Implementation science: issues of fidelity to consider in community nursing.

Programme implementation is a complex process, and literature around the area of implementation science is growing, particularly with respect to programme fidelity (Dusenbury et al, 2003; Carroll et al, 2007). This paper draws on the findings from an evaluation in one area involving restructuring of...

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Publicado en:British Journal of Community Nursing Vol. 20; no. 9; pp. 437 - 444
Autores principales: Hanafin, Sinead, Dwan O'Reilly, Emma
Formato: tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Sep2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Implementation science: issues of fidelity to consider in community nursing.
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          Hanafin, Sinead
          Dwan O'Reilly, Emma
        affil: Visiting Research Fellow, Trinity College Dublin, Ireland
      sug:
        subj:
          Program Implementation Evaluation
          Health Care Reform Ireland
          Teamwork
          Serial Publications
          Ireland
          Collaboration
          Organizational Policies
          Health Facilities
          Leadership
          Case Management
          Primary Health Care
          Information Technology
          Health Personnel
      ab: Programme implementation is a complex process, and literature around the area of implementation science is growing, particularly with respect to programme fidelity (Dusenbury et al, 2003; Carroll et al, 2007). This paper draws on the findings from an evaluation in one area involving restructuring of the Public Health Nursing service from a generalist, geographically based service, to a team-based specialist approach. From this evaluation, it is clear that careful consideration must be given to a number of key issues that could arise in moving from a pilot project to a more mainstream or wide-scale implementation. These issues could relate to workforce planning; the role of the team leader; formation, maintenance, and development of teams; expertise and knowledge, including knowledge of local communities; active caseload management; continuity across a range of areas; alignment with primary care teams; co-location; and the need for support, particularly in the IT infrastructure.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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