Objectives Most complex healthcare interventions target a network of healthcare professionals. Social network analysis (SNA) is a powerful technique to study how social relationships within a network are established and evolve. We identified in which phases of complex healthcare intervention research SNA is used and the value of SNA for developing and evaluating complex healthcare interventions. Methods A scoping review was conducted using the Arksey and O’Malley methodological framework. We included complex healthcare intervention studies using SNA to identify the study characteristics,level of complexity of the healthcare interventions, reported strengths and limitations, and reported implications of SNA. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews 2018 was used to guide the reporting. Results Among 2466 identified studies, 40 studies were selected for analysis. At first, the results showed that SNA seems underused in evaluating complex intervention research. Second, SNA was not used in the development phase of the included studies. Third, the reported implications in the evaluation and implementation phase reflect the value of SNA in addressing the implementation and population complexity. Fourth, pathway complexity and contextual complexity of the included interventions were unclear or unable to access. Fifth, the use of a mixed methods approach was reported as a strength, as the combination and integration of a quantitative and qualitative method clearly establishes the results. Conclusion SNA is a widely applicable method that can be used in different phases of complex intervention research. SNA can be of value to disentangle and address the level of complexity of complex healthcare interventions. Furthermore, the routine use of SNA within a mixed method approach could yield actionable insights that would be useful in the transactional context of complex interventions.
Scenario and gaming techniques have a number of complementary characteristics. In this article, the design and evaluation of a gaming-scenario experiment for the exploration of development planning in an urban network in the Netherlands is presented. Two gaming sessions were held using two long-term scenarios (2030) as varying contexts. The combined gaming-scenario approach made it possible to evaluate the impact of external future developments and trends on the administrative and spatial development. Evaluation results of the gaming experiment indicate that the gaming-scenario approach generated new and critical insights on development planning and the future of the urban network. Through the game, the principal, the game leaders but most of all the stakeholder-participants experienced and realized that the management of development planning in urban networks is a very difficult task and is full of pitfalls.
This is the age of network extinction. Small is trivial. Notorious vagueness and non-commitment on the side of slackerish members killed the once cute, postmodern construct of networks. Platforms did the rest. Decentralization may be the flavour of the day, but no one is talking about networks anymore as a solution for the social media mess. Where have all the networks gone?(This essay was written in August 2019 for the INC/Transmediale co-publication The Eternal Network: The Ends and Becomings of Network Culture that came out on January 28, 2020 at the opening of the Berlin Transmediale festival. You can read and download the publication here. The essay was slightly shortened; below you will find the original text).
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