Correct Gill! Thanks
Trish Greenhalgh
Professor of Primary Health Care and Dean for Research Impact
Barts and the London School of Medicine and Dentistry
58 Turner St
London E1 2AB
UK
+44 20 7882 7325
[log in to unmask]
@trishgreenhalgh
On 20/09/2014 01:29, "Gill Westhorp" <[log in to unmask]> wrote:
>Dear All
>Two naïve wonderings from a non-MNR practitioner.
>
>1. I loved Nick's bit about interest in causation but I wonder - is that
>as
>applicable in MNR as it is in realist approaches?
>
>2. My understanding of MNR is that it looks across research traditions. I
>wonder whether thinking about what each of those separate traditions
>'traditionally offers' would help in thinking through what the synthesis
>itself might provide for funders and end-users? My assumption in
>wondering
>this is that a synthesis would identify both the separate traditions'
>offerings and something in addition to that - hence making it an
>attractive
>value-for-money proposition.
>
>Cheers
>Gill
>
>-----Original Message-----
>From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards
>[mailto:[log in to unmask]] On Behalf Of Nick Emmel
>Sent: Saturday, 20 September 2014 1:25 AM
>To: [log in to unmask]
>Subject: Re: the "so what?" question in meta-narrative reviews
>
>Dear All,
>
>Just been reading David Byrne's paper, Thoughts on a pedagogy OF
>complexity
>(2014) Complicity 11(2):40-50 while preparing a talk for a bunch of
>clinical
>trialists (once more into the breach, dear friends, once more!) about what
>is realist evaluation. This adds to Trish, Marie-Hélène, and others very
>useful and practical advice, with a thought at least, I hope
>
>incorporating 'causal accounts' [is] 'what makes [realist theories]
>scientific narratives as opposed to mere recountings of what has
>happened. Their essential characteristic is that they are stories of how
>things have come to be as they are. The causal focus enables us, we
>hope, to be able to say something about how things might be in
>the future because understanding of causes is fundamental for
>social
>interventions to achieve desired outcomes.'
>
>Best wishes
>
>Nick
>
>
>Dr Nick Emmel
>School of Sociology and Social Policy
>University of Leeds
>Leeds
>LS2 9JT
>+44 (0) 113 343 6958
>
>EMMEL ND (2013) SAMPLING AND CHOOSING CASES IN QUALITATIVE RESEARCH: A
>REALIST APPROACH LONDON SAGE http://goo.gl/YOpct0
>________________________________________
>From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards
>[[log in to unmask]] On Behalf Of Trish Greenhalgh
>[[log in to unmask]]
>Sent: 19 September 2014 16:31
>To: [log in to unmask]
>Subject: Re: the "so what?" question in meta-narrative reviews
>
>Agree with Marie-Helene¹s suggestions below, but also, to avoid getting
>¹stuck¹ in a MNR, keep asking ³what does the client
>[funder/sponsor/policymaker] want out of this review?². And try to
>present
>your emerging findings periodically to an interdisciplinary group of
>peers.
>The challenge with reviewing literature from heterogeneous sources is
>avoiding that sense of ¹swamp¹ where there seems to be no clear research
>traditions (and an excess of theory-hopping) in the primary data.
>
>Have you seen the resources page from the RAMESES project see training
>materials and quality standards.
>http://www.ramesesproject.org/index.php?pr=Project_outputs
>
>Trish Greenhalgh
>Professor of Primary Health Care and Dean for Research Impact Barts and
>the
>London School of Medicine and Dentistry
>58 Turner St
>London E1 2AB
>UK
>+44 20 7882 7325
>[log in to unmask]<mailto:[log in to unmask]>
>@trishgreenhalgh
>
>
>
>From: Marie-Hélène Paré
><[log in to unmask]<mailto:[log in to unmask]>>
>Reply-To: "Realist and Meta-narrative Evidence Synthesis: Evolving
>Standards" <[log in to unmask]<mailto:[log in to unmask]>>,
>Marie-Hélène Paré
><[log in to unmask]<mailto:[log in to unmask]>>
>Date: Friday, 19 September 2014 17:08
>To: "Realist and Meta-narrative Evidence Synthesis: Evolving Standards"
><[log in to unmask]<mailto:[log in to unmask]>>
>Subject: Re: the "so what?" question in meta-narrative reviews
>
>
>Dear Paula,
>
>
>
>Thanks for your output. I completed a meta-narrative review on community
>participation in health programs which you can see the content
>here<https://www.academia.edu/6543339/Meta-narrative_review_on_community_p
>ar
>ticipation_in_health>. You can listen to the webinar on YouTube video
>here<https://www.youtube.com/watch?v=GlXSd0I6F1Q>. It was the qualitative
>arm of a mixed method, doctorate study.
>
>
>
>I am a firm believer that meta-narrative reviews contribute to practical
>outcomes such as decision making frameworks you¹re referring to - when
>the
>output they produce contributes to shed light theoretically or
>epistemologically to the research topic. Perhaps one way to help you
>thinking in that direction is to brainstorm the following questions:
>
>
>
>1. What [conceptual / theoretical] problem will my findings
>[partially]
>help to solve?
>
>2. How will my findings help understanding better the phenomenon?
>
>3. What form / shape could my findings take?
>
>4. How can they be used? By whom? And when?
>
>
>
>The output of my synthesis was a typology of community participation and,
>in
>that sense, it is a tool that help thinking how participation is enacted
>across a spectrum of participation manifestations. It is a tool of
>reference
>that, I hope, will guide better assessment and reporting of participation.
>
>
>
>Best of luck,
>
>
>
>Marie-Hélène
>
>
>_____________________________________
>
>Marie-Hélène Paré
>Consultant in Qualitative Data Analysis
>Lecturer in Qualitative Methods
>Open University of Catalonia
>Barcelona, Spain
>T office: + 34 93 246 46 90
>T mobile: + 34 600 71 64 74
>E [log in to unmask]
>W
>Academia.edu<http://uoc.academia.edu/MarieH%C3%A9l%C3%A8nePar%C3%A9>|NVivo
><h
>ttp://www.qsrinternational.com/training-and-events_training-and-consultanc
>y_
>directory_detail.aspx?view=89>
>
>P És necessari imprimir aquest missatge?
>
>
>
>
>
>
>
>-----Original Message-----
>From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards
>[mailto:[log in to unmask]] On Behalf Of Paula Rowland
>Sent: 19 September 2014 15:29
>To: [log in to unmask]<mailto:[log in to unmask]>
>Subject: the "so what?" question in meta-narrative reviews
>
>
>
>Hello all,
>
>
>
>Thank you for the opportunity to join this interesting list serve! I have
>really enjoyed reading through the various threads. Rather than continue
>to
>lurk from my small corner of the world in Toronto, I've decided to enter
>the
>conversation by asking a question.
>
>
>
>I've been working in health care for a while, but am a very recent PhD. My
>research is in the intersections of policy and practice within health care
>organizations. I pull from theory and methods from organizational studies
>and sociology. My current research is on "patient engagement" at the level
>of health care organizations.
>
>
>
>I am drafting a proposal for a knowledge synthesis. I would like to get my
>mind around the various paradigms and research traditions that are
>constituting historical and current literature on "patient engagement" for
>the purpose of informing organizational policies and programs. As a social
>scientist, the tensions and paradoxes involved in the different ways the
>"patient" is constructed (as a citizen and a consumer), how implementation
>of these programs are considered (sometimes as a transactional exchange of
>knowledge, sometimes as a process of relationships, sometimes both), and
>how
>these programs are evaluated (I have seen attempts at quasi-experiemental
>designs that would 'black-box' the entire process of engagement and treat
>the advisor as a variable that is either present or not) --- it is
>abundantly clear to me that exploring these tensions and how they manifest
>in organizational programs is a useful exercise.
>
>
>
>I would like to try my hand a meta-narrative review to help me unpack some
>of these tensions. In looking at the funding body I am apply to (CIHR), I
>see that they have only funded 1 meta-narrative review. I imagine that I
>need to do a particularly good job of explaining why my questions are
>important, why the methodology makes sense, and how important the research
>will be.
>
>
>
>To that end, I am finding myself in a translation problem. The value of
>the
>research is very clear to me. But --- I wonder if I am doing enough to
>explain the potential impact to the reviewers. They are likely to be a mix
>of policy makers and traditional systematic reviewers.
>
>
>
>Does anyone have any experience and/or readings they could share that
>would
>help me describe the potential impact/importance of a meta-narrative
>review?
>I am looking for some help thinking through the "so what" question so that
>my rationale is more clear. I think it might be a bit lost in my jargon
>and
>enthusiasm right now. Other CIHR funded reviews tended to produce decision
>making frameworks. I am not sure I can sign up for that kind of output????
>If not, how do I explain the potential significance of the research in the
>absence of such tangible, concrete tools?
>
>
>
>Thanks in advance for any direction. And I am very much looking forward to
>ongoing conversation with this group!
>
>
>
>Cheers
>
>Paula
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