{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T13:39:42Z","timestamp":1792762782275,"version":"4.5.0"},"reference-count":82,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence is limited on how people experience government\u2010commissioned inquiries, what they value about them, and the impacts of procedures. This study applies realist logic to examine the experiences of those designing and participating in a government\u2010commissioned restorative approach to harm associated with surgical mesh use in Aotearoa New Zealand. Attention is paid to divergent perspectives about harm and responsibility, desired outcomes, and the multiple identities that shaped people's responses to the programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using mixed methods, data were collected from documents, interviews, surveys and a research diary to test and refine programme theories. Context\u2010Mechanism\u2010Outcome configurations were used to develop theoretical explanations of what worked, for whom, and in what contexts to mitigate, ameliorate, or generate compounded harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compounded harm arises when the different ways individuals make sense of the cognitive, moral, and emotional significance of harm are overlooked. It may also arise when governments and providers do not proactively disclose the inherent risks of healthcare, or the trade\u2010off between the ideal state and what is possible within constrained resources. Three mechanisms contributed to the restoration of dignity, wellbeing, and trust: collaborative and adaptive restorative design, dignifying storytelling, and responsiveness to the potentially traumatising nature of healthcare harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings underscore the critical importance of acknowledging the prevalence and lived experience of harm, nurturing basic and relational trust, including diverse perspectives, and remaining adaptable if public inquiries are to be effective. Practical recommendations for those commissioning public inquiries emphasise restorative strategies that foster dignity, wellbeing, trust and adaptability while balancing complexity, dynamic human needs, and institutional responsibilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lived Experience and Public Contribution<\/jats:title>\n                    <jats:p>Patients, families, wh\u0101nau (extended family), and community representatives were involved in the design of the study, data collection tools, theory testing and refinement, development of the concept of compounded harm, and manuscript preparation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70897","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:38:26Z","timestamp":1791373106000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Humanising Government Inquiry: A Realist Examination of a Restorative Approach to Surgical Mesh Harm in Aotearoa New Zealand"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4430-2866","authenticated-orcid":false,"given":"Jo","family":"Wailling","sequence":"first","affiliation":[{"name":"Te Herenga Waka\u2014Victoria University of Wellington Wellington Aotearoa New Zealand"},{"name":"The National Collaborative for Restorative Initiatives in Health Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley","family":"Middleton","sequence":"additional","affiliation":[{"name":"Te Herenga Waka\u2014Victoria University of Wellington Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6039-8546","authenticated-orcid":false,"given":"Graham","family":"Cameron","sequence":"additional","affiliation":[{"name":"The National Collaborative for Restorative Initiatives in Health Wellington Aotearoa New Zealand"},{"name":"Ng\u0101ti Ranginui, Waitaha \u0101 Hei, Ng\u0101ti Rangiw\u0113wehi, Ng\u0101ti Hinerangi Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel","family":"Berry","sequence":"additional","affiliation":[{"name":"Mesh Down Under Auckland Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"How Public Inquiries Can Lead to Change","author":"Norris E.","year":"2017"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/21582041.2025.2578385"},{"key":"e_1_2_11_4_1","volume-title":"Hearing and Responding to the Stories of Survivors of Surgical Mesh: Ng\u0101 k\u014drero a ng\u0101 m\u014drehu \u2013 he urupare [Report for the Ministry of Health]","author":"Wailling J.","year":"2019"},{"key":"e_1_2_11_5_1","volume-title":"Number of Women in Australia Who Have Had Transvaginal Mesh Implants and Related Matters","author":"Community Affairs References Committee","year":"2018"},{"key":"e_1_2_11_6_1","volume-title":"The Independent Medicines and Medical Devices Safety Review. 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