Majed Wadi, Ali Shorbagi, Sarra Shorbagi, Mohamed Hassan Taha, Muhamad Saiful Bahri Yusoff
The impact of the Systematic Assessment for Resilience (SAR) framework on students' resilience, anxiety, depression, burnout, and academic-related stress: a quasi-experimental study
BMC medical education
uk 76 babies born preterm department health aims decrease 6 2025 advance nhs england released saving babies lives care bundle version 2 element 5 recommending preterm birth pathway women risk preterm birth success new pathway depends implementation impart implementation preterm birth surveillance pathway realist evaluation study aimed research extent contexts prediction prevention aspects preterm birth surveillance pathway implemented realist evaluation realist implementation studies growing popularity initial programme theories developed realist informed literature scope interviews developers nhs england guidance national questionnaire current practice implementation theory utilised developing programme theories data interviews observations staff women undertaken 3 case sites england test programme theories substantive theory utilised data analysis interpret refine theories implementation could improved three explanatory areas developed risk assessing referral preterm birth surveillance clinic women centred care explanatory area 1 dealt problems correct risk assessment referral preterm clinic explanatory area 2 focused correct referral made preterm clinic knowledgeable supported clinicians deliver wellfunctioning clinic explanatory area 3 concentrated pathway delivers appropriate care women impart study provides several areas implementation could improved include educating clinicians knowledge risk factors purpose preterm clinic multidisciplinary preterm team including preterm midwife specialist preterm knowledge skills including transvaginal cervical scanning skills sites actively working local network multidisciplinary preterm team placed deliver continuity care women highrisk preterm birth attentive history also ensuring defined risk status isrctn57127874