What makes a sustainability tool valuable, practical and useful in real-world healthcare practice? A mixed-methods study on the development of the Long Term Success Tool in Northwest London

Lennox, Laura; Doyle, Cathal; Reed, Julie; Bell, Derek

doi:10.1136/bmjopen-2016-014417

Cited by 33 publications

(40 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… To offer guidance and a framework for partnership and sustainability for nurses who participate in global efforts 30. Lennox et al [ 56 ] 2017 The Long Term Success Tool (LTST) To support those implementing improvements reflect on 12 key factors to identify risks and prompt actions to increase chances of sustainability over time 31. Luke, D.A.…”

Section: Resultsmentioning

confidence: 99%

“…Many approaches presented in this review recommend that they be used and evaluated further within other healthcare initiatives and settings to explore applicability and further development needed [ 11 , 36 , 56 , 79 ]. Future work in this field should now focus on applying the available approaches in practice to understand the application processes and assess the overall impact of their use [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare

Lennox

Maher

Reed³

2018

Implementation Sci

265

417

View full text Add to dashboard Cite

BackgroundImprovement initiatives offer a valuable mechanism for delivering and testing innovations in healthcare settings. Many of these initiatives deliver meaningful and necessary changes to patient care and outcomes. However, many improvement initiatives fail to sustain to a point where their full benefits can be realised. This has led many researchers and healthcare practitioners to develop frameworks, models and tools to support and monitor sustainability. This work aimed to identify what approaches are available to assess and influence sustainability in healthcare and to describe the different perspectives, applications and constructs within these approaches to guide their future use.MethodsA systematic review was carried out following PRISMA guidelines to identify publications that reported approaches to support or influence sustainability in healthcare. Eligibility criteria were defined through an iterative process in which two reviewers independently assessed 20% of articles to test the objectivity of the selection criteria. Data were extracted from the identified articles, and a template analysis was undertaken to identify and assess the sustainability constructs within each reported approach.ResultsThe search strategy identified 1748 publications with 227 articles retrieved in full text for full documentary analysis. In total, 62 publications identifying a sustainability approach were included in this review (32 frameworks, 16 models, 8 tools, 4 strategies, 1 checklist and 1 process). Constructs across approaches were compared and 40 individual constructs for sustainability were found. Comparison across approaches demonstrated consistent constructs were seen regardless of proposed interventions, setting or level of application with 6 constructs included in 75% of the approaches. Although similarities were found, no approaches contained the same combination of the constructs nor did any single approach capture all identified constructs. From these results, a consolidated framework for sustainability constructs in healthcare was developed.ConclusionsChoosing a sustainability method can pose a challenge because of the diverse approaches reported in the literature. This review provides a valuable resource to researchers, healthcare professionals and improvement practitioners by providing a summary of available sustainability approaches and their characteristics.Trial registrationThis review was registered on the PROSPERO database: CRD42016040081 in June 2016.Electronic supplementary materialThe online version of this article (10.1186/s13012-017-0707-4) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare

Lennox

Maher

Reed³

2018

Implementation Sci

265

417

View full text Add to dashboard Cite

show abstract

“…These three areas, data and its use, the fit of the intervention to the organization and active leadership, are identified as important for sustainability in other studies (Lennox et al . 2017; Markström et al . 2018; Stirman et al .…”

Section: Discussionmentioning

confidence: 99%

“…2019; Lennox et al . 2017). Commonly, the focus on sustainability has been on the continuation of client benefits as seen in the family interventions study by Solantaus et al .…”

Section: Introductionmentioning

confidence: 99%

Continued capacity: Factors of importance for organizations to support continued Let's Talk practice – a mixed‐methods study

Allchin

Weimand

O’Hanlon

et al. 2020

Int J Mental Health Nurs

View full text Add to dashboard Cite

Sustainability is a desired outcome of implementation. Understanding how organizations support new practices after implementation is important for sustainability. Let’s Talk about Children (hereby referred to as ‘Let’s Talk’), a family‐focused intervention with parents with a mental illness, improves family, parent, and child outcomes. Little is understood about how organizations support sustained practice. The study aimed to (i) understand the implementation process that occurred in eight adult mental health services during a previous randomized controlled trial; (ii) establish their continued capacity to embed Let’s Talk; and (iii) explore links between organizational capacity and sustained delivery by practitioners. This mixed method study used a questionnaire and individual interviews to collect data on the implementation process and current organizational capacity to support Let’s Talk 12months after the randomized controlled trial. Links between organizational capacity and the adult mental health services with practitioners’ continuing to use Let’s Talk in the past 12 months were explored. Services with higher current organizational capacity scores had practitioners currently delivering Let’s Talk. These services had all made changes to their organizational structures to support Let’s Talk practice. All services experienced significant changes during and after implementation, influencing sustainability of Let’s Talk. Addressing organizational capacity appears to be important to enable sustainability of Let’s Talk implementation endeavours. Real‐world settings are constantly changing systems requiring ongoing tracking and adjustments to understand and support sustainability. Internal service development staff appear to support the shaping of organizational capacity to support Let’s Talk; however, broader organizational support is needed for change within a complex system.

show abstract

“…"To cope with various uncertain issues, many firms are now restructuring their operational processes to better manage their environmental dynamics and to achieve competitive priority" (Yi et al, 2011). Lennox et al (2017) say that although improvement initiatives show benefits to health care delivery, they often fail to sustain.…”

Section: Supply Chain Flexibilitymentioning

confidence: 99%

Supply Chain: Systematic Literature Review to Define Critical Strategies to Achieve Flexibility in Health Sector

Qatawneh¹

2019

IJBSS

View full text Add to dashboard Cite

Recognizing the importance of achieving supply chain flexibility in this dynamic environment, this research explores the critical strategies that can be applied to achieve supply chain flexibility in health care. The research design, guided by a Qualitative philosophy, was inductive in nature. Using different journal articles in the areas of uncertainty, flexibility, supply chain management, supply chain flexibility and health care management, a number of different strategies to facilitate supply chain flexibility in health care were deduced. The challenge for health care supply chain leaders and health professional is to develop and apply 1. proactive strategies, that is developed and employed through 2. effective whole supply chain communication, and 3. continuous organizational learning. Supply chain managers can potentially benefit from this research that added a new perspective to fit the agility exist in the market place. The proposed strategies improve flexibility in the networked health care supply chain.

show abstract

What makes a sustainability tool valuable, practical and useful in real-world healthcare practice? A mixed-methods study on the development of the Long Term Success Tool in Northwest London

Cited by 33 publications

References 45 publications

Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare

Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare

Continued capacity: Factors of importance for organizations to support continued Let's Talk practice – a mixed‐methods study

Supply Chain: Systematic Literature Review to Define Critical Strategies to Achieve Flexibility in Health Sector

Contact Info

Product

Resources

About