Evaluating the role and contribution of innovation to health and wealth in the UK: A review of Innovation, Health and Wealth: Phase 1 Appendix

Bienkowska-Gibbs, Teresa; Exley, Josephine; Saunders, Catherine L.; Marjanovic, Sonja; Chataway, Joanna; MacLure, Calum; McDonald, Ruth; Ling, Tom

doi:10.7249/rr1143.1

Cited by 4 publications

(2 citation statements)

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“…283 However, the Innovation, Health and Wealth Strategy was not very successful as it was not informed by an overall strategic sense of direction, was not effectively communicated and was not grounded in learning and emerging evidence a lack of clear communication and strategy. 284 This suggests that government strategies and initiatives need to take into consideration the implementation of the strategy at earlier stages. In the case of the NHS, this requires considering some of the structural pressures it faces and providing 'boots on the ground' to clearly communicate the value of innovations.…”

Section: C4 Understanding Of the Effectiveness Of Interventionsmentioning

confidence: 99%

“…was a national strategy to embed innovation into the NHS, found that IHW has not been sufficiently informed by an overall strategic sense of direction, has not been effectively communicated and is not grounded in learning and emerging evidence. 294 It also found that progress towards IHW's objectives has been variable. A study in innovation as a driver of UK healthcare found that, so far, there is not much evidence for progress in culture change in the NHS.…”

Section: Box 9 Biomedical Catalystmentioning

confidence: 99%

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Evidence synthesis on the conditions needed to translate research and drive innovation

d'Angelo¹,

Knack²,

MacLure³

et al. 2018

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Section: C4 Understanding Of the Effectiveness Of Interventionsmentioning

confidence: 99%

Section: Box 9 Biomedical Catalystmentioning

confidence: 99%

Evidence synthesis on the conditions needed to translate research and drive innovation

d'Angelo¹,

Knack²,

MacLure³

et al. 2018

Self Cite

View full text Add to dashboard Cite

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Facilitating the implementation of clinical technology in healthcare: what role does a national agency play?

Harvey

Llewellyn

Maniatopoulos

et al. 2018

BMC Health Serv Res

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BackgroundAccelerating the implementation of new technology in healthcare is typically complex and multi-faceted. One strategy is to charge a national agency with the responsibility for facilitating implementation. This study examines the role of such an agency in the English National Health Service. In particular, it compares two different facilitation strategies employed by the agency to support the implementation of insulin pump therapy.MethodsThe research involved an empirical case study of four healthcare organisations receiving different levels of facilitation from the national agency: two received active hands-on facilitation; one was the intended recipient of a more passive, web-based facilitation strategy; the other implemented the technology without any external facilitation. The primary method of data collection was semi-structured qualitative interviews with key individuals involved in implementation. The integrated-PARIHS framework was applied as a conceptual lens to analyse the data.ResultsThe two sites that received active facilitation from an Implementation Manager in the national agency made positive progress in implementing the technology. In both sites there was a high level of initial receptiveness to implementation. This was similar to a site that had successfully introduced insulin pump therapy without facilitation support from the national agency. By contrast, a site that did not have direct contact with the national agency made little progress with implementation, despite the availability of a web-based implementation resource. Clinicians expressed differences of opinion around the value and effectiveness of the technology and contextual barriers related to funding for implementation persisted. The national agency’s intended roll out strategy using passive web-based facilitation appeared to have little impact.ConclusionsWhen favourable conditions exist, in terms of agreement around the value of the technology, clinician receptiveness and motivation to change, active facilitation via an external agency can help to structure the implementation process and address contextual barriers. Passive facilitation using web-based implementation resources appears less effective. Moving from initial implementation to wider scale-up presents challenges and is an issue that warrants further attention.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3176-9) contains supplementary material, which is available to authorized users.

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Healthcare professionals feel empowered by implementing a hospital-based multifaceted intervention: a qualitative study using inductive thematic analysis

Klooster

Koenders²,

Vermeulen-Holsen

et al. 2022

BMC Health Serv Res

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Background Most patients are insufficiently physically active during their hospital stay, and this is associated with poor health and delayed recovery. Hospital-based multifaceted interventions aim to encourage patients to engage in physical activity. Ban Bedcentricity is one such intervention. Its value – and that of others similar to it – for healthcare professionals has not been studied yet. Whether an intervention looks and feels right, and whether it does the job well, is important for healthcare professionals and thus its use. Understanding value for healthcare professionals seems crucial for the long-term adoption and implementation of interventions. Therefore, we studied healthcare professionals’ perceptions of value in terms of the implementation of a multifaceted intervention that aimed at improving physically active behaviour in patients during their hospital stay. Methods Using Ban Bedcentricity as a case study to focus on healthcare professionals’ perceptions about multifaceted interventions, we conducted a qualitative study between November 2019 and September 2020. Semi-structured interviews were conducted with purposefully selected physicians, physiotherapists, and nurses (assistants) until theoretical data saturation was reached. Inductive thematic analysis was used to identify key themes and develop a conceptual model. Results We interviewed 15 healthcare professionals and formulated six key themes from these interviews. The participants said that Ban Bedcentricity empowered them in their beliefs about the importance of physical activity for hospitalized patients (theme 1). They also indicated that it made them more aware of the value of physical activity (theme 2) and skilled to promote physical activity as part of their professional role (theme 3). Similarly, they noted that it enabled them to shift from providing hands-on support to verbal coaching (theme 4). Other aspects that the participants valued were the increased possibilities for teamwork (theme 5) and the routinized physical activity promotion in usual care (theme 6). The challenges discussed by the participants were prioritizing activities that promoted physical activity, especially because of a high workload, and avoiding relapses of new routinized work practices related to physical activity promotion if insufficient long-term support and training were provided. Conclusions Our conceptual model shows that the implementation of a hospital-based multifaceted intervention by healthcare professionals empowers their beliefs, and improves their awareness, skills, professional roles, teamwork, and work routinization. These values are typically overlooked, despite potentially being important facilitators for long-term implementation.

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Evaluating the role and contribution of innovation to health and wealth in the UK: A review of Innovation, Health and Wealth: Phase 1 Appendix

Cited by 4 publications

References 16 publications

Evidence synthesis on the conditions needed to translate research and drive innovation

Evidence synthesis on the conditions needed to translate research and drive innovation

Facilitating the implementation of clinical technology in healthcare: what role does a national agency play?

Healthcare professionals feel empowered by implementing a hospital-based multifaceted intervention: a qualitative study using inductive thematic analysis

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