development are described highlighting the contribution of stakeholder groups to each stage: (i) consultation to focus the review question, (ii) focused searching and (iii) further consultation. Results: Realist literature searching strategies yielded limited theory-rich evidence on digital consultations. Stakeholders provided essential additional contributions resulting in the development of 13 initial programme theories and a conceptual framework. Conclusions: More research on the implementation of virtual midwifery/nursing consultations is needed. Nursing/midwifery digital researchers should involve stakeholders to help shape research priorities, deepen contextual understanding and sense-check emerging findings. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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