%0 Journal Article
%T Developing initial programme theories for a realist synthesis on digital clinical consultations in maternity care: contributions from stakeholder involvement.
%A Evans C
%A Clancy G
%A Evans K
%A Booth A
%A Nazmeen B
%A Timmons S
%A Sunney C
%A Clowes M
%A Jones NW
%A Spiby H
%J J Res Nurs
%V 29
%N 2
%D 2024 Mar
%M 39070565
暂无%R 10.1177/17449871241226911
%X <B>UNASSIGNED: </B>The COVID pandemic prompted an increase in the use of digital clinical consultations (telephone or video calls) within midwifery and nursing care. This paper reports on a realist review project related to maternity care that seeks to illuminate for whom such consultations can safely and acceptably be used, how, for what purposes and in what contexts.<BR><B>UNASSIGNED: </B>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).<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.