ArticleBMJ open quality2019
Article in BMJ open quality, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Improving healthcare professionals' interactions with patients to tackle antimicrobial resistance: a systematic review of interventions, barriers, and facilitators.Frontiers in public health · 2024Pooled it
- Differentiated nursing practice as a catalyst for transformations in nursing: A multiphase qualitative interview study.Journal of advanced nursing · 2022Pooled it
- Trial
- Article
- "The Window of Opportunity": A Qualitative Exploration of Individual Reminiscence in Care Home Settings.Healthcare (Basel, Switzerland) · 2026Article
- First-line managers' experience of guideline implementation during the COVID-19 pandemic.Journal of advanced nursing · 2025Article
- Nationwide guideline implementation: a qualitative study of barriers and facilitators from the perspective of guideline organizations.BMC health services research · 2025Article
- Evolution of Clinical Simulation Training and Pandemic-Led Acceleration: The International Medical University (IMU), Malaysia Journey.Medical science educator · 2024Article
- Does the site of research evidence generation impact on its translation to clinical practice? A protocol paper.PloS one · 2024Article
- Article
- "Health Outcomes of Grandparents Caring for Double Orphans in South Africa": What Are the Determinants?International journal of environmental research and public health · 2023Article
- "We just don't have the resources": Supervisor perspectives on introducing workplace-based assessments into medical specialist training in South Africa.BMC medical education · 2023Article
- Improving the impact of pharmacy interventions in hospitals.BMJ open quality · 2023Article
- "I've got a spring in my step" participants experience of action observation therapy and eccentric exercises, a telehealth study for mid-portion Achilles Tendinopathy: a qualitative study.Journal of foot and ankle research · 2023Article
- Analysis of the uptake and associated factors for virtual crisis care during the pandemic at a 24-h mental health crisis centre in Manitoba, Canada.BMC psychiatry · 2022Article
- Exclusive breastfeeding promotion policies: whose oxygen mask are we prioritizing?Journal of perinatology : official journal of the California Perinatal Association · 2022Review
- Article
- Integrating women's voices in quality improvement for maternity care: A qualitative study.European journal of midwifery · 2022Article
- A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice.International journal of environmental research and public health · 2021Article
- A Realist Inquiry to Identify the Contribution of Lean Six Sigma to Person-Centred Care and Cultures.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Background: Various theories provide guidance on implementing, sustaining and evaluating innovations within healthcare. There has been less attention given, however, to personal theories drawn from practice and the expertise of managers and front-line staff is a largely untapped resource. In this paper, we share learning from experienced improvement organisations to provide a conceptual level explanation of the conditions necessary to facilitate and sustain improvement at scale. Methods: Staff (n=42) from three leading change organisations in the UK, spanning health, education and social care, took part in three consultation meetings with the aim of sharing knowledge about sustaining large-scale change. This included one government organisation, one National Health Service Board and one large charity organisation. Using a participatory grounded theory approach, the workshops resulted in a co-created theory. Results: The theory of Motivating Change describes the psychosocial-structural conditions for large-scale, sustained change from the perspectives of front-line staff. The theory posits that change is more likely to be sustained at scale if there is synergy between staff's perceived need and desire for improvement, and the extrinsic motivators for change. Witnessing effective change is motivating for staff and positive outcomes provide a convincing argument for the need to sustain improvement activity. As such, evidence Conclusions: The theory of Motivating Change has been co-created with staff and offers a useful explanation and guide for others involved in change work that capitalises on front-line expertise.
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What OpenQuestion holds
Registered trials
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.