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Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting / KERRY DARE

Swansea University Author: KERRY DARE

DOI (Published version): 10.23889/SUthesis.58164

Abstract

Evaluation Aims This thesis outlines the Realist Evaluation of Swansea University’s Health and Wellbeing Academy, answering the evaluation question of, ‘Does the Health and Wellbeing Academy work, for whom does it work, in what ways and why?’ Methods The evaluation was split into three components in...

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Published: Swansea 2021
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Rance, Jaynie Y. ; Kosnes, Liv
URI: https://cronfa.swan.ac.uk/Record/cronfa58164
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first_indexed 2021-10-01T11:41:13Z
last_indexed 2021-10-14T03:24:07Z
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Mixed methods were used to collect data from a range of stakeholders including programme users and facilitators, outlining the conditions in which the academy works, for whom and why. Findings and Recommendations Findings indicate the academy ‘works’ and is progressing towards its value of focusing on population needs by complementing the NHS, its mission of enhancing student placement opportunities, and its aim of providing holistic, person-centred care. Findings reveal that utilising the unique skill set of stakeholders affiliated with its university context (e.g., academic health care staff) are beneficial in achieving aims, values, and missions. Findings indicate the Academy facilitates internal, ‘home-grown’ programmes more so than external programmes, and that external programmes would benefit from a dedicated champion/manager to ensure the programmes longevity. Findings indicated that offering evidence-based programmes are successful at improving service user outcomes within this setting and again, suggest that unique contextual factors of the Academy (e.g., skillset of academics) facilitate the development of valuable programmes for Academy provision. Further, findings indicate the Academy offers a service in-line with visions outlined in core Welsh healthcare policy and is well-placed to contribute to the transformation of the Welsh NHS. 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spelling v2 58164 2021-10-01 Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting ae1331a7fea96a015a84de629010943f KERRY DARE KERRY DARE true false 2021-10-01 Evaluation Aims This thesis outlines the Realist Evaluation of Swansea University’s Health and Wellbeing Academy, answering the evaluation question of, ‘Does the Health and Wellbeing Academy work, for whom does it work, in what ways and why?’ Methods The evaluation was split into three components including a Stakeholder Perspective Exploration, and Realist Evaluations of two programmes. Mixed methods were used to collect data from a range of stakeholders including programme users and facilitators, outlining the conditions in which the academy works, for whom and why. Findings and Recommendations Findings indicate the academy ‘works’ and is progressing towards its value of focusing on population needs by complementing the NHS, its mission of enhancing student placement opportunities, and its aim of providing holistic, person-centred care. Findings reveal that utilising the unique skill set of stakeholders affiliated with its university context (e.g., academic health care staff) are beneficial in achieving aims, values, and missions. Findings indicate the Academy facilitates internal, ‘home-grown’ programmes more so than external programmes, and that external programmes would benefit from a dedicated champion/manager to ensure the programmes longevity. Findings indicated that offering evidence-based programmes are successful at improving service user outcomes within this setting and again, suggest that unique contextual factors of the Academy (e.g., skillset of academics) facilitate the development of valuable programmes for Academy provision. Further, findings indicate the Academy offers a service in-line with visions outlined in core Welsh healthcare policy and is well-placed to contribute to the transformation of the Welsh NHS. Recommendations for the Academy to progress towards other aims include utilising the skillset of internal stakeholders to develop a research and evaluation framework, clarifying its aims, and outlining practical steps towards achieving these, by developing a logic model of the Academy, to ensure join-up between service areas, ensuring that programmes are operating in consistent and measurable way. E-Thesis Swansea Realist Evaluation, Healthcare Provision, Health Psychology, Health, Wellbeing, Alternative Healthcare Delivery, Mixed Methods 1 10 2021 2021-10-01 10.23889/SUthesis.58164 A selection of third party content is redacted or is partially redacted from this thesis due to copyright restrictions. COLLEGE NANME COLLEGE CODE Swansea University Rance, Jaynie Y. ; Kosnes, Liv Doctoral Ph.D College of Human and Health Science, Swansea University 2023-06-28T15:57:41.1319745 2021-10-01T12:27:34.9063301 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Healthcare Science KERRY DARE 1 58164__21068__4575ce5e46784c02b1d53f0133a91350.pdf Dare_Kerry_A_PhD_Thesis_Final_ Redacted_Volume_1.pdf 2021-10-01T16:57:32.6388346 Output 2541965 application/pdf Redacted version - open access true Copyright: The author, Kerry Dare, 2021. true eng 58164__21069__296920d86bcc49e0b8b996d871623881.pdf Dare_Kerry_A_PhD_Thesis_Final_ Redacted_Volume_2.pdf 2021-10-01T16:59:02.4326069 Output 2110999 application/pdf Supplemental material true Copyright: The author, Kerry Dare, 2021. true eng
title Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
spellingShingle Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
KERRY DARE
title_short Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
title_full Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
title_fullStr Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
title_full_unstemmed Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
title_sort Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting
author_id_str_mv ae1331a7fea96a015a84de629010943f
author_id_fullname_str_mv ae1331a7fea96a015a84de629010943f_***_KERRY DARE
author KERRY DARE
author2 KERRY DARE
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publishDate 2021
institution Swansea University
doi_str_mv 10.23889/SUthesis.58164
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Healthcare Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Healthcare Science
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description Evaluation Aims This thesis outlines the Realist Evaluation of Swansea University’s Health and Wellbeing Academy, answering the evaluation question of, ‘Does the Health and Wellbeing Academy work, for whom does it work, in what ways and why?’ Methods The evaluation was split into three components including a Stakeholder Perspective Exploration, and Realist Evaluations of two programmes. Mixed methods were used to collect data from a range of stakeholders including programme users and facilitators, outlining the conditions in which the academy works, for whom and why. Findings and Recommendations Findings indicate the academy ‘works’ and is progressing towards its value of focusing on population needs by complementing the NHS, its mission of enhancing student placement opportunities, and its aim of providing holistic, person-centred care. Findings reveal that utilising the unique skill set of stakeholders affiliated with its university context (e.g., academic health care staff) are beneficial in achieving aims, values, and missions. Findings indicate the Academy facilitates internal, ‘home-grown’ programmes more so than external programmes, and that external programmes would benefit from a dedicated champion/manager to ensure the programmes longevity. Findings indicated that offering evidence-based programmes are successful at improving service user outcomes within this setting and again, suggest that unique contextual factors of the Academy (e.g., skillset of academics) facilitate the development of valuable programmes for Academy provision. Further, findings indicate the Academy offers a service in-line with visions outlined in core Welsh healthcare policy and is well-placed to contribute to the transformation of the Welsh NHS. Recommendations for the Academy to progress towards other aims include utilising the skillset of internal stakeholders to develop a research and evaluation framework, clarifying its aims, and outlining practical steps towards achieving these, by developing a logic model of the Academy, to ensure join-up between service areas, ensuring that programmes are operating in consistent and measurable way.
published_date 2021-10-01T15:57:37Z
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