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Context counts: a qualitative study exploring the interplay between context and implementation success.

Lisa Rogers1, Aoife De Brún1, Sarah A Birken2

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Healthcare implementation requires adapting interventions to fit complex contexts. This study shows context influences implementation, and implementation, in turn, changes the context, highlighting a reciprocal relationship for better strategy design.

Keywords:
ContextHealthcareImplementationTeams

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Area of Science:

  • Healthcare Management
  • Organizational Change
  • Implementation Science

Background:

  • Implementing change in healthcare is challenging due to resistance to the status quo.
  • Adapting interventions to the specific context is crucial for successful implementation.
  • Team-level contextual factors in implementation research require further investigation.

Purpose of the Study:

  • To evaluate the interplay between context and implementation in healthcare teams.
  • To highlight how context influences the introduction of collective leadership interventions.
  • To understand the dynamic relationship between context and implementation at the team level.

Main Methods:

  • A multiple case study design was employed.
  • Qualitative methods included observation and interviews across two multidisciplinary healthcare teams.
  • Inductive thematic analysis was used to examine data.

Main Results:

  • Adapting to everyday realities was a key determinant of implementation success.
  • Implementation stimulated changes within the healthcare teams and their context.
  • Mapping contextual complexity and adapting implementation are essential for success.

Conclusions:

  • Implementation strategies can be improved by understanding the reciprocal relationship between context and implementation.
  • The mutual evolution of interventions and contexts at the team level is critical.
  • This research emphasizes the dynamic interplay for evidence-based healthcare interventions.