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Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review
BACKGROUND: There is limited evidence to evaluate the sustainability of evidence-based interventions (EBIs) for healthcare improvement. Through an integrative review, we aimed to identify approaches to evaluate the sustainability of evidence-based interventions (EBIs) and sustainability outcomes. ME...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9569065/ https://www.ncbi.nlm.nih.gov/pubmed/36243760 http://dx.doi.org/10.1186/s13643-022-02093-1 |
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author | Flynn, Rachel Stevens, Bonnie Bains, Arjun Kennedy, Megan Scott, Shannon D. |
author_facet | Flynn, Rachel Stevens, Bonnie Bains, Arjun Kennedy, Megan Scott, Shannon D. |
author_sort | Flynn, Rachel |
collection | PubMed |
description | BACKGROUND: There is limited evidence to evaluate the sustainability of evidence-based interventions (EBIs) for healthcare improvement. Through an integrative review, we aimed to identify approaches to evaluate the sustainability of evidence-based interventions (EBIs) and sustainability outcomes. METHODS: Following Whittemore and Knafl’s methodological process: (1) problem identification; (2) literature search; (3) data evaluation; (4) data analysis; and (5) presentation, a comprehensive search strategy was applied across five databases. Included studies were not restricted by research design; and had to evaluate the sustainability of an EBI in a healthcare context. We assessed the methodological quality of studies using the Mixed Methods Appraisal Tool. RESULTS: Of 18,783 articles retrieved, 64 fit the inclusion criteria. Qualitative designs were most commonly used for evaluation (48%), with individual interviews as the predominant data collection method. Timing of data collection varied widely with post-intervention data collection most frequent (89%). Of the 64 studies, 44% used a framework, 26% used a model, 11% used a tool, 5% used an instrument, and 14% used theory as their primary approach to evaluate sustainability. Most studies (77%) did not measure sustainability outcomes, rather these studies focused on sustainability determinants. DISCUSSION: It is unclear which approach/approaches are most effective for evaluating sustainability and what measures and outcomes are most commonly used. There is a disconnect between evaluating the factors that may shape sustainability and the outcomes approaches employed to measure sustainability. Our review offers methodological recommendations for sustainability evaluation research and highlights the importance in understanding mechanisms of sustainability to advance the field. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-022-02093-1. |
format | Online Article Text |
id | pubmed-9569065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-95690652022-10-16 Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review Flynn, Rachel Stevens, Bonnie Bains, Arjun Kennedy, Megan Scott, Shannon D. Syst Rev Research BACKGROUND: There is limited evidence to evaluate the sustainability of evidence-based interventions (EBIs) for healthcare improvement. Through an integrative review, we aimed to identify approaches to evaluate the sustainability of evidence-based interventions (EBIs) and sustainability outcomes. METHODS: Following Whittemore and Knafl’s methodological process: (1) problem identification; (2) literature search; (3) data evaluation; (4) data analysis; and (5) presentation, a comprehensive search strategy was applied across five databases. Included studies were not restricted by research design; and had to evaluate the sustainability of an EBI in a healthcare context. We assessed the methodological quality of studies using the Mixed Methods Appraisal Tool. RESULTS: Of 18,783 articles retrieved, 64 fit the inclusion criteria. Qualitative designs were most commonly used for evaluation (48%), with individual interviews as the predominant data collection method. Timing of data collection varied widely with post-intervention data collection most frequent (89%). Of the 64 studies, 44% used a framework, 26% used a model, 11% used a tool, 5% used an instrument, and 14% used theory as their primary approach to evaluate sustainability. Most studies (77%) did not measure sustainability outcomes, rather these studies focused on sustainability determinants. DISCUSSION: It is unclear which approach/approaches are most effective for evaluating sustainability and what measures and outcomes are most commonly used. There is a disconnect between evaluating the factors that may shape sustainability and the outcomes approaches employed to measure sustainability. Our review offers methodological recommendations for sustainability evaluation research and highlights the importance in understanding mechanisms of sustainability to advance the field. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-022-02093-1. BioMed Central 2022-10-15 /pmc/articles/PMC9569065/ /pubmed/36243760 http://dx.doi.org/10.1186/s13643-022-02093-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Flynn, Rachel Stevens, Bonnie Bains, Arjun Kennedy, Megan Scott, Shannon D. Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
title | Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
title_full | Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
title_fullStr | Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
title_full_unstemmed | Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
title_short | Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
title_sort | identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9569065/ https://www.ncbi.nlm.nih.gov/pubmed/36243760 http://dx.doi.org/10.1186/s13643-022-02093-1 |
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