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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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    Author
    Bunn, F.
    Goodman, C.
    Corazzini, K.
    Date
    2020
    Journal
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI AG
    Type
    Article
    
    Metadata
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    See at
    https://doi.org/10.3390/ijerph17030987
    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. Copyright 2020 by the authors.
    Sponsors
    Funding: This project was funded by a small grant from NHS England.
    Keyword
    Care homes
    Context older people
    Long-term care
    Organisational
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079080198&doi=10.3390%2fijerph17030987&partnerID=40&md5=ce6a91a6a686fb8614c9a4947c6d1786; http://hdl.handle.net/10713/12023
    ae974a485f413a2113503eed53cd6c53
    10.3390/ijerph17030987
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