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Blending critical realist and emancipatory practice development methodologies: Making critical realism work in nursing research

机译：融合批判性现实主义和解放性实践发展方法论：使批判性现实主义在护理研究中发挥作用

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Blending critical realist and emancipatory practice development methodologies: making critical realism work in nursing research This paper examines the efficacy of facilitation as a practice development intervention in changing practice within an Older Person setting and in implementing evidence into practice. It outlines the influences exerted by the critical realist paradigm in guiding emancipatory practice development activities and, in particular, how the former may be employed within an emancipatory practice development study to elucidate and increase understanding pertinent to causation and outcomes. The methodology is based upon an emancipatory practice development approach set within a realistic evaluation framework. This allows for systematic analysis of the social and contextual elements that influence the explication of outcomes associated with facilitation. The study is concentrated upon five practice development cycles, within which a sequence of iterative processes is integrated. The authors assert that combining critical realist and emancipatory processes offers a robust and practical method for translating evidence and implementing changes in practice, as the former affirms or falsifies the influence that emancipatory processes exert on attaining culture shift, and enabling transformation towards effective clinical practice. A new framework for practice development is proposed that establishes methodological coherency between emancipatory practice development and realistic evaluation. This augments the existing theoretical bases for both these approaches by contributing new theoretical and methodological understandings of causation.
机译：结合批判现实主义者和解放性实践发展方法论：使批判现实主义在护理研究中发挥作用本文研究了便利化作为实践发展干预措施在老年人环境中改变实践以及将证据转化为实践中的功效。它概述了批判现实主义者范式在指导解放实践发展活动中所施加的影响，尤其是在解放实践发展研究中如何运用前者来阐明和增进与因果关系和结果有关的理解。该方法是基于在现实的评估框架内制定的解放性实践发展方法。这可以对影响与便利化相关结果的社会和背景因素进行系统分析。该研究集中在五个实践开发周期上，其中整合了一系列迭代过程。作者断言，将批判的现实主义和解放过程相结合，为翻译证据和实施实践变化提供了一种鲁棒而实用的方法，因为前者肯定或证伪了解放过程对实现文化转变所产生的影响，并使之转化为有效的临床实践。提出了一种新的实践发展框架，该框架在解放性实践发展和现实评估之间建立了方法上的一致性。通过贡献因果关系的新的理论和方法上的理解，这为这两种方法增加了现有的理论基础。

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