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Setting Priorities to Inform Assessment of Care Homes' Readiness to Participate in Healthcare Innovation: A
Frances Bunn1, Claire Goodman1, Kirsten Corazzini2
1Centre for Research in Public Health and Community Care, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, AL10 9AB, UK.
International Journal of Environmental Research and Public Health
|February 9, 2020
Summary
Researchers reviewed 56 papers on healthcare innovations in care homes. Few studies systematically assessed organizational context, but many explained its impact on implementation success, identifying key influencing factors.
Area of Science:
- Healthcare Innovation Implementation
- Organizational Context in Aged Care
Background:
- Organizational context significantly influences the success of healthcare initiatives in care homes.
- Previous research has not consistently evaluated this context during innovation implementation.
Purpose of the Study:
- To systematically map how researchers have considered organizational context in care home healthcare innovation studies.
- To identify factors affecting implementation success and develop tools for assessing readiness.
Main Methods:
- Systematic mapping review of 56 papers on healthcare innovations in care homes.
- Data mapped against the Alberta Context Tool for organizational context assessment.
- Stakeholder workshops to develop readiness assessment questions.
Main Results:
- No studies systematically assessed organizational context pre-implementation.
- Post-hoc analyses frequently cited context (e.g., staff engagement, culture, capacity, GP participation) as critical.
- Ten questions were developed to assess care home readiness for innovation.
Conclusions:
- A significant gap exists between implementation theory and practice regarding organizational context in care homes.
- The developed questions can facilitate essential discussions between innovators and care home staff.
- This framework supports better planning and execution of healthcare innovations in this setting.
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