Clinical learning environment http://www.niso.org/schemas/jav/1.0/ JAMA. 2005;27:326–31. http://ns.adobe.com/pdf/1.3/ 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). Rates of diabetes in people with dementia are between 13 and 20 %. external Text Med Teach. Med Educ. There is a need to ensure an environment for safe and supported disclosure of sexual violence in these clinical settings. Permits publishers to include a second ISSN, identifying an electronic version of the issue in which the resource occurs (therefore e(lectronic)Issn. Additionally, the scope of the review will be informed by another study into clinical learning environment being undertaken by the group. Realist synthesis is a methodology under development and this protocol makes explicit the processes of using stakeholders as a key source of information to clarify the scope of the review. Acad Med. Editor information: contains the name of each editor and his/her ORCID identifier. Protocol for a realist review of workplace learning in postgraduate medical education and training. A nationwide survey of fourth-year medical students. Colm Bergin URI PRISM recommends that a subset of the PCV platform values, namely “mobile” and “web”, be used in conjunction with this element. PROTOCOL Open Access Health solutions to improve post-intensive care outcomes: a realist review protocol A. Fuchsia Howard1*, Leanne Currie1, Vicky Bungay1, Margaret Meloche2, Robert McDermid2,3, Sarah Crowe2, Andrea Ryce4, William Harding1 and Gregory Haljan2,3 Abstract Background: While 80% of critically ill patients treated in an intensive care unit (ICU) will survive, survivors often Short staffing and overcrowding are often features of the environments in which doctors learn . Rycroft-Malone J, McCormack B, Hutchinson AM, DeCorby K, Bucknall TK, Kent B, et al. Improving the quality of clinical learning environments can improve the performance, humanism and wellbeing of learners and ultimately the quality and safety of patient care. Patrick Flood 2014;96–B:1133–8. issn If an alternate unique identifier is used as the required dc:identifier, then the DOI should be specified as a bare identifier within prism:doi only. Rotter T, Kinsman L, El J, Machotta A, Gothe H, Willis J, Snow P, Kugler J. Text Closed Choice of Text Theory is also generated, tested and refined through this process. Realist principles will be embedded in all stages of the review process. prism This study is funded by the Health Research Board, Ireland, award number MERG-1980; recipient Dr. Deirdre Bennett MB MPH MA PhD. a realist review protocol Nicola Brennan,1 Marie Bryce,1 Mark Pearson,2 Geoff Wong,3 Chris Cooper,2 Julian Archer1 To cite: Brennan N, Bryce M, Pearson M, et al. PROTOCOL Open Access Managing diabetes in people with dementia: protocol for a realist review Frances Bunn1*, Claire Goodman1, Jo Rycroft Malone2, Peter Reece Jones2, Chris Burton2, Greta Rait4, Daksha Trivedi1, Antony Bayer5 and Alan Sinclair6 Abstract Background: Worldwide, the prevalences of diabetes and dementia are both increasing, particularly in older people. 2014;25:8–17. Lave J, Wenger E. Situated learning: legitimate peripheral participation. Protocol for a realist review of complex interventions to prevent adolescents from engaging in multiple risk behaviours. We have chosen realist synthesis as a methodology because of its suitability for researching complexity and producing answers useful to policymakers and practitioners. PROTOCOL Open Access Protocol for a realist review of workplace learning in postgraduate medical education and training Anel Wiese1, Caroline Kilty1, Colm Bergin2, Patrick Flood3,NaFu4, Mary Horgan1, Agnes Higgins5, Bridget Maher1, Grainne O’Kane6, Lucia Prihodova6, Dubhfeasa Slattery7 and Deirdre Bennett1* Abstract Anel Wiese 1, Caroline Kilty 1, Colm Bergin 2, Patrick Flood 3, Na Fu 4, Mary Horgan 1, Agnes Higgins 5, Bridget Maher 1, Grainne O’Kane 6, Lucia Prihodova 6, Dubhfeasa Slattery 7 & Regular meetings will be held with the wider project team to discuss and define the key aspects of the review, to ensure consensus on review focus. Series editor information: contains the name of each series editor and his/her ORCID identifier. Unlike the search strategy of traditional systematic reviews, searches in realist synthesis do not aim to uncover every published paper addressing the topic, but rather to balance comprehensiveness with theoretical saturation. Brennan, N. Bryce, M. Pearson, M. Wong, G. Cooper, C. Archer, J. Metadata Show full item record. 2 0 obj Part copyright Dyrbye LN, Thomas MR, Harper W, Massie FS, Power DV, Eacker A, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD. We will adopt an iterative and explanatory approach to synthesis of the data. Communities of practice theory  emphasises the importance of participation in practice and connection, recognition and belonging within a community. Our review method was based on Pawson’s iterative review process (Pawson 2006). Although our protocol is comprehensively developed following well-established guidelines for realist synthesis [22, 25], there are limitations that need to be taken into account. Med Educ. Cochrane Database Syst Rev. Typically this will be used to provide the name of the magazine an article appeared in as metadata for the article, along with information such as the article title, the publisher, volume, number, and cover date. external Identifies a portion of a document. GTS_PDFXVersion Systematic Reviews URI The review will use a six-step iterative process to develop a program theory for CPWs in hospitals: (1) development of a preliminary program theory; (2) search strategy and literature search; (3) study selection and appraisal; (4) data extraction; (5) data analysis and synthesis; and (6) stakeholder engagement. 10.1186/s13643-017-0415-9 Cognitive apprenticeship theory [33, 34] provides an account of how people learn from each other, through observation, modelling and reflection. true Di Somma S, Paladino L, Vaughan L, Lalle I, Magrini L, Magnanti M. Overcrowding in emergency department: an international issue. http://ns.adobe.com/pdfx/1.3/ 2010;16:841–8. 2006;40:450–8. Med Teach. Text This theory will be refined as the review progresses and becomes more focussed. JAMA. We will check the validity of our search by contacting experts in the field of workplace learning to identify the key papers. We will also search the following journals by hand: Academic Medicine, Advances in Health Sciences, Graduate Medical Journal, Medical Education, Medical Teacher and Postgraduate Medical Journal. <> conformance UUID based identifier for specific incarnation of a document Med Educ. The authors declare that they have no competing interests. 10.1186/s13643-017-0415-9 Protocol for a realist review of workplace learning in postgraduate medical education and training. XMP Media Management Schema In: Dornan T, Mann KV, Scherpbier A, Spencer J, editors. Gives the name of an author. An ORCID is a persistent identifier (a non-proprietary alphanumeric code) to uniquely identify scientific and other academic authors. Manage cookies/Do not sell my data we use in the preference centre. This process will be guided by programme and substantive theories. 2012;46:89–96. Amendment of PDF/A standard endobj http://www.aiim.org/pdfa/ns/id/ VoR 2 The goal of the realist review will be to identify and refine a program theory for SDM through the identification of mechanisms which shape the characteristics of when, how, and why SDM will, and will not, work. http://dx.doi.org/10.1186/s13643-017-0415-9 The Cambridge handbook of the learning sciences. What are the important contexts which determine whether the different mechanisms produce their intended outcomes? Values for Journal Article Version are one of the following: http://springernature.com/ns/xmpExtensions/2.0/ This realist review protocol has not been registered in any database. AuthorInformation Mirrors crossmark:DOI Consequently, in line with the realist review methodology, our screening process will be iterative and will allow for ongoing screening protocol changes. We will not select reviews for data extraction; however, this relevant body of literature will be accessible and organized in … Theory and practice. Christina Cooper 1, Monique Lhussier 1, Janet Shucksmith 2, Susan Mary Carr 1; 1 Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK Workplace learning restore patient safety: a realist review protocol Tristan Price,1 Nicola Brennan,1 Jennifer Cleland,2 Linda Prescott-Clements,3 Amanda Wanner,4 Lyndsey Withers,5 Geoff Wong,6 Julian Archer1 To cite: Price T, Brennan N, Cleland J, et al. For example, a new version might only need to specify the instance ID and version number of the previous version, or a rendition might only need to specify the instance ID and rendition class of the original. stFnt Adv Heal Sci Educ. Effectiveness of clinical rotations as a learning environment for achieving competences. doi:10.1136/ … Company creating the PDF London: The RAMESES Project; 2013. The findings will be synthesised to be of practical use and will be reported according to the RAMESES reporting standards for realist syntheses . Dates of the planned realist review, from protocol design to completion, January 2019 to July 2020. 2017-01-17T19:38:13+08:00 PROTOCOL Open Access Understanding the theoretical underpinning of the exercise component in a fall prevention programme for older adults with mild dementia: a realist review protocol Vicky Booth1*, Rowan Harwood2, Victoria Hood3, Tahir Masud2 and Philippa Logan1 Abstract Background: Older adults with mild dementia are at an increased risk of falls. Font This realist synthesis will follow the steps and procedures outlined RAMESES Publication Standards for Realist Synthesis  and associated training materials  in an iterative manner. The wider research group includes experts in organisational behaviour and human resources management as well as the key stakeholders; doctors in training, patient representatives and providers of PGMET. (DOCX 29 kb). CrossMarkDomains Gives the ORCID of an author. 2011;33:820–7. 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 … Seq Text http://ns.adobe.com/xap/1.0/t/pg/ In order to meet the requirement of involving stakeholders in the realist review, a review advisory group will be formed. P = Proof AU - Lhussier, Monique. InstanceID doi Educ Res. We envisage that focussing of the review will be guided by the evidence as it is discovered and the need to ensure a manageable volume of literature for synthesis. For example, our data sources for this realist review were peer-reviewed and grey literature. Lancet. Text This is a consensus building study which will use group concept mapping to capture the perspectives of multiple stakeholders such as trainers, trainees, allied health professionals and hospital management on priority areas for improvement within clinical learning environments. This review will increase our understanding of how P4P affects health systems and how health systems can be strengthened to deliver better care and key attributes of successful P4P programmes in different contexts. Postgraduate medical education and training (PGMET) is a complex social process which happens predominantly during the delivery of patient care. Terms and Conditions, A further aim of the review is to explore economic evaluations of shared care. A structure containing the characteristics of a font used in a document PY - 2017/9/1. doi:10.1136/ bmjopen-2014-005466 Prepublication history for this paper is available online. Evaluating obstetrical residency programs using patient outcomes. Learning, clinical environment and working conditions are closely intertwined. B Gives the ORCID of a series editor. Intern Emerg Med. Acad Med. The DOI may also be used as the dc:identifier. Realist review This study will draw from the published literature and programme and substantive theories of workplace learning, to describe context, mechanism and outcome configurations for PGMET. The date when a publication was published. Dubhfeasa Slattery PlateNames AB - Introduction Supporting people subjected to sexual violence includes provision of sexual and reproductive healthcare. Academia.edu is a platform for academics to share research papers. dementia: protocol for a realist review Frances Bunn1*, Claire Goodman1, Jo Rycroft Malone2, Peter Reece Jones2, Chris Burton2, Greta Rait4, Daksha Trivedi1, Antony Bayer5 and Alan Sinclair6 Abstract Background: Worldwide, the prevalences of diabetes and dementia are both increasing, particularly in older people. T1 - Protocol for a realist review of complex interventions to prevent adolescents from engaging in multiple risk behaviours. 2017-01-19T07:02:23+01:00 CB, PF, NF, MH, AH, BM, GO’K, LP and DS contributed to the refinement of the review protocol. The review questions ask the following: How have people with diabetes and the wider community been involved in diabetes research? This review aims to produce a detailed description of these relationships grounded in the literature and workplace learning theory. Bridget Maher The realist approach also starts with a sharpeni ng of. name Wimmers PF, Schmidt HG, Splinter TA. Benbassat J. Undesirable features of the medical learning environment: a narrative review of the literature. A reference to the original document from which this one is derived. Understanding the impact of delegated home visiting services accessed via general practice by community dwelling patients: a realist review protocol Lay Summary There have been a number of recent policies concerning the organisation of primary health care, including GP Forward View 2016. xmpMM CrossmarkDomainExclusive Mirrors crossmark:CrosMarkDomains We have chosen realist synthesis as a methodology because of its suitability for researching complexity and producing answers useful to policymakers and practitioners. seriesEditorInfo internal Bag Font This protocol will explain the rationale for using a realist review approach and outline the method. Wong G, Greenhalgh T, Westhorp G, Pawson R. Realist methods in medical education research: what are they and what can they contribute? Gives the name of an editor. enshrined in a systematic review protocol. Specifies the types of author information: name and ORCID of an author. Full texts of articles deemed potentially relevant will be retrieved and evaluated for inclusion in the data extraction stage. Methods: Realist review is a theory-led approach to knowledge synthesis that provides an explanatory analysis aimed at discerning what works, for whom,inwhat circumstances, how, and why. internal Google Scholar. The clinical learning environment (CLE), the context for PGMET, shapes the development of the doctors who learn and work within it, ultimately impacting the quality and safety of patient care. Grainne O’Kane Systematic review registration: PROSPERO CRD42017062609. Art No.:CD006632. PubMed CVoR = Corrected Version of Record How educational innovations and attention to competencies in postgraduate medical education relate to preparedness for practice: the key role of the learning environment. 1989;18:32–42. This process will allow information on outcomes that differ in comparable circumstances, for contradictory outcomes to occur in particular contexts, and for judgements of the strength/weaknesses of research methods to be integrated into the synthesis. An initial programme theory for workplace learning in postgraduate medical education and training will be developed and expressed in realist terms. Isba R, Boor K. Creating a learning environment. internal Gracey CF, Haidet P, Branch WT, Weissmann P, Kern DE, Mitchell G, Frankel R, Inui T. Precepting humanism: strategies for fostering the human dimensions of care in ambulatory settings. GTS_PDFXConformance The review protocol sets out the methods to be used in the review. application/pdf Text London: Churchill Livingstone; 2011. p. 99–114. Lucia Prihodova Both MeSH (medical subject headings) and free text will be employed to ensure breadth and depth of coverage. Realist review - A new method of systematic review designed for complex policy interventions. PubMed Central 2015;20:843–56. cost-effectiveness of shared care: protocol for a realist review. Abstract. external Cambridge: Cambridge University Press; 1991. In lieu of using #other please reach out to the PRISM group at firstname.lastname@example.org to request addition of your term to the Aggregation Type Controlled Vocabulary. Syst Reviews. Copyright In what circumstances is postgraduate medical workplace learning effective? AU - Carr, Susan Mary. SeriesEditorInformation Text a realist review protocol Nicola Brennan,1 Marie Bryce,1 Mark Pearson,2 Geoff Wong,3 Chris Cooper,2 Julian Archer1 To cite: Brennan N, Bryce M, Pearson M, et al. Wong BM, Imrie K. Why resident duty hours regulations must address attending physicians’ workload. Stages of the realist review. Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D, Mackenbach JP, Mckee M. Health in Europe 7 financial crisis, austerity, and health in Europe. Date when document was last modified Understanding the impact of visual arts interventions for people living with dementia: A realist review protocol.pdf Available via license: CC BY 4.0 Content may be subject to copyright. doi: 10.1371/journal.pone.0239554. The projects' goals are to produce quality and publication standards and training materials for realist research approaches. The potential for such programmes to improve a broad range of … By using this website, you agree to our Trapped 10.1186/s13643-017-0415-9 REGISTERED REPORT PROTOCOL Effectiveness of the non-pharmaceuti cal public health interventions against COVID-19; a protocol of a systematic review and realist review Shabnam Iezadi1, Saber Azami-Aghdash2, Akbar Ghiasi3, Aziz Rezapour4, Hamid Pourasghari1, Fariba Pashazadeh5, Kamal Gholipour ID 6* Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Manchester: GMC; 2015. XMP08 Spec: An ordered array of plate names that are needed to print the document (including any in contained documents). Realist synthesis Understanding how appraisal of doctors produces its effects: a realist review protocol. name Conformance level of PDF/A standard Specific research questions are the following: What are the mechanisms by which postgraduate workplace learning results in its intended outcomes? Adobe PDF Schema Privacy 2015;10:171–5. There is a need to ensure an environment for safe and supported disclosure of sexual violence in these clinical settings. 19 0 obj VoR = Version of Record 2013;18:527–36. J Eval Clin Pract. AW and CK contributed to the initial design and planning of the review. Teunissen PW. The following conceptual tools will be applied during this phase ; juxtaposing (“for instance, when one study provides the process data to make sense of the outcome pattern noted in another”), reconciling (identifying differences which explain apparently contradictory sets of findings). internal Realist review will build and refine a theory of postgraduate medical education and training to address these questions. Reasons for exclusion of papers will be thoroughly documented to ensure transparency. authorInfo internal Specifying the methods in advance reduces the risk of introducing bias into the review. For a resource within an xmpMM:Ingredients list, the ResourceRef uses this type to identify both the portion of the containing document that refers to the resource, and the portion of the referenced resource that is referenced. Realist synthesis methodology is appropriate to explore a complex intervention such as PGMET, which takes place in complex learning environments, in which learning is not the primary activity. SourceModified Mirrors crossmark:CrossmarkDomainExclusive Realist review is an interpretative theory-driven narrative summary of the literature describing how, why and in what circumstances complex social interventions work. Zubair M, Chadborn NH, Gladman JRF, Dening T, Gordon AL, Goodman C. BMJ Open, 7(10):e017270, 10 Oct 2017 Text external AW wrote the first draft of the protocol. Working under poor conditions is linked to trainee stress and burnout, which may impact learning, humanism and professional identity formation [11, 27]. If used, prism:eIssn MUST contain the ISSN of the electronic version. 1 in a manner adapted from that reported by Brennan and colleagues . This study will draw from the published literature and programme, and substantive, theories of workplace learning, to describe context, mechanism and outcome configurations for PGMET. The wider research group includes the key stakeholders; doctors in training, patient representatives and the Royal College of Physicians of Ireland, the largest postgraduate training body in Ireland, with responsibility for almost half of all postgraduate trainees nationally. endobj internal BMC Med Educ. 44. orcid 1. Billett S. Learning through health care work : premises, contributions and practices. Experience, trajectories and reification: an emerging framework of practice based learning in healthcare workplaces. The clinical learning environment: the foundation of graduate medical education. uuid:d9ca23c2-9948-4706-a90c-37ce46c34e6c The findings of this study will help to direct the focus of the realist synthesis. AM = Accepted Manuscript Dates of the planned realist review, from protocol design to completion, January 2019 to July 2020. editorInfo Depicting the process will ensure that this review follows a literature informed and consistent methodology. This protocol will explain the rationale for using a realist review approach and outline the key steps in this process. Economic evaluations are difficult to synthesise due to problems in accounting for contextual differences that impact on resource use and opportunity costs. uuid:fc657918-d8a1-4040-885f-2ede47aa1529 First, our review is limited to the English language. Gill Windle, Samantha Gregory, Andrew Newman, Anna Goulding, Dave O'Brien, Clive Parkinson. Search terms will be developed and trialled iteratively, and in discussion within the wider research team and a librarian. Conformance level of PDF/X standard The review is not registered with the PROSPERO International Prospective Register of Systematic Reviews as the review objectives relate solely to education outcomes. PROTOCOL Open Access Development of a program theory for shared decision-making: a realist review protocol Gary Groot1*, Tamara Waldron1, Tracey Carr1, Linda McMullen2, Lori-Ann Bandura3, Shelley-May Neufeld1 and Vicky Duncan1 Abstract Background: The practicality of applying evidence to healthcare systems with the aim of implementing change is a realist review protocol Gill Windle1*, Samantha Gregory1, Andrew Newman2, Anna Goulding2, Dave O'Brien3 and Clive Parkinson4 Abstract Background: Arts-based activities are being increasingly suggested as a valuable activity for people living with dementia in terms of countering the negative aspects of their condition. database. realist review protocol has not been registered in any database. Realist philosophy holds that outcomes of an intervention are not deterministic or simply linear but are context dependent. Analysis and synthesis will proceed in NVivo as we identify recurring relationships between contexts, mechanisms and outcomes in the selected papers. Tsai J-C, Chen C-S, Sun I-F, Liu K-M, Lai C-S. Clinical learning environment measurement for medical trainees at transitions: relations with socio-cultural factors and mental distress.
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