Categories of context in realist evaluation.

Sheaff, Rod; Doran, Natasha; Harris, Michael; Lang, Iain; Medina-Lara, Antionieta; Fornasiero, Mauro; Ball, Susan; McGregor-Harper, Judith; Bethune, Rob (2021). Categories of context in realist evaluation. Evaluation - the international journal of theory, research and practice, 27(2), pp. 184-209. Sage Publications 10.1177/1356389020968578

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Realist evaluation has become widespread partly because of its sensitivity to the influence of contexts on policy implementation. In many such evaluations, the range of contexts considered relevant nevertheless remains disparate and under-conceptualised. This article uses findings from a realist evaluation of English Patient Safety Collaboratives during 2015–2018 to develop a realist taxonomy of contexts, differentiating contexts according to how they affect the corresponding policy mechanism. By analysing the main context-mechanism-outcome configurations that made up the English Patient Safety Collaboratives, we derive a taxonomy of the contexts that affected implementation and outcomes. The categories of context were structural (network, hierarchy, market and organisational contexts); resource-based (actors, material, financial); motivational (receptivity, outcome headroom), and temporal (continuity, history and convergence). To the categories found in previous studies, this study adds the three temporal contexts.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Harris, Michael Frank

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1356-3890

Publisher:

Sage Publications

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

28 Jul 2021 16:26

Last Modified:

05 Dec 2022 15:52

Publisher DOI:

10.1177/1356389020968578

Uncontrolled Keywords:

context, NHS, patient safety collaborative, realist evaluation, time

BORIS DOI:

10.48350/157819

URI:

https://boris.unibe.ch/id/eprint/157819

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