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Implementation Science
This Element introduces and critically reflects on the contribution of implementation science to healthcare improvement efforts. Grounded in several disciplines, implementation science is the study of strategies to promote the uptake of evidence-based interventions into healthcare practice and policy. The field's focus is threefold. First, it encompasses theory and empirical research focused on exploring, identifying, and understanding the systems, behaviours, and practices that influence successful implementation. Second, it examines the evaluation of strategies to address barriers or enablers to implementation in a given context. Last, it increasingly seeks to understand the process of implementation itself: what actually gets implemented, and when, why, and how? Despite the growing body of evidence, challenges remain. Many important messages remain buried in the literature, and their impact on implementation efforts in routine practice may be limited. The challenge is not just to get evidence into practice, but also to get implementation science into practice. This title is also available as Open Access on Cambridge Core.
Managing Healthcare Organisations in Challenging Policy Contexts
Healthcare managers, professionals and service users operate in an increasingly complex environment in terms of policy, regulation and governance arrangements. The policy process is becoming pluralised as competing narratives are drawn upon to influence practice. A wide range of contradictory and inconsistent policies are on offer to healthcare stakeholders, which ultimately results in a broad spectrum of responses, adaptations and improvisations throughout the process of policy implementation. The impact on managerial and professional practice is significant: Whilst some voices are suppressed or ignored, the complex nature of contemporary policy contexts can also help local actors exercise ...
Managing Healthcare Organisations in Challenging Policy Contexts
Healthcare managers, professionals and service users operate in an increasingly complex environment in terms of policy, regulation and governance arrangements. The policy process is becoming pluralised as competing narratives are drawn upon to influence practice. A wide range of contradictory and inconsistent policies are on offer to healthcare stakeholders, which ultimately results in a broad spectrum of responses, adaptations and improvisations throughout the process of policy implementation. The impact on managerial and professional practice is significant: Whilst some voices are suppressed or ignored, the complex nature of contemporary policy contexts can also help local actors exercise ...
Transitions and Boundaries in the Coordination and Reform of Health Services
Health systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship between strategic and organic change and what this means for the way we organize health work. Focusing on the complexity of healthcare environments, it discusses the need to cross professional and organizational boundaries. Specifically, this book focuses on the implications for health systems in the way that they continue to balance planning and intervention with organic learning systems. Comprising the best contributions from the 2018 Conference on Organizational Behaviour in Health Care (OBHC), this book is an important resource for healthcare researchers, as well as policy-makers and managers within the industry. Contributors explore the extent to which healthcare is codified through empirical analysis of practical interventions and conceptual debate.
Multiprofessional Communities of Practice in a Large-scale Healthcare Knowledge Mobilisation Initiative
This thesis explores the development of multiprofessional communities of practice within the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester - a large-scale UK-based healthcare knowledge mobilisation partnership between the University of Manchester and local NHS organisations. In particular, it examines the role of pre-existing boundaries and identities in the process of community formation and develops our understanding of knowledge sharing across multiple interconnected communities of practice. The project deploys a qualitative single embedded case study as its research methodology, embracing 45 interviews and 69 hours of direct observation ...
Research Handbook on Leadership in Healthcare
This timely Research Handbook provides a comprehensive and transdisciplinary overview of current research in the field of health leadership. Emphasising diverse perspectives and under-explored issues, it calls for a sustainable future embracing social justice, technological innovation and artificial intelligence, patient-centredness of care, and the fair treatment of workers. This title contains one or more Open Access chapters.
Statistical Process Control
Explores the role of statistical process control in offering an intuitive, practical, and robust approach to supporting efforts to improve healthcare. This title is also available as Open Access on Cambridge Core.
Managing Improvement in Healthcare
Reflecting the challenges and opportunities of achieving improvement in healthcare systems, the contributions of this innovative new text lend depth and nuance to an increasing area of academic debate. Encompassing context, processes and agency, Managing Improvements in Healthcare addresses the task of attaining, embedding and sustaining improvement in the industry. The book begins by offering insight into the different valued aspects of quality, providing specific examples of national and organizational interventions in pursuit of improvement. The second part focuses on strategies for embedding good practice and ensuring the spread of high quality through knowledge mobilization, and the final part draws attention to the different groups of change agents involved in delivering, co-creating and benefitting from quality improvement. This inventive text will be insightful to those researchers interested in healthcare and organization, looking to transform theory into policy and practice.
Governance and Leadership
Lessons from service and system failures describe how governance and leadership each play a pivotal role in high-quality, safe care. This title is also available as Open Access on Cambridge Core.
Implementation Science
This accessible textbook introduces a wide spectrum of ideas, approaches, and examples that make up the emerging field of implementation science, including implementation theory, processes and methods, data collection and analysis, brokering interest on the ground, and sustainable implementation. Containing over 60 concise essays, each addressing the thorny problem of how we can make care more evidence-informed, this book looks at how implementation science should be defined, how it can be conducted, and how it is assessed. It offers vital insight into how research findings that are derived from healthcare contexts can help make sense of service delivery and patient encounters. Each entry co...
