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Hi Paul, I am currently doing my PhD which is a realist evaluation of an integrated care pathway for those with life limiting illnesses requiring palliative care. I published the protocol of this realist evaluation last year. The reference is: Dalkin SM, Jones D, Lhussier M, Cunningham B. Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol. BMJ Open 2012; 2: e001533 I hope this is of some help to you. Good luck! Many Thanks, Sonia Dalkin Post Graduate Research Student School of Health and Life Sciences Northumbria University Email: [log in to unmask] Phone: 07792768226 ________________________________________ From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [[log in to unmask]] on behalf of Paul Griffiths [[log in to unmask]] Sent: 14 March 2013 09:12 To: [log in to unmask] Subject: Realist Evaluation of Hospital Length of Stay Hi all, I am aware that this mail group is more about realist synthesis than realist evaluation, but I thought I would post in the hope that someone may be able to help! For my PhD I am planning to undertake a realist evaluation of length of stay in hospital for elective patients having a joint replacement procedure - the basic question I am asking is: 'What are the key factors that influence length of stay for elective patients in NHS hospitals'. As I am sure people are aware achieving optimum length of stay for patients is often viewed as a positive outcome to enable both effective and efficient care delivery - so I am planning to research how initiatives to reduce length of stay work (or don't work) and why. I am in the process of developing my detailed research protocol to explain what I will be doing and why with the relevant ethical considerations etc... I would be very grateful if anyone can point me to any realist evaluation protocols that would may be helpful as I develop mine, as this is a first for me! Any help, comments, thoughts are gratefully received! Thanks, Paul This e-mail is intended solely for the addressee. It may contain private and confidential information. If you are not the intended addressee, please take no action based on it nor show a copy to anyone. Please reply to this e-mail to highlight the error. You should also be aware that all electronic mail from, to, or within Northumbria University may be the subject of a request under the Freedom of Information Act 2000 and related legislation, and therefore may be required to be disclosed to third parties. This e-mail and attachments have been scanned for viruses prior to leaving Northumbria University. Northumbria University will not be liable for any losses as a result of any viruses being passed on.