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Realist-informed synthesized narratives: A novel method for promoting a healthy speaking up culture in healthcare
Journal article   Open access   Peer reviewed

Realist-informed synthesized narratives: A novel method for promoting a healthy speaking up culture in healthcare

Philippa M. Friary, Rachelle Martin, Suzanne C. Purdy, Lindy McAllister and Mark Barrow
Methodological innovations
10/03/2026
Handle:
https://hdl.handle.net/10523/50186

Abstract

allied health narrative analysis new graduate patient safety quality improvement realist methods speaking up Voice behavior
A goal in implementing health research is to change behavior and workplace culture. Realist methods are being used increasingly in healthcare research. While these methods provide context-based pragmatic recommendations, the data can be dense. Thus, making the transfer of knowledge into practice challenging for researchers and clinicians. This paper offers a novel approach to studying complex issues, communicating and motivating behavior change in healthcare using a realist approach to narrative analysis and producing synthesized narratives. A realist lens to research enables researchers to understand what works, with whom, and under what conditions. When used alone, realist methods can result in complex findings that can prove challenging to translate into practice. However, combining a realist approach with narrative analysis can enable a better understanding of the topic and promote practice change. This paper employs a case study on speaking up in healthcare to illustrate this novel method. This case study reports on a longitudinal interview study with a cohort of allied health new graduates to illustrate these methods and discuss the benefits and limitations of their application. We will provide researchers with clear steps to support replication. We argue that this method can aid the implementation of research findings across various contexts within and outside healthcare settings.
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Published (Version of record)CC BY-NC V4.0 Open Access
url
https://doi.org/10.1177/20597991251387067View
Published (Version of record)CC BY-NC V4.0 Open

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