Ilott, I., Gerrish, K., Booth, A. et al. (1 more author) (2013) Testing the Consolidated Framework for Implementation Research on health care innovations from South Yorkshire. Journal Of Evaluation In Clinical Practice, 19 (5). 915 - 924. ISSN 1356-1294
Abstract
Rationale, aims and objectives There is an international imperative to implement research into clinical practice to improve health care. Understanding the dynamics of change requires knowledge from theoretical and empirical studies. This paper presents a novel approach to testing a new meta theoretical framework: the Consolidated Framework for Implementation Research.
Method The utility of the Framework was evaluated using a post hoc, deductive analysis of 11 narrative accounts of innovation in health care services and practice from England, collected in 2010. A matrix, comprising the five domains and 39 constructs of the Framework was developed to examine the coherence of the terminology, to compare results across contexts and to identify new theoretical developments.
Results The Framework captured the complexity of implementation across 11 diverse examples, offering theoretically informed, comprehensive coverage. The Framework drew attention to relevant points in individual cases together with patterns across cases; for example, all were internally developed innovations that brought direct or indirect patient advantage. In 10 cases, the change was led by clinicians. Most initiatives had been maintained for several years and there was evidence of spread in six examples. Areas for further development within the Framework include sustainability and patient/public engagement in implementation.
Conclusion Our analysis suggests that this conceptual framework has the potential to offer useful insights, whether as part of a situational analysis or by developing context-specific propositions for hypothesis testing. Such studies are vital now that innovation is being promoted as core business for health care.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2012 John Wiley & Sons Ltd |
Keywords: | conceptual framework; implementation; innovation; knowledge translation |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 Jun 2015 10:41 |
Last Modified: | 29 Jul 2015 21:46 |
Published Version: | http://dx.doi.org/10.1111/j.1365-2753.2012.01876.x |
Status: | Published |
Publisher: | Blackwell Publishing |
Refereed: | Yes |
Identification Number: | 10.1111/j.1365-2753.2012.01876.x |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:86759 |