Improving skills and care standards in the support workforce for older people: a realist review

Journal article


Rycroft-Malone, J., Burton, C., Hall, B., McCormack, B., Nutley, S., Seddon, D. and Williams, L. 2014. Improving skills and care standards in the support workforce for older people: a realist review. BMJ Open. 4 (5).
AuthorsRycroft-Malone, J., Burton, C., Hall, B., McCormack, B., Nutley, S., Seddon, D. and Williams, L.
Abstract

Introduction
In the context of a population that is growing older, and a number of high-profile scandals about care standards in hospital and community settings, having a skilled and knowledgeable workforce caring for older people is an ethical and policy imperative. Support workers make up the majority of the workforce in health and social care services for older people (aged 65 years and over), and yet little is known about the best way to facilitate their development. Given this gap, this review will draw on evidence to address the question: how can workforce development interventions improve the skills and the care standards of support workers within older people's health and social care services?

Methods and analysis
As we are interested in how and why workforce development interventions might work, in what circumstances and with whom, we will conduct a realist review, sourcing evidence from health, social care, policing and education. The review will be conducted in four steps over 18 months to (1) construct a theoretical framework, that is, the review’s programme theories; (2) retrieve, review and synthesise evidence relating to interventions designed to develop the support workforce guided by the programme theories; (3) ‘test out’ our synthesis findings and refine the programme theories, establish their practical relevance/potential for implementation and (4) formulate recommendations about improvements to current workforce development interventions to contribute to the improvement of care standards in older people's health and social care services, potentially transferrable to other services.

Ethics and dissemination
Ethical approval is not required to undertake this review. Knowledge exchange activities through stakeholder engagement and online postings are embedded throughout the lifetime of the project. The main output from this review will be a new theory driven framework for skill development for the support workforce in health and social care for older people.

KeywordsEducation & training; Qualitative research
Year2014
JournalBMJ Open
Journal citation4 (5)
PublisherBMJ Publishing Group
ISSN2044-6055
Digital Object Identifier (DOI)doi:10.1136/bmjopen-2014-005356
Official URLhttp://doi.org/10.1136/bmjopen-2014-005356
Publication dates
Online30 May 2014
Publication process dates
Deposited17 Jun 2020
References

1. Wise J. Number of ‘oldest old’ has doubled in the past 25 years. BMJ 2010;340:c3057. [PubMed] [Google Scholar]
2. Institute of Fiscal Studies. NHS and Social Care Funding: the outlook to 2021/22. 2012. http://www.nuffieldtrust.org.uk
3. Shield F, Enderby P, Nancarrow S. Stakeholder views of the training needs of an interprofessional practitioner who works with older people. Nurse Educ Today 2006;26:367–76 [PubMed] [Google Scholar]
4. Care Quality Commission. Dignity and Nutrition Inspection Programme: National Overview. 2011. http://www.cqc.org.uk
5. Parliamentary & Health Service Ombudsman. Care and compassion? Report of the Health Service Ombudsman on ten investigations into NHS care of older people London: The Stationary Office, 2011. http://www.ombudsman.org.uk/care-and-compassion/home [Google Scholar]
6. Tadd W, Hillman A, Calnan S, et al. Dignity in practice: an exploration of the care of older adults in acute NHS Trusts. NIHR Service Delivery and Organisation Programme, 2011 [Google Scholar]
7. Commission for Dignity in Care. Delivering dignity: securing dignity in care for older people in hospitals and care homes. Joint Report from Independent Commission on Dignity, 2012. http://www.nhsconfed.org/Publications/reports/Pages/Delivering-Digni...
8. Rudd AG, Hoffman A, Down C, et al. Access to stroke care in England, Wales and Northern Ireland: the effect of age, gender and weekend admission. Age Aging 2007;36:247–55 [PubMed] [Google Scholar]
9. Gott M, Small N, Barnes S, et al. Older people's views of a good death in heart failure: implications for palliative care provision. Soc Sci Med 2008;67:1113–21 [PubMed] [Google Scholar]
10. Saks M, Allsop J, Chevannes M, et al. Review of health support workers. Report to the UK Departments of Health Leicester: Faculty of Health and Community Studies, De Montfort University, 2000 [Google Scholar]
11. Spilsbury K, Adamson J, Atkin K, et al. Evaluation of The development and impact of assistant practitioners supporting the work of ward-based registered nurses in acute NHS (Hospital) Trusts in England. Final report NIHR Service Delivery and Organisation Programme, 2010 [Google Scholar]
12. Nancarrow SA, Shuttleworth P, Tongue A, et al. Support workers in intermediate care. Health Soc Care Community 2005;13:338–44 [PubMed] [Google Scholar]
13. Schneider J, Scales K, Bailey S, et al. Challenging care: the role and experience of health care assistants in dementia wards. Final report NIHR Service Delivery and Organisation Programme, 2010 [Google Scholar]
14. NHS Education for Scotland. Healthcare support workers. The development of the clinical support worker role: a review of the evidence. NHS Education for Scotland, 2010 [Google Scholar]
15. Skills for Care. Capable, competent, skilled. A workforce development strategy. Leeds: Skills for Care, 2011 [Google Scholar]
16. Janes N, Sidani S, Cott C, et al. Figuring it out in the moment: a theory of unregulated care providers’ knowledge utilization in dementia care settings. Worldviews Evid Based Nurs 2008;5:13–24 [PubMed] [Google Scholar]
17. Manthorpe J, Martineau S, Moriarty J, et al. Support workers in social care in England: a scoping study. Health Soc Care Community 2010;18:316–24 [PubMed] [Google Scholar]
18. Griffiths P, Robinson S. Moving forward with healthcare support workforce regulation. London: National Nursing Research Unit, Kings College, 2010 [Google Scholar]
19. Cavendish C. The Cavendish review: an independent review into healthcare assistants and support workers in the NHS and social care settings. 2013. https://www.gov.uk/government/publications/review-of-healthcare-assi...
20. Kessler I, Heron P, Dopson S, et al. The nature and consequences of support workers in a hospital setting. Final report NIHR Service Delivery and Organisation Programme, 2010 [Google Scholar]
21. Moran A, Enderby P, Nancarrow S. Defining and identifying common elements of and contextual influences on the roles of support workers in health and social care: a thematic analysis of the literature. J Eval Clin Pract 2010;17:1191–9 [PubMed] [Google Scholar]
22. Wakefield A, Spilsbury K, Atkin K, et al. Assistant or substitute: exploring the fit between national policy vision and local practice realities of assistant practitioner job descriptions. Health Policy 2009;90:286–95 [PubMed] [Google Scholar]
23. Nancarrow SA, Enderby P, Moran AM, et al. The relationship between workforce flexibility and the costs and outcomes of older peoples’ services. Final report NIHR Service Delivery and Organisation Programme, 2010 [Google Scholar]
24. Bond J, Bamford C, Arksey H, et al. Person- and carer-centred respite care for people with dementia: developing methods of evaluating the effectiveness of different models. Final report NIHR Service Delivery and Organisation Programme, 2009 [Google Scholar]
25. Dreyfus SE, Dreyfus HL. A five stage model of the mental activities involved in directed skill acquisition. Unpublished Report supported by the Air Force Office of Scientific Research Berkley: University of California, 1980 [Google Scholar]
26. Wong G, Greenhalgh T, Westhorp G, et al. RAMESES publication standards: realist synthesis. BMC Med 2013;11:21 http://www.biomedcentral.com/content/pdf/1741-7015-11-21.pdf [PMC free article] [PubMed] [Google Scholar]
27. Wand T, White K, Patching J. Applying a realist(ic) framework to the evaluation of a new model of emergency department based mental health nursing practice. Nurs Inq 2010;17:231–9 [PubMed] [Google Scholar]
28. Hewitt G, Sims S, Harris R. The realist approach to evaluation research: an introduction. Int J Ther Rehabil 2012;19:250–9 [Google Scholar]
29. Gough D. Meta-narrative and realist reviews: guidance, rules, publication standards and quality appraisal. BMC Med 2013;11:22 http://www.biomedcentral.com/1741-7015/11/22 [PMC free article] [PubMed] [Google Scholar]
30. Pawson R. Evidence-based policy: a realist perspective. London: Sage Publications, 2006 [Google Scholar]
31. Rycroft-Malone J, McCormack B, Hutchinson A, et al. Realist synthesis: illustrating the method for implementation research. Implement Sci 2012;7:33. [PMC free article] [PubMed] [Google Scholar]
32. Greenhalgh T, Wong G, Westhorp G, et al. Protocol-realist and meta-narrative evidence synthesis: evolving standards (RAMESES). BMC Med Res Methodol 2011;11:115. [PMC free article] [PubMed] [Google Scholar]
33. McCormack B, Rycroft-Malone J, DeCorby K, et al. A realist review of interventions and strategies to promote evidence-informed healthcare: a focus on change agency. Implement Sci 2013;8:107 http://www.implementationscience.com/content/8/1/107 [PMC free article] [PubMed] [Google Scholar]
34. Dreyfus H, Dreyfus S. Mind over machine: the power of human intuition and expertise in the era of the computer. New York: Free Press, 1985 [Google Scholar]
35. Bloom B. The taxonomy of educational objectives: the classification of educational goals. Handbook I, Cognitive Domain London: Longman, 1956 [Google Scholar]
36. Kolb DA. Experiential learning. Experience as the source of learning and development. EnglewoodCliffs: Prentice Hall, 1984 [Google Scholar]
37. Michie S, Fixsen D, Grimshaw JM, et al. Specifying and reporting complex behaviour change interventions: the need for a scientific method. Implement Sci 2009;4:40. [PMC free article] [PubMed] [Google Scholar]
38. Prochaska JO, DiClemente CC. Transtheoretical therapy: towards a more integrative model of change. Psychother Theory Res Pract 1982;19:276–88 [Google Scholar]
39. McCormack B, Wright J, Dewer B, et al. A realist synthesis of evidence relating to practice development: findings from the literature review. Pract Dev Health Care 2007;6:25–55 [Google Scholar]
40. Rycroft-Malone J, Kitson A, Harvey G, et al. Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care 2002;11:174–80 [PMC free article] [PubMed] [Google Scholar]
41. Nutley S, Walters I, Davies HTO. Using evidence. How research can inform public services . Bristol: Policy Press, 2007 [Google Scholar]
42. Easterby-Smith M. Disciplines of organizational learning: contributions and critiques. Hum Relations 1997;50:1085–113 [Google Scholar]
43. Raelin JA. Work-based learning in practice. J Workplace Learn 1997;10:280–3 [Google Scholar]
44. Dewing J. Chapter 15. Becoming and being active learners and creating active learning workplaces: the value of active learning in international practice development. In: McCormack B, Manley K, Wilson V, eds. Nursing and healthcare. Oxford: Blackwells, 2008:273–94 [Google Scholar]
45. Keeney S, Hasson F, McKenna H. Health care assistants: the views of managers of health care agencies on training and employment. J Nurs Manag 2005;13:83–92 [PubMed] [Google Scholar]

Permalink -

https://repository.canterbury.ac.uk/item/8vq43/improving-skills-and-care-standards-in-the-support-workforce-for-older-people-a-realist-review

  • 2
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Making authentic: exploring boundary objects and bricolage in knowledge mobilisation through National Health Service-university partnerships
Melville-Richards, L., Rycroft-Malone, J., Burton, C. and Wilkinson, J. 2020. Making authentic: exploring boundary objects and bricolage in knowledge mobilisation through National Health Service-university partnerships. Evidence & Policy: A Journal of Research, Debate and Practice.
A multicentre, randomised controlled trial to compare the clinical and cost-effectiveness of Lee Silverman Voice Treatment versus standard NHS Speech and Language Therapy versus control in Parkinson’s disease: a study protocol for a randomised controlled trial
Sackley, C. M., Rick, C., Au, P., Brady, M. C., Beaton, G., Burton, C., Caulfield, M., Dickson, S., Dowling, F., Hughes, M., Ives, N., Jowett, S., Masterton-Algar, P., Nicoll, A., Patel, S., Smith, C. H., Woolley, R. and Clarke, C. E. 2020. A multicentre, randomised controlled trial to compare the clinical and cost-effectiveness of Lee Silverman Voice Treatment versus standard NHS Speech and Language Therapy versus control in Parkinson’s disease: a study protocol for a randomised controlled trial. Trials. 21 (436).
'Function first—be active, stay independent’—Promoting physical activity and physical function in people with long-term conditions by primary care: a protocol for a realist synthesis with embedded co-production and co-design
Law, R-J, Williams, L., Langley, J., Burton, C., Hall, B., Hiscock, J., Morrison, V., Lemmey, A., Partridge, R., Lovell-Smith, C., Gallanders, J. and Williams, N. 2020. 'Function first—be active, stay independent’—Promoting physical activity and physical function in people with long-term conditions by primary care: a protocol for a realist synthesis with embedded co-production and co-design. BMJ Open. 10 (2).
Sleep hygiene education and children with developmental disabilities: Findings from a co-design study
Sutton, J.E., Huws, J.C. and Burton, C. 2019. Sleep hygiene education and children with developmental disabilities: Findings from a co-design study. Journal of Intellectual Disabilities.
Towards safe nurse staffing in England’s National Health Service: progress and pitfalls of policy evolution
Lawless, J., Couch, R., Griffiths, P., Burton, C. and Ball, J. 2019. Towards safe nurse staffing in England’s National Health Service: progress and pitfalls of policy evolution. Health Policy. 123 (6), pp. 590-594.
Brief smoking cessation in acute Welsh hospitals: A realist approach
Davies, S., Burton, C., Williams, L. and Tinkler, A. 2019. Brief smoking cessation in acute Welsh hospitals: A realist approach. Health Promotion International. 35 (2), pp. 244-254.
Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence
Burton, C., Williams, L., Bucknall, T., Edwards, S., Fisher, D., Hall, B., Harris, G., Jones, P., Makin, M., McBride, A., Meacock, R., Parkinson, J., Rycroft-Malone, J. and Waring, J. 2019. Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence. Systematic Reviews. 8 (194).
NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis
Burton, C., Rycroft-Malone, J., Williams, L., Davies, S., McBride, A., Hall, B., Rowlands, A., Jones, A., Fisher, D., Jones, M. and Caulfield, M. 2018. NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis. Southampton (UK) NIHR Journals Library.
NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis
Burton, C., Rycroft-Malone, J., Williams, L, Davies, S., McBride, A., Hall, B., Rowlands, A., Jones, A., Fisher, D., Jones, M. and Caulfield, M. 2018. NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis. Health Services and Delivery Research. 6 (36).
The generation of consensus guidelines for carrying out process evaluations in rehabilitation research
Masterson-Algar, P., Burton, C. and Rycroft-Malone, J. 2018. The generation of consensus guidelines for carrying out process evaluations in rehabilitation research. BMC Medical Research Methodology. 18 (1), pp. 1-11.
Getting back to life after stroke: co-designing a peer-led coaching intervention to enable stroke survivors to rebuild a meaningful life after stroke
Masterson-Algar, P., Williams, S., Burton, C., Arthur, C., Hoare, Z., Morrison, V., Radford, K., Seddon, D. and Elghenzai, S. 2018. Getting back to life after stroke: co-designing a peer-led coaching intervention to enable stroke survivors to rebuild a meaningful life after stroke. Disability and Rehabilitation. 42 (10), pp. 1359-1372.
Arts-based palliative care training, education and staff development: A scoping review
Turton, B.M., Williams, S., Burton, C.R. and Williams, L. 2018. Arts-based palliative care training, education and staff development: A scoping review. Palliative Medicine. 32 (2).
The PD COMM trial: a protocol for the process evaluation of a randomised trial assessing the effectiveness of two types of SLT for people with Parkinson's disease.
Masterson-Algar, P, Burton, C., Brady, M.C., Nicoll, A., Clarke, C.E., Rick, C., Hughes, M., Au, P., Smith, C.H. and Sackley, C.M. 2017. The PD COMM trial: a protocol for the process evaluation of a randomised trial assessing the effectiveness of two types of SLT for people with Parkinson's disease. Trials. 18 (397), p. 2017.
Managing diabetes in people with dementia: a realist review
Bunn, F., Goodman, C., Jones, P.R., Russell, B., Trivedi, D., Sinclair, A., Bayer, A., Rait, G., Rycroft-Malone, J. and Burton, C. 2017. Managing diabetes in people with dementia: a realist review. Perth, Scotland NIHR Journals Library. doi:10.3310/hta21750
Implementation and trial evidence: a plea for fore-thought
Brocklehurst, P.R., Williams, L., Burton, C., Goodwin, T. and Rycroft-Malone, J. 2017. Implementation and trial evidence: a plea for fore-thought. British Dental Journal. 222 (5), pp. 331-335.
What works for whom in the management of diabetes in people living with dementia: a realist review
Bunn, F., Goodman, C., Jones, P. R., Russell, B., Trivedi, D., Sinclair, A., Bayer, A., Rait, G., Rycroft-Malone, J. and Burton, C. 2017. What works for whom in the management of diabetes in people living with dementia: a realist review. BMC Medicine. 15 (141).
Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions
Rycroft-Malone, J., Burton, C., Williams, L., Edwards, S., Fisher, D., Hall, B., McCormack, B., Nutley, S., Seddon, D. and Williams, R. 2016. Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions. National Institute of Health Research. doi:10.3310/hsdr04120
Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke
French, B., Thomas, L.H., Harrison, J., Burton, C., Forshaw, D., Booth, J., Britt, D., Cheater, F.M., Roe, B. and Watkins, C.L. 2016. Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke. Qualitative Health Research. 26 (10).
Implementing best practice in infection prevention and control. A realist evaluation of the role of intermediaries
Williams, L., Rycroft-Malone, J. and Burton, C. 2016. Implementing best practice in infection prevention and control. A realist evaluation of the role of intermediaries. International Journal of Nursing Studies. 60, pp. 156-167.
Bringing critical realism to nursing practice: Roy Bhaskar's contribution
Williams, L., Rycroft-Malone, J. and Burton, C. 2016. Bringing critical realism to nursing practice: Roy Bhaskar's contribution. nursing philosophy: an international journal for healthcare professionals. 18 (2).
Managers' use of nursing workforce planning and deployment technologies: protocol for a realist synthesis of implementation and impact
Burton, C., Rycroft-Malone, J., Williams, L., Davies, S., McBride, A., Hall, B., Rowlands, A.M. and Jones, A. 2016. Managers' use of nursing workforce planning and deployment technologies: protocol for a realist synthesis of implementation and impact. BMJ Open. 6 (8).
Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions
Williams, L., Rycroft-Malone, J., Burton, C., Edwards,S., Fisher, D., Hall, B., McCormack, B., Nutley, S.M., Seddon, D. and Williams, R. 2016. Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions. BMJ Open. 6 (8).
Strategies to prevent oral disease in dependent older people
Brocklehurst, P., Williams, L., Hoare, Z., Goodwin, T., McKenna, G., Tsakos, G., Chestnutt, I.G., Pretty, I., Wassall, R., Jerkovic-Cosic, K., Hayes, M., Watt, R.G. and Burton, C. 2016. Strategies to prevent oral disease in dependent older people. Cochrane Database of Systematic Reviews.
Process evaluations in neurological rehabilitation: a mixed-evidence systematic review and recommendations for future research
Masterson-Algar, P., Burton, C. and Rycroft-Malone, J. 2016. Process evaluations in neurological rehabilitation: a mixed-evidence systematic review and recommendations for future research. BMJ Open. 6 (11).
Managing diabetes in people with dementia: protocol for a realist review
Bunn, F., Goodman, C., Rycroft Malone, J., Reece Jones, P., Burton, C., Rait, G., Trivedi, D., Bayer, A. and Sinclair, A. 2016. Managing diabetes in people with dementia: protocol for a realist review. Systematic Reviews. 5 (5).
Collaboration and co-production knowledge in healthcare: opportunities and challenges
Rycroft-Malone, J., Burton, C.R., Bucknall , T., Graham, I.D., Hutchinson, A. and Stacey, D. 2016. Collaboration and co-production knowledge in healthcare: opportunities and challenges. International Journal of Health Policy and Management. 5 (4), pp. 221-223.
Collective action for implementation: a realist evaluation of organisational collaboration in healthcare
Rycroft-Malone, J., Burton, C.R., Wilkinson, J., Harvey, G., McCormack, B., Baker, R., Dopson, S., Graham, I.D., Staniszewska, S., Thompson, C., Ariss, S., Melville-Richards, L. and Williams , L. 2016. Collective action for implementation: a realist evaluation of organisational collaboration in healthcare. Implementation Science : IS. 11 (17).
An occupational therapy intervention for residents with stroke-related disabilities in UK care homes (OTCH): cluster randomised controlled trial with economic evaluation
Sackley, C.M., Walker, M.F., Burton, C.R., Watkins,C.L, Mant, J., Roalfe, A.K., Wheatley, K., Sheehan, B., Sharp, L., Stant, K.E., Fletcher-Smith, J., Steel, K., Barton, G.R., Irvine, L. and Peryer, G. 2016. An occupational therapy intervention for residents with stroke-related disabilities in UK care homes (OTCH): cluster randomised controlled trial with economic evaluation. Health Technology Assessment. 20 (15).
Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care
Thomas, L. H., French, B., Sutton, C. J., Forshaw, D., Leathley, M. J., Burton, C., Roe, B., Cheater, F. M., Booth, J., McColl, E., Carter, B., Walker, A., Brittain, K., Whiteley, G., Rodgers, H., Barrett, J. and Watkins, C. L. 2015. Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care. NIHR Journals Library.
Collective action for knowledge mobilisation: a realist evaluation of the collaborations for leadership in applied health research and care
Rycroft-Malone, J., Burton, C., Wilkinson, J., Harvey, G., McCormack, B., Baker, R., Dopson, S., Graham, I., Staniszewska, S., Thompson, C., Ariss, S., Melville-Richards, L. and Williams, L. 2015. Collective action for knowledge mobilisation: a realist evaluation of the collaborations for leadership in applied health research and care. UK NIHR Journals Library. doi:10.3310/hsdr03440
An untapped resource: patient and public involvement in implementation comment on "Knowledge mobilization in healthcare organizations": a view from the resource-based view of the firm
Burton, C. and Rycroft-Malone, J. 2015. An untapped resource: patient and public involvement in implementation comment on "Knowledge mobilization in healthcare organizations": a view from the resource-based view of the firm. International Journal of Health Policy and Management. 4 (12), pp. 845-847.
Investigating preferences for support with life after stroke: a discrete choice experiment
Burton, C., Fargher, E., Plumpton, C., Roberts, G.W, Owen, H. and Roberts, E. 2014. Investigating preferences for support with life after stroke: a discrete choice experiment. BMC Health Services Research. 14 (63).
Evaluating a systematic voiding programme for patients with urinary incontinence after stroke in secondary care using soft systems analysis and Normalisation Process Theory: findings from the ICONS case study phase.International journal of nursing studies
Thomas, L.H, French, B., Burton, C., Sutton, C., Forshaw, D., Dickinson, H., Leathley, M.J., Britt, D., Roe, B., Cheater, F.M, Booth, J., Watkins, C.L, ICONS Project Team, ICONS Patient and Public and Carer Involvement Groups 2014. Evaluating a systematic voiding programme for patients with urinary incontinence after stroke in secondary care using soft systems analysis and Normalisation Process Theory: findings from the ICONS case study phase.International journal of nursing studies. International Journal of Nursing Studies. 51 (10), pp. 1308-1320.
Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review
Magklara, E., Burton, C. and Morrison, V. 2014. Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review. Clinical Rehabilitation. 28 (9).
Towards a programme theory for fidelity in the evaluation of complex interventions.
Masterson-Algar, P., Burton, C., Rycroft-Malone, J., Sackley, C.M. and Walker, M.F. 2014. Towards a programme theory for fidelity in the evaluation of complex interventions. Journal of Evaluation in Clinical Practice . 20 (4), pp. 445 - 452.
Investigating the organisational impacts of quality improvement: a protocol for a realist evaluation of improvement approaches drawing on the Resource Based View of the Firm.
Burton, C., Rycroft Malone, J., Robert, G., Willson, A. and Hopkins, A. 2014. Investigating the organisational impacts of quality improvement: a protocol for a realist evaluation of improvement approaches drawing on the Resource Based View of the Firm. BMJ Open. 4:e005650.
Resource based view of the firm as a theoretical lens on the organisational consequences of quality improvement.
Burton, C. and Rycroft-Malone, J. 2014. Resource based view of the firm as a theoretical lens on the organisational consequences of quality improvement. International Journal of Health Policy and Management. 3 (3), pp. 113 - 115.
The study protocol of: 'Initiating end of life care in stroke: clinical decision-making around prognosis'.
Burton, C., Payne, S., Turner, M., Bucknall, T., Rycroft-Malone, J., Tyrell, P., Horne, M., Ntambwe, L.I., Tyson, S., Mitchell, H., Williams, S. and Elghenzai, S. 2014. The study protocol of: 'Initiating end of life care in stroke: clinical decision-making around prognosis'. BMC Palliative Care. 13 (55).
Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial.
Thomas, L.H., Watkins, C.L., Sutton, C.J., Forshaw, D., Leathley, M.J., French, B., Burton, C., Cheater, F., Roe, B., Britt, D., Booth, J., McColl, E., The ICONS Project Team and The ICONS Patient, Public and Carer Involvement Groups 2014. Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial. Trials. 15 (509).
What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services
Burton, C.R., Horne, M., Woodward-Nutt, K., Bowen, A. and Tyrrell, P. 2014. What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services. Disability and Rehabilitation. 37 (21), pp. 1955-1960.