Cargando…
The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation
PURPOSE: The field of implementation science has emerged as a response to the challenges experienced in translating evidence-based practice and research findings to healthcare settings. Whilst the field has grown considerably in recent years, comparatively, there is a conspicuous lack of attention p...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Emerald Publishing Limited
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9136868/ https://www.ncbi.nlm.nih.gov/pubmed/34156176 http://dx.doi.org/10.1108/JHOM-08-2020-0335 |
_version_ | 1784714277260623872 |
---|---|
author | De Brún, Aoife McAuliffe, Eilish |
author_facet | De Brún, Aoife McAuliffe, Eilish |
author_sort | De Brún, Aoife |
collection | PubMed |
description | PURPOSE: The field of implementation science has emerged as a response to the challenges experienced in translating evidence-based practice and research findings to healthcare settings. Whilst the field has grown considerably in recent years, comparatively, there is a conspicuous lack of attention paid to the work of pre-implementation , that is, how we effectively engage with organisations to support the translation of research into practice. Securing the engagement and commitment of healthcare organisations and staff is key in quality improvement and organisational research. In this paper the authors draw attention to the pre-implementation phase, that is, the development of an amenable context to support implementation research. DESIGN/METHODOLOGY/APPROACH: Drawing from examples across an interdisciplinary group of health systems researchers working across a range of healthcare organisations, the authors present a reflective narrative viewpoint. They identify the principal challenges experienced during the course of their work, describe strategies deployed to effectively mitigate these challenges and offer a series of recommendations to researchers based on their collective experiences of engaging in collaborations with healthcare organisations for research and implementation. This reflective piece will contribute to the narrative evidence base by documenting the challenges, experiences and learning emerging from the authors’ work as university researchers seeking to engage and collaborate with healthcare organisations. FINDINGS: The RELATE model is presented to guide researchers through six key steps and sample strategies in working to secure organisational buy-in and creating a context amenable to implementation and research. The six stages of the RELATE model are: (1) R ecognising and navigating the organisation's complexity; (2) E nhancing understanding of organisational priorities and aligning intervention; (3) L everaging common values and communicating to key individuals the value of implementation research; (4) A ligning and positioning intervention to illustrate synergies with other initiatives; (5) B uilding and maintaining credibility and trust in the research team; and (6) E volving the intervention through listening and learning. RESEARCH LIMITATIONS/IMPLICATIONS: The authors hope this guidance will stimulate thinking and planning and indeed that it will encourage other research teams to reflect and share their experiences and strategies for successful engagement of organisations, thus developing a knowledge base to strengthen implementation efforts and increase efficacy in this important enterprise. ORIGINALITY/VALUE: Researchers must relate to the world’s everyday reality of the healthcare managers and administrators and enable them to relate to the potential of the research world in enhancing practice if we are to succeed in bringing the evidence to practice in a timely and efficient manner. Climates receptive to implementation must be developed incrementally over time and require actors to navigate messy and potentially unfamiliar organisational contexts. In this paper, the often invisible and lamentably underreported work of how we begin to work with healthcare organisations has been addressed. The authors hope this guidance will stimulate thinking and planning and indeed that it will encourage other research teams to reflect and share their experiences and strategies for successful engagement of organisations, thus developing a knowledge base to strengthen implementation efforts and increase efficacy in this important enterprise. |
format | Online Article Text |
id | pubmed-9136868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Emerald Publishing Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-91368682022-06-13 The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation De Brún, Aoife McAuliffe, Eilish J Health Organ Manag Research Paper PURPOSE: The field of implementation science has emerged as a response to the challenges experienced in translating evidence-based practice and research findings to healthcare settings. Whilst the field has grown considerably in recent years, comparatively, there is a conspicuous lack of attention paid to the work of pre-implementation , that is, how we effectively engage with organisations to support the translation of research into practice. Securing the engagement and commitment of healthcare organisations and staff is key in quality improvement and organisational research. In this paper the authors draw attention to the pre-implementation phase, that is, the development of an amenable context to support implementation research. DESIGN/METHODOLOGY/APPROACH: Drawing from examples across an interdisciplinary group of health systems researchers working across a range of healthcare organisations, the authors present a reflective narrative viewpoint. They identify the principal challenges experienced during the course of their work, describe strategies deployed to effectively mitigate these challenges and offer a series of recommendations to researchers based on their collective experiences of engaging in collaborations with healthcare organisations for research and implementation. This reflective piece will contribute to the narrative evidence base by documenting the challenges, experiences and learning emerging from the authors’ work as university researchers seeking to engage and collaborate with healthcare organisations. FINDINGS: The RELATE model is presented to guide researchers through six key steps and sample strategies in working to secure organisational buy-in and creating a context amenable to implementation and research. The six stages of the RELATE model are: (1) R ecognising and navigating the organisation's complexity; (2) E nhancing understanding of organisational priorities and aligning intervention; (3) L everaging common values and communicating to key individuals the value of implementation research; (4) A ligning and positioning intervention to illustrate synergies with other initiatives; (5) B uilding and maintaining credibility and trust in the research team; and (6) E volving the intervention through listening and learning. RESEARCH LIMITATIONS/IMPLICATIONS: The authors hope this guidance will stimulate thinking and planning and indeed that it will encourage other research teams to reflect and share their experiences and strategies for successful engagement of organisations, thus developing a knowledge base to strengthen implementation efforts and increase efficacy in this important enterprise. ORIGINALITY/VALUE: Researchers must relate to the world’s everyday reality of the healthcare managers and administrators and enable them to relate to the potential of the research world in enhancing practice if we are to succeed in bringing the evidence to practice in a timely and efficient manner. Climates receptive to implementation must be developed incrementally over time and require actors to navigate messy and potentially unfamiliar organisational contexts. In this paper, the often invisible and lamentably underreported work of how we begin to work with healthcare organisations has been addressed. The authors hope this guidance will stimulate thinking and planning and indeed that it will encourage other research teams to reflect and share their experiences and strategies for successful engagement of organisations, thus developing a knowledge base to strengthen implementation efforts and increase efficacy in this important enterprise. Emerald Publishing Limited 2021-06-24 2021 /pmc/articles/PMC9136868/ /pubmed/34156176 http://dx.doi.org/10.1108/JHOM-08-2020-0335 Text en © Aoife De Brún and Eilish McAuliffe https://creativecommons.org/licenses/by/4.0/Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at https://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Research Paper De Brún, Aoife McAuliffe, Eilish The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
title | The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
title_full | The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
title_fullStr | The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
title_full_unstemmed | The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
title_short | The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
title_sort | relate model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9136868/ https://www.ncbi.nlm.nih.gov/pubmed/34156176 http://dx.doi.org/10.1108/JHOM-08-2020-0335 |
work_keys_str_mv | AT debrunaoife therelatemodelstrategiestoeffectivelyengagehealthcareorganisationstocreateamenablecontextsforimplementation AT mcauliffeeilish therelatemodelstrategiestoeffectivelyengagehealthcareorganisationstocreateamenablecontextsforimplementation AT debrunaoife relatemodelstrategiestoeffectivelyengagehealthcareorganisationstocreateamenablecontextsforimplementation AT mcauliffeeilish relatemodelstrategiestoeffectivelyengagehealthcareorganisationstocreateamenablecontextsforimplementation |