Evidence map›Paper›PMID 26560057›Full record

ArticleBMJ open2015

Testing a model of facilitated reflection on network feedback: a mixed method study on integration of rural mental healthcare services for older people.

Jeffrey Fuller, Candice Oster, Eimear Muir Cochrane, Suzanne Dawson, Sharon Lawn, Julie Henderson, Deb O'Kane, Adam Gerace, Ruth McPhail, Deb Sparkes and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Jeffrey FullerSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Candice OsterSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Eimear Muir CochraneSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Suzanne DawsonSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Sharon LawnSchool of Medicine, Flinders University, Adelaide, South Australia, Australia.
Julie HendersonSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Deb O'KaneSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Adam GeraceSchool of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia.
Ruth McPhailCountry Health South Australia Local Health Network Mental Health Services, Adelaide, South Australia, Australia.
Deb SparkesSouthern Adelaide-Fleurieu-Kangaroo Island Medicare Local, Adelaide, South Australia, Australia.
Michelle FullerCity of Victor Harbor, Victor Harbour, South Australia, Australia.
Richard L ReedSchool of Medicine, Flinders University, Adelaide, South Australia, Australia.
Flinders University · AUDepartment of Primary Industries and Regions South Australia · AUWA Country Health Service · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test a management model of facilitated reflection on network feedback as a means to engage services in problem solving the delivery of integrated primary mental healthcare to older people.

designParticipatory mixed methods case study evaluating the impact of a network management model using organisational network feedback (through social network analysis, key informant interviews and policy review).

interventionA model of facilitated network reflection using network theory and methods.

settingA rural community in South Australia.

participants32 staff from 24 services and 12 senior service managers from mental health, primary care and social care services.

resultsHealth and social care organisations identified that they operated in clustered self-managed networks within sectors, with no overarching purposive older people's mental healthcare network. The model of facilitated reflection revealed service goal and role conflicts. These discussions helped local services to identify as a network, and begin the problem-solving communication and referral links. A Governance Group assisted this process. Barriers to integrated servicing through a network included service funding tied to performance of direct care tasks and the lack of a clear lead network administration organisation.

conclusionsA model of facilitated reflection helped organisations to identify as a network, but revealed sensitivity about organisational roles and goals, which demonstrated that conflict should be expected. Networked servicing needed a neutral network administration organisation with cross-sectoral credibility, a mandate and the resources to monitor the network, to deal with conflict, negotiate commitment among the service managers, and provide opportunities for different sectors to meet and problem solve. This requires consistency and sustained intersectoral policies that include strategies and funding to facilitate and maintain health and social care networks in rural communities.

Indexed as

Models, OrganizationalAgedCommunity Mental Health ServicesCommunity NetworksDelivery of Health CareHealth PolicyHumansPrimary Health CareProblem SolvingReferral and ConsultationRural Health ServicesRural PopulationSouth AustraliaMENTAL HEALTHPRIMARY CARE

Identifiers

PMID26560057
PMCPMC4654302
OpenAlexW2192802433

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.