A5023930271- Health Policy Implementation Science
- Health Sciences Research and Education
- Primary Care and Health Outcomes
- Mental Health and Patient Involvement
- Health Systems, Economic Evaluations, Quality of Life
- Evaluation and Performance Assessment
- Geriatric Care and Nursing Homes
- Clinical practice guidelines implementation
- Nursing Diagnosis and Documentation
- Interprofessional Education and Collaboration
- Nursing Roles and Practices
- Healthcare cost, quality, practices
- Nursing Education, Practice, and Leadership
- Chronic Disease Management Strategies
- Complex Systems and Decision Making
- Digital Mental Health Interventions
- Pressure Ulcer Prevention and Management
- Mental Health Treatment and Access
- Retirement, Disability, and Employment
- Palliative Care and End-of-Life Issues
- Community Health and Development
- Delphi Technique in Research
- Health and Medical Research Impacts
- Assisted Reproductive Technology and Twin Pregnancy
- Healthcare Quality and Management
Lancaster University
2020-2025
Bridge University
2024
Bangor University
2011-2020
University of Central Lancashire
2020
Impact
2017
University of St Andrews
2012
University of Ulster
2004-2012
Ulverscroft (United Kingdom)
2008-2010
King's College London
2009
University of Warwick
2009
The UK Medical Research Council's widely used guidance for developing and evaluating complex interventions has been replaced by a new framework, commissioned jointly the Council National Institute Health Research, which takes account of recent developments in theory methods need to maximise efficiency, use, impact research.
The PARiHS framework (Promoting Action on Research Implementation in Health Services) has proved to be a useful practical and conceptual heuristic for many researchers practitioners framing their research or knowledge translation endeavours. However, as it still remains untested therefore its contribution the overall development testing of theory field implementation science is largely unquantified. This being case, paper provides an integrated summary our theoretical thinking so far...
Background. Considerable financial and philosophical effort has been expended on the evidence‐based practice agenda. Whilst few would disagree with notion of delivering care based information about what works, there remain significant challenges evidence is, thus how practitioners use it in decision‐making reality clinical practice. Aim. This paper continues debate nature argues for a broader base implementation patient‐centred care. Discussion. Against background constraints, risk...
This paper presents the findings of a concept analysis 'context' in relation to successful implementation evidence into practice.In 1998, conceptual framework was developed that represented interplay and interdependence many factors influencing uptake practice [Kitson A., Harvey G. & McCormack B. (1998) Quality Health Care 7, 149]. One key elements 'context', is, setting which is implemented. It proposed context health care had significant impact on evidence. As part on-going development...
Finding ways to deliver care based on the best possible evidence remains an ongoing challenge. Further theoretical developments of a conceptual framework are presented which influence uptake into practice. A concept analysis has been conducted key elements framework—evidence, context, and facilitation—leading refinement framework. While these three essential remain process implementation, changes have made their constituent sub-elements, enabling detail be revised. The shown that...
Realist synthesis is an increasingly popular approach to the review and of evidence, which focuses on understanding mechanisms by intervention works (or not). There are few published examples realist synthesis. This paper therefore fills a gap describing, in detail, process used for answer question 'what interventions strategies effective enabling evidence-informed healthcare?' The strengths challenges conducting also considered.The involves identifying underlying causal exploring how they...
Background. The challenges of implementing evidence‐based practice are complex and varied. Against this background a framework has been developed to represent the multiple factors that may influence implementation evidence into practice. It is proposed successful dependent upon nature being used, quality context, and, type facilitation required enable change process. This study sets out scrutinize elements through empirical enquiry. Aims objectives. aim was address following questions: •...
The Medical Research Council published the second edition of its framework in 2006 on developing and evaluating complex interventions. Since then, there have been considerable developments field intervention research. objective this project was to update light these developments. aims help research teams prioritise questions design, conduct with an appropriate choice methods, rather than provide detailed guidance use specific methods.
The case has been made for more and better theory-informed process evaluations within trials in an effort to facilitate insightful understandings of how interventions work. In this paper, we provide explanation implementation processes from one the first national research randomized controlled with embedded evaluation conducted acute care, a proposed extension Promoting Action on Research Implementation Health Services (PARIHS) framework. PARIHS framework was prospectively applied guide...
Objectives Implementation studies are often poorly reported and indexed, reducing their potential to inform the provision of healthcare services. The Standards for Reporting Studies (StaRI) initiative aims develop guidelines transparent accurate reporting implementation studies. Methods An international working group developed StaRI guideline informed by a systematic literature review e-Delphi prioritisation exercise. Following face-to-face meeting, checklist was iteratively email discussion...
Headline Evaluating service innovations in health care and public requires flexibility, collaboration pragmatism; this collection identifies robust, innovative mixed methods to inform such evaluations.
'Protocol based care' was envisioned by policy makers as a mechanism for delivering on the service improvement agenda in England. Realistic evaluation is an increasingly popular approach, but few published examples exist, particularly implementation research. To fill this gap, within paper we describe application of realistic approach to study protocol-based care, whilst sharing findings relevance about standardising care through use protocols, guidelines, and pathways. Situated between...
There is a general expectation within healthcare that organizations should use evidence-based practice (EBP) as an approach to improving the quality of care. However, challenges exist regarding how make EBP reality, particularly at organizational level and routine, sustained aspect professional practice.A mixed method explanatory case study was conducted context; i.e., in terms presence or absence multiple, inter-related contextual elements associated strategic approaches required for...
Increasingly, it is being suggested that translational gaps might be eradicated or narrowed by bringing research users and producers closer together, a theory largely untested. This paper reports national study to fill gap in the evidence about conditions, processes outcomes related collaboration implementation.A longitudinal realist evaluation using multiple qualitative methods case studies was conducted with three Collaborations for Leadership Applied Health Research Care (England). Data...
The English National Health Service has made a major investment in nine partnerships between higher education institutions and local health services called Collaborations for Leadership Applied Research Care (CLAHRC). They have been funded to increase capacity capability produce implement research through sustained interactions academics services. CLAHRCs provide natural 'test bed' exploring questions about implementation within partnership model of delivery. This protocol describes an...
ABSTRACT Background Making evidence‐based practice (EBP) a reality throughout an organization is challenging goal in healthcare services. Leadership has been recognized as critical element that process. However, little known about the exact role and function of various levels leadership successful institutionalization EBP within organization. Aims To uncover what leaders at different roles actually do, actions they take to develop, enhance, sustain norm. Methods Qualitative data from case...