Journal of Critical Realism Pub Date : 2021-04-30 , DOI: 10.1080/14767430.2021.1918969 Anna Milena Galazka 1 , Tim Edwards 1 , Keith Harding 1
ABSTRACT
This study uses a scientific realist methodology to explain how social outcomes of community care interventions are produced, sustained and contextually dependent. We evaluate an organization dedicated to wound care and leg health known as the Lindsay Leg Club network, so far studied mostly from a phenomenological perspective, to demonstrate the generative role of places where Leg Clubs are located, with objects in their environment, and people who organize and run Leg Clubs, with their agency and intentionality. We theorize the explanatory role of these contextual features with the concept of affordances. Our approach shows that the phenomenological findings from community care evaluation are not unequivocal. Instead, researchers should recognize the nuanced nature of causality in social programmes, which requires a consideration of the links between community care interventions, how people respond to them and the conditions under which these responses are enacted.
中文翻译:
社区护理中社会成果的现实评估:可供性理论在 Lindsay Leg Clubs 中的应用
摘要
本研究使用科学现实主义的方法来解释社区护理干预的社会结果是如何产生、持续和依赖背景的。我们评估了一个致力于伤口护理和腿部健康的组织,称为 Lindsay Leg Club 网络,迄今为止主要从现象学的角度进行研究,以证明腿部俱乐部所在的地方、环境中的物体和人们的生成作用组织和经营腿部俱乐部,以其代理和意图。我们用可供性的概念将这些上下文特征的解释作用理论化。我们的方法表明,社区护理评估的现象学发现并非明确。相反,研究人员应该认识到社会计划中因果关系的细微差别,