Assessing the implementation process and outcomes of newly introduced assistant roles: a qualitative study to examine the utility of the Calderdale Framework as an appraisal tool
Open Access
- 1 December 2012
- journal article
- research article
- Published by Informa UK Limited in Journal of Multidisciplinary Healthcare
- Vol. 5, 307-317
- https://doi.org/10.2147/jmdh.s35493
Abstract
Abstract: Internationally, the health workforce has undergone rapid transformation to help meet growing staffing demands and population requirements. Several tools have been developed to support workforce change processes. The Calderdale Framework (CF) is one such tool designed to facilitate competency-based training by engaging team members in a seven step process involving awareness raising, service and task analysis, competency identification, establishing support systems, training, and sustaining. This paper explores the utility of the CF as an appraisal tool to assess whether adherence to the tool influences outcomes. The CF was applied retrospectively to three complete evaluations of allied health assistant role introduction: a new podiatry assistant role (Australia), speech pathology assistant (Australia), and occupational therapy assistant practitioner role (UK). Adherence to the CF was associated with more effective and efficient use of the role, role flexibility and career development opportunities for assistants, and role sustainability. Services are less likely to succeed in their workforce change process if they fail to plan for and use a structured approach to change, assign targeted leadership, undertake staff engagement and consultation, and perform an initial service analysis. The CF provides a clear template for appraising the implementation of new roles and highlights the potential consequences of not adhering to particular steps in the implementation process.Keywords
This publication has 18 references indexed in Scilit:
- Are we using support workers effectively? The relationship between patient and team characteristics and support worker utilisation in older people’s community-based rehabilitation services in EnglandHealth & Social Care in the Community, 2012
- Defining and identifying common elements of and contextual influences on the roles of support workers in health and social care: a thematic analysis of the literatureJournal of Evaluation in Clinical Practice, 2010
- Allied health assistants and what they do: A systematic review of the literatureJournal of Multidisciplinary Healthcare, 2010
- The nursing practice of taking level 1 patient observationsIntensive and Critical Care Nursing, 2006
- Dynamic professional boundaries in the healthcare workforceSociology of Health & Illness, 2005
- Role development in health care assistants: the impact of education on practiceJournal of Evaluation in Clinical Practice, 2005
- The role of the senior health care worker in critical careNursing in Critical Care, 2004
- Cross-boundary working: a generic worker for older people in the communityBritish Journal of Community Nursing, 2004
- Dynamic role boundaries in intermediate care servicesJournal of Interprofessional Care, 2004
- The role of the support worker in nursing homes: a consideration of key issuesJournal of Nursing Management, 2003