Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Implementing innovations is difficult due to unclear outcome measurement. This review proposes a new framework using "modes" and "attributes" to better conceptualize and measure implementation outcomes in practice.
Area Of Science
- Health Services Research
- Implementation Science
Background
- Innovation implementation in practice faces challenges, leading to suboptimal outcomes.
- A lack of consensus on conceptualizing and measuring implementation outcomes contributes to these challenges.
Purpose Of The Study
- To enhance the theoretical conceptualization of implementation outcomes.
- To develop an integrated framework for understanding implementation outcomes.
Main Methods
- A meta-ethnographic approach was employed to analyze existing literature.
- Implementation outcomes were analytically unpacked into "modes" and "attributes".
Main Results
- Implementation outcomes were conceptualized as a product of "modes" (engagement, active implementation, integration) and "attributes" (depth, breadth, pace, adaptation, de-implementation).
- An integrated framework was developed, clarifying relationships and distinctions between various implementation outcome concepts.
Conclusions
- The proposed framework enhances understanding of implementation outcome conceptualizations.
- This framework better aligns with the complexities of implementation practice, offering insights for researchers, practitioners, and policymakers.
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
Related Concept Videos
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The first step is reassessing the client, a continuous process every time a nurse interacts with a patient, obtains new data,...
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...