Realist approaches to data generation

Lhussier, Monique and Carr, Susan (2010) Realist approaches to data generation. In: RCN Annual International Nursing Research Conference 2010, 11-13 May 2010, The Sage, Gateshead, UK.

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Abstract

In spite of the inherent complexity of public health practice, practitioners are faced with both a requirement to demonstrate effectiveness and a dearth of tools to do so. The authors have been working on the development of realist approaches to evaluation for a number of years. This has proved a particularly successful methodological framework
(Carr et al 2008a). The authors have used realist approaches in conjunction with appreciative enquiry (Carr & Lhussier (2008), with health impact assessment (Lhussier et al. 2008) and with soft system methodology (Carr et al. 2008b). This presentation aims to expose and encourage discussion about these methodological developments.Realist approaches encourage practitioners to populate a ‘context-mechanism outcome’ framework. This enables a surfacing of often implicit forms of knowledge, so that details of intervention mechanisms can be contextualised. From there, practitioners are encouraged to identify short, medium and long outcomes which they expect the intervention might achieve. This enables practitioners to establish evidence generating evaluation strategies to support intervention
development.
– In conjunction with principles of health impact assessment, a realist approach enabled practitioners to become explicit about why their project worked in the particular circumstances (Lhussier et al. 2008).
– In conjunction with soft system methodology, realist methodology enabled practitioners to highlight the complexity of their combined intervention and potential synergies of action. (Carr et al. 2008b)
– In conjunction with appreciative inquiry, realist
synthesis enables a co-creation of understanding that builds on past success and frames them in a way that will facilitate replication (Carr & Lhussier 2008). Methodologically, these advances offer huge potential to practitioners faced with the necessity to generate evidence of effectiveness. They offer the possibility to frame past successes, to acknowledge local specificities and the often impossibility of achieving long term epidemiologically measurable impacts, and to frame and assess progress.

Item Type: Conference or Workshop Item (Poster)
Subjects: B900 Others in Subjects allied to Medicine
G300 Statistics
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Public Health and Wellbeing
Depositing User: Ay Okpokam
Date Deposited: 31 Aug 2012 13:21
Last Modified: 10 Aug 2015 11:40
URI: http://nrl.northumbria.ac.uk/id/eprint/8554

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