Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Evaluating innovations in the delivery and organization of endoscopy services in England and Wales

Rapport, Frances, Jerzembek, Gabrielle Sophia, Seagrove, Anne, Hutchings, Hayley, Russell, Ian, Cheung, Wai-Yee and Williams, John G. 2009. Evaluating innovations in the delivery and organization of endoscopy services in England and Wales. Qualitative Health Research 20 (7) , pp. 922-930. 10.1177/1049732309354282

Full text not available from this repository.

Abstract

This article presents four focus groups conducted with health professionals, part of a mixed-method evaluation of modernization of endoscopy services in England catalyzed by the UK National Health Service Modernisation Agency. Transcripts were analyzed adapting van Manen’s “sententious” or “wholistic” approach to thematic analysis. Seven analysts worked to distil lengthy transcripts into summative paragraphs to capture the essentiality of text. Five major themes emerged: lack of senior management understanding and appropriate management systems, inadequate resources, loss of personal autonomy and erosion of professionalism, barriers and facilitators to change, and differences between English and Welsh units—the Welsh perspective. Achieving long-lasting, positive effects of modernization within complex systems demands senior management to actively support innovations, consider staff morale, and provide appropriate levels of funding. However, although professional morale was low, ambition to improve services was strong. The methodological framework offered a comprehensive and applicable approach to data analysis, and our analysis approach was inclusive and collaborative, with far-reaching possibilities for experimental studies and large-scale, mixed-method studies, including trials.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Cardiff Institute of Society and Health (CISHE)
Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > R Medicine (General)
Uncontrolled Keywords: evaluation research; focus groups; health care professionals
Publisher: SAGE Publications
ISSN: 1049-7323
Last Modified: 19 Mar 2016 22:31
URI: http://orca.cf.ac.uk/id/eprint/19237

Citation Data

Cited 7 times in Google Scholar. View in Google Scholar

Cited 12 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item