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        Setting priorities to inform assessment of care homes’ readiness to participate in healthcare innovation: a systematic mapping review and consensus process

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        ijerph_17_00987.pdf (PDF, 457Kb)
        Author
        Bunn, Frances
        Goodman, Claire
        Lynch, Jennifer
        Handley, Melanie
        Dening , Tom
        Gordon , Adam
        Attention
        2299/22165
        Abstract
        Organisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational context when planning, conducting, and reporting the implementation of healthcare innovations in care homes. Review data were mapped against the Alberta Context Tool, which was designed to assess organizational context in care homes. The review included 56 papers. No studies involved a systematic assessment of organisational context prior to implementation, but many provided post hoc explanations of how organisational context affected the success or otherwise of the innovation. Factors identified to explain a lack of success included poor senior staff engagement, non-alignment with care home culture, limited staff capacity to engage, and low levels of participation from health professionals such as general practitioners (GPs). Thirty-five stakeholders participated in workshops to discuss findings and develop questions for assessing care home readiness to participate in innovations. Ten questions were developed to initiate conversations between innovators and care home staff to support research and implementation. This framework can help researchers initiate discussions about health-related innovation. This will begin to address the gap between implementation theory and practice.
        Publication date
        2020-02-05
        Published in
        International Journal of Environmental Research and Public Health
        Published version
        https://doi.org/10.3390/ijerph17030987
        Other links
        http://hdl.handle.net/2299/22165
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