Tracking the route to sustainability: a service evaluation tool for an advance care planning model developed for community palliative care services

Blackford, Jeanine; Street, Annette

doi:10.1111/j.1365-2702.2012.04179.x

Cited by 12 publications

(9 citation statements)

References 35 publications

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“…Our current study is similar to other implementation evaluation studies that examine implementation by phases, such as that by Chamberlain and colleagues, who focused on two implementation strategies and found that sites ceased progress during pre-implementation phase ( 15 ). Similarly, Blackford and colleagues ( 19 ) have also made use of an evaluation tool to track progress in implementing an advance care planning initiative, finding the tool useful in supporting planning, tracking progress, and providing direction for future change. In all, our current study and those in the literature speak to the importance of timing in evaluating how differing strategies support effective implementation.…”

Section: Discussionmentioning

confidence: 99%

“…The authors were unable, however, to discern whether these findings were impacted by the timing or sequence of strategies ( 18 ). Similarly, although a handful of studies have examined implementation across multiple phases ( 11 , 13 , 15 , 19 ), few have provided significant detail regarding when and how implementation strategies were deployed ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

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A Pragmatic Approach to Guide Implementation Evaluation Research: Strategy Mapping for Complex Interventions

Huynh

Hamilton

Farmer

et al. 2018

Front. Public Health

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IntroductionGreater specification of implementation strategies is a challenge for implementation science, but there is little guidance for delineating the use of multiple strategies involved in complex interventions. The Cardiovascular (CV) Toolkit project entails implementation of a toolkit designed to reduce CV risk by increasing women’s engagement in appropriate services. The CV Toolkit project follows an enhanced version of Replicating Effective Programs (REP), an evidence-based implementation strategy, to implement the CV Toolkit across four phases: pre-conditions, pre-implementation, implementation, and maintenance and evolution. Our current objective is to describe a method for mapping implementation strategies used in real time as part of the CV Toolkit project. This method supports description of the timing and content of bundled strategies and provides a structured process for developing a plan for implementation evaluation.MethodsWe conducted a process of strategy mapping to apply Proctor and colleagues’ rubric for specification of implementation strategies, constructing a matrix in which we identified each implementation strategy, its conceptual group, and the corresponding REP phase(s) in which it occurs. For each strategy, we also specified the actors involved, actions undertaken, action targets, dose of the implementation strategy, and anticipated outcome addressed. We iteratively refined the matrix with the implementation team, including use of simulation to provide initial validation.ResultsMapping revealed patterns in the timing of implementation strategies within REP phases. Most implementation strategies involving the development of stakeholder interrelationships and training and educating stakeholders were introduced during the pre-conditions or pre-implementation phases. Strategies introduced in the maintenance and evolution phase emphasized communication, re-examination, and audit and feedback. In addition to its value for producing valid and reliable process evaluation data, mapping implementation strategies has informed development of a pragmatic blueprint for implementation and longitudinal analyses and evaluation activities.DiscussionWe update recent recommendations on specification of implementation strategies by considering the implications for multi-strategy frameworks and propose an approach for mapping the use of implementation strategies within complex, multi-level interventions, in support of rigorous evaluation. Developing pragmatic tools to aid in operationalizing the conduct of implementation and evaluation activities is essential to enacting sound implementation research.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Pragmatic Approach to Guide Implementation Evaluation Research: Strategy Mapping for Complex Interventions

Huynh

Hamilton

Farmer

et al. 2018

Front. Public Health

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“…For example, maintenance of a public health program is likely to relate closely to having one or more of the following: a sufficient budget, a favorable political climate, sufficient organizational capacity, careful attention to context, and ongoing evaluation allowing for mid-course corrections. 42-48 There now is a small set of measurement tools for sustainability, 45,49-51 which needs to be adapted and developed to address the various mis-implementation scenarios (e.g., continuing programs that should be ended, ending programs that should be continued).…”

Section: Discussionmentioning

confidence: 99%

Understanding Mis-implementation in Public Health Practice

Brownson¹,

Allen²,

Jacob³

et al. 2015

American Journal of Preventive Medicine

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Introduction A better understanding of mis-implementation in public health (ending effective programs and policies or continuing ineffective ones) may provide important information for decision makers. The purpose of this study is to describe the frequency and patterns in mis-implementation of programs in state and local health departments in the U.S. Methods A cross-sectional study of 944 public health practitioners was conducted. The sample included state (n=277) and local health department employees (n=398) and key partners from other agencies (n=269). Data were collected from October 2013 through June 2014 (analyzed in May through October 2014). Online survey questions focused on ending programs that should continue, continuing programs that should end, and reasons for endings. Results Among state health department employees, 36.5% reported that programs often or always end that should have continued, compared with 42.0% of respondents in local health departments and 38.3% of respondents working in other agencies. In contrast to ending programs that should have continued, 24.7% of state respondents reported programs often or always continuing when they should have ended, compared to 29.4% for local health departments and 25% of respondents working in other agencies. Certain reasons for program endings differed at the state versus local level (e.g., policy support, support from agency leadership), suggesting that actions to address mis-implementation are likely to vary. Conclusions The current data suggest a need to focus on mis-implementation in public health practice in order to make the best use of scarce resources.

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“…Given that the essential roles that nurses play in ACP in various settings (Jeong et al . , ,b, Chan & Pang , Blackford & Street ), what is of more concern for nursing profession is that those who found information about ACD and ACP, only 5 of 48 people received it from nurses. In addition, consistent with the literature (Jeong et al .…”

Section: Discussionmentioning

confidence: 99%

‘Planning ahead’ among community‐dwelling older people from culturally and linguistically diverse background: a cross‐sectional survey

Jeong

Ohr

Pich

et al. 2014

Journal of Clinical Nursing

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Tracking the route to sustainability: a service evaluation tool for an advance care planning model developed for community palliative care services

Cited by 12 publications

References 35 publications

A Pragmatic Approach to Guide Implementation Evaluation Research: Strategy Mapping for Complex Interventions

A Pragmatic Approach to Guide Implementation Evaluation Research: Strategy Mapping for Complex Interventions

Understanding Mis-implementation in Public Health Practice

‘Planning ahead’ among community‐dwelling older people from culturally and linguistically diverse background: a cross‐sectional survey

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