UNASSIGNED: This paper addresses the first phase of a realist enquiry - initial programme theory development - focusing particularly on the role of stakeholder involvement (including digital transformation leaders, midwives, obstetricians, service users and community organisations).
UNASSIGNED: Three sub-stages of initial programme theory development are described highlighting the contribution of stakeholder groups to each stage: (i) consultation to focus the review question, (ii) focused searching and (iii) further consultation.
UNASSIGNED: Realist literature searching strategies yielded limited theory-rich evidence on digital consultations. Stakeholders provided essential additional contributions resulting in the development of 13 initial programme theories and a conceptual framework.
UNASSIGNED: More research on the implementation of virtual midwifery/nursing consultations is needed. Nursing/midwifery digital researchers should involve stakeholders to help shape research priorities, deepen contextual understanding and sense-check emerging findings.
■本文讨论了现实主义探究的第一阶段-初始计划理论开发-特别关注利益相关者参与的作用(包括数字化转型领导者,助产士,产科医生,服务用户和社区组织)。
■描述了初始计划理论开发的三个子阶段,强调了利益相关者团体对每个阶段的贡献:(i)协商以集中讨论问题,(ii)重点搜索和(iii)进一步协商。
■现实主义文献检索策略在数字咨询方面产生了有限的理论证据。利益相关者提供了必要的额外贡献,从而发展了13种初始计划理论和概念框架。
■需要对虚拟助产/护理咨询的实施进行更多研究。护理/助产数字研究人员应该让利益相关者参与进来,帮助确定研究重点。加深语境理解,并对新出现的发现进行感知检查。