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A codesigned fit-for-purpose implementation framework for aged care.
Claudia Meyer1,2,3, Rajna Ogrin1,4, Xanthe Golenko1,5
1Department of Bolton Clarke, Bolton Clarke Research Institute, Victoria, Australia.
Journal of Evaluation in Clinical Practice
|February 7, 2022
Summary
This study developed an Implementation Framework for Aged Care (IFAC) to embed research evidence into practice. The IFAC, a six-question framework with an 18-question checklist, aids aged care providers in translating evidence into effective care.
Area of Science:
- Implementation Science
- Healthcare Practice
- Aged Care Research
Background:
- Effective interventions for older adults with multiple comorbidities often lack evaluation for pragmatic implementation in aged care.
- Bridging the gap between research evidence and aged care practice is crucial for improving patient outcomes and organizational efficiency.
Purpose of the Study:
- To conceptualize and develop a fit-for-purpose Implementation Framework for Aged Care (IFAC).
- To create a practical tool for aged care organizations to embed research evidence into daily practice.
Main Methods:
- A four-stage process involving literature review, expert consultation, and pilot project application.
- Development of a six-question IFAC grounded in codesign principles and contextual factors.
- Creation of an 18-question checklist to operationalize the IFAC.
Main Results:
- The IFAC addresses key implementation questions: why change, what is known, who benefits, who changes, strategy, and impact.
- Pilot projects demonstrated the IFAC's applicability in areas like wellness, fall prevention, and therapeutic horticulture.
- Learnings from pilot applications informed the framework's refinement and operationalization.
Conclusions:
- The developed IFAC is a practical, theory-informed tool for aged care providers.
- The IFAC simplifies complex implementation science concepts into actionable steps.
- The framework supports the translation of evidence into improved clinical practice within aged care settings.
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