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@article{65a3147e1297474891772808ed09502d,
title = "Using non-participant observation to uncover mechanisms: insights from a realist evaluation",
abstract = "This article outlines how a realist evaluation of dementia care in hospitals used non-participant observation to support the refinement and testing of mechanisms likely to lead to the use of person-centred care. We found that comments and explanations of their actions from hospital staff during observation periods provided insights into the reasoning that generated their actions for care in real time. This informed subsequent data collection and analysis. Two worked examples of mechanisms first identified during non-participant observation demonstrate (1) how they were uncovered, and (2) how this informed research activities for theory refinement. Early, iterative engagement with the analytic process, primarily involving reflection and debate with the research team, maximised the potential of observation data to support surfacing underlying mechanisms, linking them to specific contexts and outcomes.",
keywords = "dementia, hospitals, mechanisms, non-participant observation, realist evaluation",
author = "Melanie Handley and Frances Bunn and Jennifer Lynch and Claire Goodman",
year = "2019",
month = aug,
day = "8",
doi = "10.1177/1356389019869036",
language = "English",
journal = "Evaluation",
issn = "1356-3890",
publisher = "Sage",

}

RIS

TY - JOUR

T1 - Using non-participant observation to uncover mechanisms: insights from a realist evaluation

AU - Handley, Melanie

AU - Bunn, Frances

AU - Lynch, Jennifer

AU - Goodman, Claire

PY - 2019/8/8

Y1 - 2019/8/8

N2 - This article outlines how a realist evaluation of dementia care in hospitals used non-participant observation to support the refinement and testing of mechanisms likely to lead to the use of person-centred care. We found that comments and explanations of their actions from hospital staff during observation periods provided insights into the reasoning that generated their actions for care in real time. This informed subsequent data collection and analysis. Two worked examples of mechanisms first identified during non-participant observation demonstrate (1) how they were uncovered, and (2) how this informed research activities for theory refinement. Early, iterative engagement with the analytic process, primarily involving reflection and debate with the research team, maximised the potential of observation data to support surfacing underlying mechanisms, linking them to specific contexts and outcomes.

AB - This article outlines how a realist evaluation of dementia care in hospitals used non-participant observation to support the refinement and testing of mechanisms likely to lead to the use of person-centred care. We found that comments and explanations of their actions from hospital staff during observation periods provided insights into the reasoning that generated their actions for care in real time. This informed subsequent data collection and analysis. Two worked examples of mechanisms first identified during non-participant observation demonstrate (1) how they were uncovered, and (2) how this informed research activities for theory refinement. Early, iterative engagement with the analytic process, primarily involving reflection and debate with the research team, maximised the potential of observation data to support surfacing underlying mechanisms, linking them to specific contexts and outcomes.

KW - dementia

KW - hospitals

KW - mechanisms

KW - non-participant observation

KW - realist evaluation

UR - http://www.scopus.com/inward/record.url?scp=85071079322&partnerID=8YFLogxK

U2 - 10.1177/1356389019869036

DO - 10.1177/1356389019869036

M3 - Article

JO - Evaluation

JF - Evaluation

SN - 1356-3890

ER -