Setting Priorities to Inform Assessment of Care Homes’ Readiness to Participate in Healthcare Innovation: A Systematic Mapping Review and Consensus Process
Open Access
- 5 February 2020
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 17 (3), 987
- 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.Funding Information
- NHS England (NA)
This publication has 82 references indexed in Scilit:
- “It’s Somebody else’s responsibility”- perceptions of general practitioners, heart failure nurses, care home staff, and residents towards heart failure diagnosis and management for older people in long-term care: a qualitative interview studyBMC Geriatrics, 2013
- Staff-focused interventions to increase referrals for depression in aged care facilities: A cluster randomized controlled trialAging & Mental Health, 2013
- Integrated working between residential care homes and primary care: a survey of care homes in EnglandBMC Geriatrics, 2012
- A systematic mapping review of Randomized Controlled Trials (RCTs) in care homesBMC Geriatrics, 2012
- What Are the Barriers to Performing Nonpharmacological Interventions for Behavioral Symptoms in the Nursing Home?Journal of the American Medical Directors Association, 2012
- Randomized Multilevel Intervention to Improve Outcomes of Residents in Nursing Homes in Need of ImprovementJournal of the American Medical Directors Association, 2012
- Improving Decision-Making for Feeding Options in Advanced Dementia: A Randomized, Controlled TrialJournal of the American Geriatrics Society, 2011
- Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term careBMC Medical Research Methodology, 2011
- Challenges to conducting research with older people living in nursing homesBMC Geriatrics, 2009
- Diffusion of Innovations in Service Organizations: Systematic Review and RecommendationsThe Milbank Quarterly, 2004