It gives a brief introduction to the philosophical assumptions underlying realist methods and outlines key principles of realist evaluation (designed for empirical studies) and realist review (the application of realist methods to secondary research). Login Login and comment as BetterEvaluation member or simply fill out the fields below. An approach designed to support ongoing learning and adaptation, which identifies the processes required to achieve desired results, and then observes whether those processes take place, and how. It is based on the epistemological foundations of critical realism.Based on specific theories, realist evaluation provides an alternative lens to empiricist evaluation techniques for the study and understanding of programmes and policies. This paper offers a model of research synthesis which is designed to work with complex social interventions or programmes, and which is based on the emerging 'realist' approach to evaluation. Student Feedback "I found the 5 days to be an excellent introduction and overview of realist evaluation and realist synthesis. It seeks to understand ‘what works, for who, in what circumstances and why’ rather than providing one-off verdicts on programme … It seeks to understand ‘what works, for who, in what circumstances and why’ rather than providing one-off verdicts on programme … In healthcare change interventions, on-the-ground learning about the implementation process is often lost because of a primary focus on outcome improvements. Realist evaluations attempt to answer questions such as what works, for whom, in which circumstances, and why. An approach that focuses on assessing the value of an intervention as perceived by the (intended) beneficiaries, thereby aiming to give voice to their priorities and concerns. Various ways of doing evaluation in ways that support democratic decision making, accountability and/or capacity. But more importantly, it asserts that the things we are studying in social research have some prior existence and would continue to exist even if our knowledge of them was limited. Realist approaches are a form of theory-driven evaluation which search for and refine explanations of programme effectiveness, however, several realist studies have been identified which lack this essential process (Pawson and Manzano-Santaella, 2012). This introduction aims to explain realist impact evaluation for those unfamiliar with its principles. It is based on the epistemological foundations of critical realism. Realist Evaluation. 26 Causal explanations are expressed as contingent relationships between mechanisms (changes in participants’ reasoning or resources), context (contingencies) and outcomes, often abbreviated to context-mechanism-outcome configuration (CMO) to show how … It describes five key ideas which frame realism and their implications for impact evaluation. Abstract Background: The realist approach is a form of theory-driven evaluation developed to strengthen the explanatory power of evaluation studies and contribute to evidence-based policy and practice. Appendix I – ‘Thinking it through’: an exercise in realist hypothesis making. Realist evaluation is a valuable method for addressing the complexity of social programmes. New York: Oxford University Press, 1997 The designers of realist evaluations have developed some key assumptions, based on this philosophy. It explains when a realist impact evaluation may be most Strategies and methods of realist evaluation 4. Learning Evaluation is an approach to multi … Data were collected through a national scoping and survey, and qualitative methods to track patient and public involvement processes and impact over time within 22 nationally funded research projects. Realist data analysis is driven by the principles of realism: realist evaluation explains change brought about by an intervention by referring to the actors who act and change (or not) a situation under specific conditions and under the influence of external events (including the intervention itself). For realist evaluations (RE) this project aims to: develop quality and reporting standards and training materials; build capacity for undertaking and critically evaluating them; produce resources and training materials for lay participants, and those seeking to involve them. An impact evaluation approach which unpacks an initiative’s theory of change, provides a framework to collect data on immediate, basic changes that lead to longer, more transformative change, and allows for the plausible assessment of the initiative’s contribution to results via ‘boundary partners’. Realist impact evaluation is an approach to impact evaluation that emphasises the importance of context for programme outcomes. • Realist evaluation = primary research • Realist synthesis = secondary research • Both methods: – have more of an explanatory rather than judgmental focus. Realism is an approach to humanity which recognizes the real existence of social objects as well as physical objects. Key words: Realist evaluation, Realist Syntheses, Soft Systems Methodology, Stakeholders, Systems Thinking. A service of the National Library of Medicine, National Institutes of Health. But more importantly, it asserts that the things we are studying in social research have some prior existence and would continue to exist even if our knowledge of them was limited. principles of realist methodology I have discussed today remain: 1)Both the material and social world are real. An approach to decision-making in evaluation that involves identifying the primary intended users and uses of an evaluation and then making all decisions in terms of the evaluation design and plan with reference to these. There are few published examples of realist synthesis. Cited 9 times in Google Scholar. The nature of programmes and how they work 2. Participants were 20 interdisciplinary staff nominating as CoP members between Nov 2013-Nov 2015 representing 13 facilities (approximately 780 beds) of a RAC organisation. That is, whenever a program is implemented, it is testing a theory about what ‘might cause change’, even though that theory may not … Direct realism, also known as naive realism, can be described as “what you see is what you get”. The nature, presentation and use of findings from realist evaluation 6. Realist evaluation is a theory-driven approach to evaluating evidence from complex interventions. 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). Realism research philosophy relies on the idea of independence of reality from the human mind. For realist evaluations (RE) this project aims to: develop quality and reporting standards and training materials; build capacity for undertaking and critically evaluating them; produce resources and training materials for lay participants, and those seeking to involve them. Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions. Applying a realist(ic) framework to the evaluation of a new model of emergency department based mental health nursing practice. Document management processes and agreements, 7. Check the results are consistent with causal contribution, 3. 1 Older people are the main recipients of care in the National Health Service (NHS), and older people's care costs the UK NHS relatively more than those of working age. Aarons et al argue for ‘borrowing strength’ from evidence from earlier outcome evaluations to allow for evaluation in a new setting to focus on process rather than outcomes, but do not provide detail of how such decisions can be made beyond the assessment of similarity of population and intervention mechanisms in the new context. This philosophy is based on the assumption of a scientific approach to the development of knowledge. An impact evaluation approach that iteratively maps available evidence against a theory of change, then identifies and addresses challenges to causal inference. There are currently no comments. In knowledge translation, complex interventions may be implemented in the attempt to improve uptake of research-based knowledge in practice. Realist researchers then try to articulate the theories (termed 'mechanisms') that underpin the programme and explore how contexts influence the mechanisms to produce different programme outcomes. Genevieve Coorey, David Peiris, Lis Neubeck, Julie Redfern, A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease, BMC Health Services Research, 10.1186/s12913-020-05597-5, 20, 1, (2020). A way to jointly develop an agreed narrative of how an innovation was developed, including key contributors and processes, to inform future innovation efforts. Realist evaluation: an introduction Realist evaluation is a theory-driven approach to evaluating evidence from complex interventions. The UK population is getting older—by 2031 it is estimated that one in five people will be over 65 years old. Introduction. REALIST . Applying a realist(ic) framework to the evaluation of a new model of emergency department based mental health nursing practice. It is a useful approach to document stories of impact and to develop an understanding of the factors that enhance or impede impact. A particular type of case study used to jointly develop an agreed narrative of how an innovation was developed, including key contributors and processes, to inform future innovation efforts. This paper introduces the realist approach and explains why it is particularly suited to education research. Develop planning documents for the evaluation or M&E system, 8. Review evaluation (do meta-evaluation), 2. This question is for testing whether you are a human visitor and to prevent automated spam submissions. Brief introduction to realist evaluation. EVALUATION. Recommend content, collaborate, share, ask, tell us what you like, suggest an improvement, or just say hi! This thesis is a report of a theory driven study designed to evaluate the role of the 'intermediary' in promoting best practice in infection prevention and control. approach for over 30 years (Baert, 1998, pp. Be able to explain who and why to recruit to a realist research project team; Describe and explain the pros and cons of using quality and publication standards in realist research . This article describes the key features of realist (realistic) evaluation and illustrates their application using, as an example, a simulation-based course for final year medical students.
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