A codesigned fit-for-purpose implementation framework for aged care.

Autor: Meyer C; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia.; Department is School of Psychology and Public Health, Centre for Health Communication and Participation, La Trobe University, Bundoora, Victoria, Australia.; Department is School of Primary and Allied Health Care, Rehabilitation, Ageing and Independent Living Research Centre, Monash University, Frankston, Victoria, Australia., Ogrin R; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia.; Department of Business Strategy and Innovation, Griffith University, Southport, Queensland, Australia., Golenko X; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia.; Department of Business Innovation and Strategy, Griffith Business School, Griffith University, Southport, Queensland, Australia., Cyarto E; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia.; Faculty of Health and Behavioural Sciences, University of Queensland, St Lucia, Queensland, Australia.; Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia., Paine K; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia., Walsh W; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia., Hutchinson A; Department is School of Psychology and Public Health, Centre for Health Communication and Participation, La Trobe University, Bundoora, Victoria, Australia.; School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation Deakin University, Geelong, Victoria, Australia., Lowthian J; Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia.; Faculty of Health and Behavioural Sciences, University of Queensland, St Lucia, Queensland, Australia.; Faculty of Medicine, Nursing and Health Sciences, School of Public Health & Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Jazyk: angličtina
Zdroj: Journal of evaluation in clinical practice [J Eval Clin Pract] 2022 Jun; Vol. 28 (3), pp. 421-435. Date of Electronic Publication: 2022 Feb 06.
DOI: 10.1111/jep.13660
Abstrakt: Rationale, Aims and Objectives: The field of implementation science is critical for embedding research evidence into healthcare practice, benefiting individuals, organizations, governments, and the broader community. Implementation science is messy and complex, underpinned by many theories and frameworks. Efficacious interventions for older people with multiple comorbidities exist, yet many lack effectiveness evaluation relevant to pragmatic implementation within aged care practice. This article outlines the conceptualization and development of an Implementation Framework for Aged Care (IFAC), fit-for-purpose for an aged care organization, Bolton Clarke, intent on embedding evidence into practice.
Method: A four-stage process was adopted to (1) explore context and relevant literature to conceptualize the IFAC; (2) identify key elements for a draft IFAC; (3) expand elements and refine the draft in consultation with experts and (4) apply the IFAC to three existing projects, identifying key learnings. A checklist to operationalize the IFAC was then developed.
Results: The IFAC is grounded in codesign principles and encapsulated by the implementation context, from a social, cultural and political perspective. The IFAC addresses the questions of (1) why do we need to change?; (2) what do we know?; (3) who will benefit?; (4) who will make the change?; (5) what strategies will be used?; and (6) what difference are we making? Three pilot projects: early adoption of a Wellness and Reablement approach; a care worker and virtual physiotherapist-led program to prevent falls; and a therapeutic horticulture program for residential communities, highlight learnings of applying the IFAC in practice.
Conclusion: This fit-for-purpose IFAC was developed for a proactive and responsive aged care provider. The simplicity of the six-question IFAC is underpinned by substantial theoretical perspectives for its elements and their connections. This complexity is then consolidated into an 18-question checklist to operationalize the IFAC, necessary to advance the translation of evidence into clinical practice.
(© 2022 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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