University of Hertfordshire

General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review

Research output: Contribution to journalArticlepeer-review

Standard

General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review. / Goodman, Claire; Chadborn , Neil H; Devi, Reena; Williams, Christopher D ; Sartain , Kate ; Gordon, Adam L.

In: Family Practice, 16.11.2021.

Research output: Contribution to journalArticlepeer-review

Harvard

Goodman, C, Chadborn , NH, Devi, R, Williams, CD, Sartain , K & Gordon, AL 2021, 'General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review', Family Practice.

APA

Goodman, C., Chadborn , N. H., Devi, R., Williams, C. D., Sartain , K., & Gordon, A. L. (2021). General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review. Manuscript submitted for publication.

Vancouver

Goodman C, Chadborn NH, Devi R, Williams CD, Sartain K, Gordon AL. General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review. Family Practice. 2021 Nov 16.

Author

Goodman, Claire ; Chadborn , Neil H ; Devi, Reena ; Williams, Christopher D ; Sartain , Kate ; Gordon, Adam L. / General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review. In: Family Practice. 2021.

Bibtex

@article{b30cfc117a81425990261222204d91d1,
title = "General Practitioners{\textquoteright} Role in Advancing Practice in Care Homes: A Realist Review",
abstract = "BackgroundDespite recent focus on improving healthcare in care homes, it is unclear what role GeneralPractitioners (GPs) should play. To provide evidence for future practice we set out to explore how GPs have been involved in such improvements.MethodsRealist review comprised interviews with GP leaders, theory driven literature searches and stakeholder interviews supplemented by searches on GP led medication reviews and end-of-life care.Medline, Embase, CINAHL, Psycinfo, Web of Science and the Cochrane library were searched. Grey literature was identified through internet searches and professional networks. Studies were includedbased upon relevance. Data were coded to develop and test contexts, mechanisms and outcomes for improvements involving GPs.ResultsEvidence was synthesised from 30 articles. Programme theories described: (1) “negotiated working with GPs”, where other professionals led improvement and GPs provided expertise; and (2) “GP involvement in national/regional improvement programmes”. The expertise of GPs was vital to manyimprovement programmes, with their medical expertise or role as co-ordinators of primary care proving pivotal. GPs had limited training in quality improvement and care home improvement work had to be negotiated in the context of wider primary care commitments.ConclusionsGPs are central to quality improvement in healthcare in care homes. Their contributions relate to their specialist expertise and recognition as leaders of primary care but are challenged by available time and resources to develop this role.",
author = "Claire Goodman and Chadborn, {Neil H} and Reena Devi and Williams, {Christopher D} and Kate Sartain and Gordon, {Adam L}",
year = "2021",
month = nov,
day = "16",
language = "English",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",

}

RIS

TY - JOUR

T1 - General Practitioners’ Role in Advancing Practice in Care Homes: A Realist Review

AU - Goodman, Claire

AU - Chadborn , Neil H

AU - Devi, Reena

AU - Williams, Christopher D

AU - Sartain , Kate

AU - Gordon, Adam L

PY - 2021/11/16

Y1 - 2021/11/16

N2 - BackgroundDespite recent focus on improving healthcare in care homes, it is unclear what role GeneralPractitioners (GPs) should play. To provide evidence for future practice we set out to explore how GPs have been involved in such improvements.MethodsRealist review comprised interviews with GP leaders, theory driven literature searches and stakeholder interviews supplemented by searches on GP led medication reviews and end-of-life care.Medline, Embase, CINAHL, Psycinfo, Web of Science and the Cochrane library were searched. Grey literature was identified through internet searches and professional networks. Studies were includedbased upon relevance. Data were coded to develop and test contexts, mechanisms and outcomes for improvements involving GPs.ResultsEvidence was synthesised from 30 articles. Programme theories described: (1) “negotiated working with GPs”, where other professionals led improvement and GPs provided expertise; and (2) “GP involvement in national/regional improvement programmes”. The expertise of GPs was vital to manyimprovement programmes, with their medical expertise or role as co-ordinators of primary care proving pivotal. GPs had limited training in quality improvement and care home improvement work had to be negotiated in the context of wider primary care commitments.ConclusionsGPs are central to quality improvement in healthcare in care homes. Their contributions relate to their specialist expertise and recognition as leaders of primary care but are challenged by available time and resources to develop this role.

AB - BackgroundDespite recent focus on improving healthcare in care homes, it is unclear what role GeneralPractitioners (GPs) should play. To provide evidence for future practice we set out to explore how GPs have been involved in such improvements.MethodsRealist review comprised interviews with GP leaders, theory driven literature searches and stakeholder interviews supplemented by searches on GP led medication reviews and end-of-life care.Medline, Embase, CINAHL, Psycinfo, Web of Science and the Cochrane library were searched. Grey literature was identified through internet searches and professional networks. Studies were includedbased upon relevance. Data were coded to develop and test contexts, mechanisms and outcomes for improvements involving GPs.ResultsEvidence was synthesised from 30 articles. Programme theories described: (1) “negotiated working with GPs”, where other professionals led improvement and GPs provided expertise; and (2) “GP involvement in national/regional improvement programmes”. The expertise of GPs was vital to manyimprovement programmes, with their medical expertise or role as co-ordinators of primary care proving pivotal. GPs had limited training in quality improvement and care home improvement work had to be negotiated in the context of wider primary care commitments.ConclusionsGPs are central to quality improvement in healthcare in care homes. Their contributions relate to their specialist expertise and recognition as leaders of primary care but are challenged by available time and resources to develop this role.

M3 - Article

JO - Family Practice

JF - Family Practice

SN - 0263-2136

ER -