Evaluating the implementation of a person-centred transition programme for adolescents and young adults with long-term conditions: the role of context and organisational behaviour

Abstract

PurposeDrawing on the experiences of healthcare professionals in one paediatric hospital, this paper explores the influence of context and organisational behaviour on the implementation of a person-centred transition programme for adolescents and young adults (AYA) with long-term conditions.Design/methodology/approachA single embedded qualitative case study design informed by a realist evaluation framework, was used. Participants who had experience of implementing the transition programme were recruited from across seven individual services within the healthcare organisation. The data were gathered through semi-structured interviews (n = 20) and analysed using thematic analysis.FindingsImplementation of the transition programme was influenced by the complex interaction of macro, meso and micro processes and contexts. Features of organisational behaviour including routines and habits, culture, organisational readiness for change and professional relationships shaped professional decision-making around programme implementation.Originality/valueThere exists a significant body of research relating to the role of context and its influence on the successful implementation of complex healthcare interventions. However, within the area of healthcare transition there is little published evidence on the role that organisational behaviour and contextual factors play in influencing transition programme implementation. This paper provides an in-depth understanding of how organisational behaviour and contextual factors affect transition programme implementation.

Assessing The Impact of Organizational Context on Learning Barrier Formation in Lima’s Private Universities

“…However, there is agreement that studying the environment, when understanding the organization as an open system related to other internal and external systems, directly influences its development. The macro, meso, and micro contexts contribute to identifying the emergence of organizational behavior characteristics, including routines and habits, culture, organizational readiness for change, and professional relationships (Feather et al, 2024;Le Breton & Galière, 2023). Duncan (1972) states that the organizational environment should be differentiated between the internal environment and the external environment of the organization.…”