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Open Access
Article
Publication date: 16 November 2015

Andrew Morden, Lauren Brooks, Clare Jinks, Mark Porcheret, Bie Nio Ong and Krysia Dziedzic

Intervention evaluations have not always accounted for long-term implementation of interventions. The purpose of this paper is to explore implementation of a primary care…

2056

Abstract

Purpose

Intervention evaluations have not always accounted for long-term implementation of interventions. The purpose of this paper is to explore implementation of a primary care intervention during the lifespan of the trial and beyond.

Design/methodology/approach

Eight general practices participated in the trial (four control and four intervention). In-depth interviews (with nine GPs and four practices nurses who delivered the intervention) and observation methods were employed. Thematic analysis was utilized and Normalization Process Theory (NPT) constructs were compared with emergent themes.

Findings

Macro-level policy imperatives shaped practice priorities which resulted in the “whole system” new intervention not being perceived to be sustainable. Continued routinization of the intervention into usual care beyond the lifespan of the funded study was dependent on individualized monitoring and taking forward tacit knowledge.

Research limitations/implications

The authors discuss the implications of these findings for sociological theories of implementation and understanding outcomes of research led complex interventions.

Originality/value

The study describes the complex interplay between macro processes and individual situated practices and contributes to understanding if, how, and why interventions are sustained beyond initial “research push”. The value of the study lies in describing the conditions and potential consequences of long-term implementation, which might be translated to other contexts.

Details

Journal of Health Organization and Management, vol. 29 no. 7
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 16 January 2009

Claire Warwick, Isabel Galina, Jon Rimmer, Melissa Terras, Ann Blandford, Jeremy Gow and George Buchanan

The purpose of this paper is to discuss the importance of documentation for digital humanities resources. This includes technical documentation of textual markup or database…

2397

Abstract

Purpose

The purpose of this paper is to discuss the importance of documentation for digital humanities resources. This includes technical documentation of textual markup or database construction, and procedural documentation about resource construction.

Design/methodology/approach

A case study is presented of an attempt to reuse electronic text to create a digital library for humanities users, as part of the UCIS project. The results of qualitative research by the LAIRAH study on provision of procedural documentation are discussed, as also is, user perception of the purpose, construction and usability of resources collected using semi‐structured interviews and user workshops.

Findings

In the absence of technical documentation, it was impossible to reuse text files with inconsistent markup (COCOA and XML) in a Digital Library. Also, although users require procedural documentation, about the status and completeness of sources, and selection methods, this is often difficult to locate.

Practical implications

Creators of digital humanities resources should provide both technical and procedural documentation and make it easy to find, ideally from the project web site. To ensure that documentation is provided, research councils could make documentation a project deliverable. This will be even more vital once the AHDS is no longer funded to help ensure good practice in digital resource creation.

Originality/value

Previous work has argued that documentation is important. However, the paper presents actual evidence of the problems caused by a lack of documentation and shows that this makes reuse of digital resources almost impossible. This is intended to persuade project creators who wish resources to be reused to provide documentation about its contents and technical specifications.

Details

Journal of Documentation, vol. 65 no. 1
Type: Research Article
ISSN: 0022-0418

Keywords

Article
Publication date: 21 July 2021

Mitchell Sarkies, Suzanne Robinson, Teralynn Ludwick, Jeffrey Braithwaite, Per Nilsen, Gregory Aarons, Bryan J. Weiner and Joanna Moullin

As a discipline, health organisation and management is focused on health-specific, collective behaviours and activities, whose empirical and theoretical scholarship remains…

1161

Abstract

Purpose

As a discipline, health organisation and management is focused on health-specific, collective behaviours and activities, whose empirical and theoretical scholarship remains under-utilised in the field of implementation science. This under-engagement between fields potentially constrains the understanding of mechanisms influencing the implementation of evidence-based innovations in health care. The aim of this viewpoint article is to examine how a selection of theories, models and frameworks (theoretical approaches) have been applied to better understand phenomena at the micro, meso and macro systems levels for the implementation of health care innovations. The purpose of which is to illustrate the potential applicability and complementarity of embedding health organisation and management scholarship within the study of implementation science.

Design/methodology/approach

The authors begin by introducing the two fields, before exploring how exemplary theories, models and frameworks have been applied to study the implementation of innovations in the health organisation and management literature. In this viewpoint article, the authors briefly reviewed a targeted collection of articles published in the Journal of Health Organization and Management (as a proxy for the broader literature) and identified the theories, models and frameworks they applied in implementation studies. The authors then present a more detailed exploration of three interdisciplinary theories and how they were applied across three different levels of health systems: normalization process theory (NPT) at the micro individual and interpersonal level; institutional logics at the meso organisational level; and complexity theory at the macro policy level. These examples are used to illustrate practical considerations when implementing change in health care organisations that can and have been used across various levels of the health system beyond these presented examples.

Findings

Within the Journal of Health Organization and Management, the authors identified 31 implementation articles, utilising 34 theories, models or frameworks published in the last five years. As an example of how theories, models and frameworks can be applied at the micro individual and interpersonal levels, behavioural theories originating from psychology and sociology (e.g. NPT) were used to guide the selection of appropriate implementation strategies or explain implementation outcomes based on identified barriers and enablers to implementing innovations of interest. Projects aiming to implement change at the meso organisational level can learn from the application of theories such as institutional logics, which help elucidate how relationships at the macro and micro-level have a powerful influence on successful or unsuccessful organisational action. At the macro policy level, complexity theory represented a promising direction for implementation science by considering health care organisations as complex adaptive systems.

Originality/value

This paper illustrates the utility of a range of theories, models and frameworks for implementation science, from a health organisation and management standpoint. The authors’ viewpoint article suggests that increased crossovers could contribute to strengthening both disciplines and our understanding of how to support the implementation of evidence-based innovations in health care.

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