Tracy Finch
Biographic Data
| ID | 110989 |
|---|---|
| NAME | Tracy Finch |
| GIVEN NAMES | Tracy |
| FAMILY NAME | Finch |
| SIGNATURE | FINCH T |
| AFFILIATIONS | Newcastle University |
| ORCID | 0000-0001-8647-735X |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 204 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 5 |
Understanding supported self‐management for people living with a lower‐grade glioma: Implementation considerations through the lens of normalisation process theory
BACKGROUND: Supported self-management can improve clinical and psychosocial outcomes in people with cancer; the considerations required to implement self-management support (SMS) for people living with a lower-grade glioma (LGG)-who often have complex support needs-are not known. We aimed to identify and understand these implementation considerations through the lens of normalisation process theory (NPT), from the perspectives of healthcare profe…
A Constant Black Cloud: The Emotional Impact of Informal Caregiving for Someone With a Lower-Grade Glioma
Those closest to people with lower-grade gliomas (LGGs) often assume the role of informal caregiver (IC). The additional responsibilities mean ICs of people with cancer can experience adverse impacts on their own lives. We explored the emotional impact of informal caregiving for people with LGGs. This was a descriptive qualitative study within the multi-method Ways Ahead project. We conducted semi-structured interviews with individuals from the U…
Towards an Implementation‐STakeholder Engagement Model (I‐STEM) for improving health and social care services
BACKGROUND: The implementation science literature acknowledges a need for engagement of key stakeholders when designing, delivering and evaluating implementation work. To date, the literature reports minimal or focused stakeholder engagement, where stakeholders are engaged in either barrier identification and/or barrier prioritisation. This paper begins to answer calls from the literature for the development of tools and guidance to support compr…
Understanding the implementation of the holiday activities and food programme in the North East of England using normalization process theory
Following several pilot projects, in 2020, the Department for Education (DfE) in England committed funding of £220M p. a to its Holiday Activities and Food (HAF) programme to support all 153 upper-tier local authorities, comprising City Councils, County Councils and Metropolitan Borough Councils, to provide an activity and food programme for children who are in receipt of means-tested free school meals. In this study, qualitative interviews were …
Exploring the significance of relationality, care and governmentality in families, for understanding women’s classed alcohol drinking practices
Changing healthcare professionals' non-reflective processes to improve the quality of care
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healthcare professionals, and so quality of care provision
Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: A systematic review
Contextualising health screening risk assessments in police custody suites – qualitative evaluation from the Help-PC study in London, UK
Health and risk assessment screening in police custody is a complex and demanding activity which extends beyond the delivery of a screening tool. Professional roles, the demanding environment and police culture impact on the overall process. Recommendations for improved integration of health and risk assessment screening in wider police custody practice are proposed
Implementation, context and complexity
BACKGROUND: Context is a problem in research on health behaviour change, knowledge translation, practice implementation and health improvement. This is because many intervention and evaluation designs seek to eliminate contextual confounders, when these represent the normal conditions into which interventions must be integrated if they are to be workable in practice. DISCUSSION: We present an ecological model of the ways that participants in impl…
PP77 Changes Ahead – Again! Lessons Learned from a Study Exploring Receptivity to Policy Changes in NHS Commissioning
Background In the National Health Service (NHS) in England commissioning is the process of prioritising resources to ensure that health and care services are provided effectively to meet the needs of the population. Commissioning policy has been subject to extensive tremendous reforms and recent years have witnessed the introduction and termination of the ‘World Class Commissioning’ (WCC) initiative, the White Paper ‘Equity and Excellence: Libera…
Established users and the making of telecare work in long term condition management: Implications for health policy
Normalisation process theory: A framework for developing, evaluating and implementing complex interventions
BACKGROUND: The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Proc…
Development of a theory of implementation and integration: Normalization Process Theory
BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. METHODS: Between 1998 and 2008, we d…
Making and Unmaking Telepatients: Identity and Governance in New Health Technologies
The emergence of the field of health care at a distance, or "telehealth," has been embedded within discourses of high ambition about health improvement, seamless services, empowerment, and independence for patients. In this article, the authors examine how telehealthcare technologies assume certain forms of patients-or "telepatients"-who can be mobilized and combined with images and artifacts that speak for them in the clinical encounter. Second,…
Implementing, Embedding, and Integrating Practices: An Outline of Normalization Process Theory
Understanding the processes by which practices become routinely embedded in everyday life is a long-standing concern of sociology and the other social sciences. It has important applied relevance in understanding and evaluating the implementation of material practices across a range of settings.This article sets out a theory of normalization processes that proposes a working model of implementation, embedding and integration in conditions marked …
Balancing rights and risks: Conflicting perspectives in the management of wandering in dementia
Current Government recommendations in England suggest a national approach to risk management but, in an increasingly litigious society, how do professional carers balance risk management with the promotion of a person-centred approach in dementia care? Wandering behaviour can be both beneficial and harmful to a person with dementia and generate considerable emotional distress in their carers. This study combined a systematic review and qualitativ…
Future patients? Telehealthcare, roles and responsibilities: Telehealthcare and future patients
Increasing use of information and communication technologies is said to be transforming health care. Telehealthcare enables medical consultations to be conducted between patients and health professionals across different locations. Such technologies imply new relationships between patients and health professionals. This study aimed to understand how policy and practice in relation to telehealthcare suggests new conceptualisations of 'the patient'…
Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine
Technological solutions to problems of knowledge and practice in health care are routinely advocated. This paper explores the ways that new systems of practice are being deployed as intermediaries in interactions between clinicians and their patients. Central to this analysis is the apparent conflict between two important ways of organizing ideas about practice in primary care. First, a shift away from the medical objectification of the patient, …
Towards a wireless patient: Chronic illness, scarce care and technological innovation in the United Kingdom
Implementing, Embedding, and Integrating Practices: An Outline of Normalization Process Theory
Understanding the processes by which practices become routinely embedded in everyday life is a long-standing concern of sociology and the other social sciences. It has important applied relevance in understanding and evaluating the implementation of material practices across a range of settings.This article sets out a theory of normalization processes that proposes a working model of implementation, embedding and integration in conditions marked …
Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine
Technological solutions to problems of knowledge and practice in health care are routinely advocated. This paper explores the ways that new systems of practice are being deployed as intermediaries in interactions between clinicians and their patients. Central to this analysis is the apparent conflict between two important ways of organizing ideas about practice in primary care. First, a shift away from the medical objectification of the patient, …
Making and Unmaking Telepatients: Identity and Governance in New Health Technologies
The emergence of the field of health care at a distance, or "telehealth," has been embedded within discourses of high ambition about health improvement, seamless services, empowerment, and independence for patients. In this article, the authors examine how telehealthcare technologies assume certain forms of patients-or "telepatients"-who can be mobilized and combined with images and artifacts that speak for them in the clinical encounter. Second,…
Towards a wireless patient: Chronic illness, scarce care and technological innovation in the United Kingdom
Established users and the making of telecare work in long term condition management: Implications for health policy
Future patients? Telehealthcare, roles and responsibilities: Telehealthcare and future patients
Increasing use of information and communication technologies is said to be transforming health care. Telehealthcare enables medical consultations to be conducted between patients and health professionals across different locations. Such technologies imply new relationships between patients and health professionals. This study aimed to understand how policy and practice in relation to telehealthcare suggests new conceptualisations of 'the patient'…
Changing healthcare professionals' non-reflective processes to improve the quality of care
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healthcare professionals, and so quality of care provision
Towards a wireless patient: Chronic illness, scarce care and technological innovation in the United Kingdom
Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine
Technological solutions to problems of knowledge and practice in health care are routinely advocated. This paper explores the ways that new systems of practice are being deployed as intermediaries in interactions between clinicians and their patients. Central to this analysis is the apparent conflict between two important ways of organizing ideas about practice in primary care. First, a shift away from the medical objectification of the patient, …
Balancing rights and risks: Conflicting perspectives in the management of wandering in dementia
Current Government recommendations in England suggest a national approach to risk management but, in an increasingly litigious society, how do professional carers balance risk management with the promotion of a person-centred approach in dementia care? Wandering behaviour can be both beneficial and harmful to a person with dementia and generate considerable emotional distress in their carers. This study combined a systematic review and qualitativ…
Future patients? Telehealthcare, roles and responsibilities: Telehealthcare and future patients
Increasing use of information and communication technologies is said to be transforming health care. Telehealthcare enables medical consultations to be conducted between patients and health professionals across different locations. Such technologies imply new relationships between patients and health professionals. This study aimed to understand how policy and practice in relation to telehealthcare suggests new conceptualisations of 'the patient'…
Development of a theory of implementation and integration: Normalization Process Theory
BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. METHODS: Between 1998 and 2008, we d…
Making and Unmaking Telepatients: Identity and Governance in New Health Technologies
The emergence of the field of health care at a distance, or "telehealth," has been embedded within discourses of high ambition about health improvement, seamless services, empowerment, and independence for patients. In this article, the authors examine how telehealthcare technologies assume certain forms of patients-or "telepatients"-who can be mobilized and combined with images and artifacts that speak for them in the clinical encounter. Second,…
Implementing, Embedding, and Integrating Practices: An Outline of Normalization Process Theory
Understanding the processes by which practices become routinely embedded in everyday life is a long-standing concern of sociology and the other social sciences. It has important applied relevance in understanding and evaluating the implementation of material practices across a range of settings.This article sets out a theory of normalization processes that proposes a working model of implementation, embedding and integration in conditions marked …
Normalisation process theory: A framework for developing, evaluating and implementing complex interventions
BACKGROUND: The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Proc…
Established users and the making of telecare work in long term condition management: Implications for health policy
PP77 Changes Ahead – Again! Lessons Learned from a Study Exploring Receptivity to Policy Changes in NHS Commissioning
Background In the National Health Service (NHS) in England commissioning is the process of prioritising resources to ensure that health and care services are provided effectively to meet the needs of the population. Commissioning policy has been subject to extensive tremendous reforms and recent years have witnessed the introduction and termination of the ‘World Class Commissioning’ (WCC) initiative, the White Paper ‘Equity and Excellence: Libera…
Implementation, context and complexity
BACKGROUND: Context is a problem in research on health behaviour change, knowledge translation, practice implementation and health improvement. This is because many intervention and evaluation designs seek to eliminate contextual confounders, when these represent the normal conditions into which interventions must be integrated if they are to be workable in practice. DISCUSSION: We present an ecological model of the ways that participants in impl…
Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: A systematic review
Contextualising health screening risk assessments in police custody suites – qualitative evaluation from the Help-PC study in London, UK
Health and risk assessment screening in police custody is a complex and demanding activity which extends beyond the delivery of a screening tool. Professional roles, the demanding environment and police culture impact on the overall process. Recommendations for improved integration of health and risk assessment screening in wider police custody practice are proposed
Understanding the implementation of the holiday activities and food programme in the North East of England using normalization process theory
Following several pilot projects, in 2020, the Department for Education (DfE) in England committed funding of £220M p. a to its Holiday Activities and Food (HAF) programme to support all 153 upper-tier local authorities, comprising City Councils, County Councils and Metropolitan Borough Councils, to provide an activity and food programme for children who are in receipt of means-tested free school meals. In this study, qualitative interviews were …
Exploring the significance of relationality, care and governmentality in families, for understanding women’s classed alcohol drinking practices
Changing healthcare professionals' non-reflective processes to improve the quality of care
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healthcare professionals, and so quality of care provision
Towards an Implementation‐STakeholder Engagement Model (I‐STEM) for improving health and social care services
BACKGROUND: The implementation science literature acknowledges a need for engagement of key stakeholders when designing, delivering and evaluating implementation work. To date, the literature reports minimal or focused stakeholder engagement, where stakeholders are engaged in either barrier identification and/or barrier prioritisation. This paper begins to answer calls from the literature for the development of tools and guidance to support compr…
Understanding supported self‐management for people living with a lower‐grade glioma: Implementation considerations through the lens of normalisation process theory
BACKGROUND: Supported self-management can improve clinical and psychosocial outcomes in people with cancer; the considerations required to implement self-management support (SMS) for people living with a lower-grade glioma (LGG)-who often have complex support needs-are not known. We aimed to identify and understand these implementation considerations through the lens of normalisation process theory (NPT), from the perspectives of healthcare profe…
A Constant Black Cloud: The Emotional Impact of Informal Caregiving for Someone With a Lower-Grade Glioma
Those closest to people with lower-grade gliomas (LGGs) often assume the role of informal caregiver (IC). The additional responsibilities mean ICs of people with cancer can experience adverse impacts on their own lives. We explored the emotional impact of informal caregiving for people with LGGs. This was a descriptive qualitative study within the multi-method Ways Ahead project. We conducted semi-structured interviews with individuals from the U…
Medicine (14 works) · Nursing (12 works) · Political science (12 works) · Health care (11 works) · Public relations (10 works) · Sociology (10 works) · Psychology (9 works) · Business (7 works) · Computer Science (7 works) · Mental Health and Patient Involvement (7 works)