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Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol

INTRODUCTION: Health visiting services, providing support to under 5s and their families, are organised and delivered in very different ways in different parts of the UK. While there has been attention to the key components of health visiting practice and what works well and how, there is little res...

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Autores principales: King, Emma, Gadsby, Erica, Bell, Madeline, Duddy, Claire, Kendall, Sally, Wong, Geoff
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008202/
https://www.ncbi.nlm.nih.gov/pubmed/36889822
http://dx.doi.org/10.1136/bmjopen-2022-068544
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author King, Emma
Gadsby, Erica
Bell, Madeline
Duddy, Claire
Kendall, Sally
Wong, Geoff
author_facet King, Emma
Gadsby, Erica
Bell, Madeline
Duddy, Claire
Kendall, Sally
Wong, Geoff
author_sort King, Emma
collection PubMed
description INTRODUCTION: Health visiting services, providing support to under 5s and their families, are organised and delivered in very different ways in different parts of the UK. While there has been attention to the key components of health visiting practice and what works well and how, there is little research on how health visiting services are organised and delivered and how that affects their ability to meet their objectives. The COVID-19 pandemic rapidly disrupted service delivery from March 2020. This realist review aims to synthesise the evidence on changes during the pandemic to identify the potential for improving health visiting services and their delivery. METHODS AND ANALYSIS: This review will follow the RAMESES (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) quality standards and Pawson’s five iterative stages to locate existing theories, search for evidence, select literature, extract data, synthesise evidence and draw conclusions. It will be guided by stakeholder engagement with practitioners, commissioners, policymakers, policy advocates and people with lived experience. This approach will consider the emerging strategies and evolving contexts in which the services are delivered, and the varied outcomes for different groups. A realist logic of analysis will be used to make sense of what was happening to health visiting services during and following the pandemic response through the identification and testing of programme theories. Our refined programme theory will then be used to develop recommendations for improving the organisation, delivery and ongoing postpandemic recovery of health visiting services. ETHICS AND DISSEMINATION: General University Ethics Panel approval has been obtained from University of Stirling (reference 7662). Dissemination will build on links to policymakers, commissioners, providers, policy advocates and the public. A range of audiences will be targeted using outputs tailored to each. A final stakeholder event focused on knowledge mobilisation will aid development of recommendations. PROSPERO REGISTRATION NUMBER: CRD42022343117.
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spelling pubmed-100082022023-03-13 Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol King, Emma Gadsby, Erica Bell, Madeline Duddy, Claire Kendall, Sally Wong, Geoff BMJ Open Paediatrics INTRODUCTION: Health visiting services, providing support to under 5s and their families, are organised and delivered in very different ways in different parts of the UK. While there has been attention to the key components of health visiting practice and what works well and how, there is little research on how health visiting services are organised and delivered and how that affects their ability to meet their objectives. The COVID-19 pandemic rapidly disrupted service delivery from March 2020. This realist review aims to synthesise the evidence on changes during the pandemic to identify the potential for improving health visiting services and their delivery. METHODS AND ANALYSIS: This review will follow the RAMESES (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) quality standards and Pawson’s five iterative stages to locate existing theories, search for evidence, select literature, extract data, synthesise evidence and draw conclusions. It will be guided by stakeholder engagement with practitioners, commissioners, policymakers, policy advocates and people with lived experience. This approach will consider the emerging strategies and evolving contexts in which the services are delivered, and the varied outcomes for different groups. A realist logic of analysis will be used to make sense of what was happening to health visiting services during and following the pandemic response through the identification and testing of programme theories. Our refined programme theory will then be used to develop recommendations for improving the organisation, delivery and ongoing postpandemic recovery of health visiting services. ETHICS AND DISSEMINATION: General University Ethics Panel approval has been obtained from University of Stirling (reference 7662). Dissemination will build on links to policymakers, commissioners, providers, policy advocates and the public. A range of audiences will be targeted using outputs tailored to each. A final stakeholder event focused on knowledge mobilisation will aid development of recommendations. PROSPERO REGISTRATION NUMBER: CRD42022343117. BMJ Publishing Group 2023-03-08 /pmc/articles/PMC10008202/ /pubmed/36889822 http://dx.doi.org/10.1136/bmjopen-2022-068544 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Paediatrics
King, Emma
Gadsby, Erica
Bell, Madeline
Duddy, Claire
Kendall, Sally
Wong, Geoff
Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
title Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
title_full Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
title_fullStr Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
title_full_unstemmed Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
title_short Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
title_sort health visiting in the uk in light of the covid-19 pandemic experience (rrehope): a realist review protocol
topic Paediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008202/
https://www.ncbi.nlm.nih.gov/pubmed/36889822
http://dx.doi.org/10.1136/bmjopen-2022-068544
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