What does it take to scale‐up a complex intervention? Lessons learned from the Connect‐Home transitional care intervention.
Aims: To discuss the multiple phases of research done to plan for wide‐scale implementation (i.e. scale‐up) of Connect‐Home, a complex nurse‐develop intervention. Barker et al.'s (Implementation Science, 2016, 11, 12) framework for intervention scale‐up is applied to address the methods used to answ...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 76; no. 1; pp. 387 - 398 |
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| Autores principales: | , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Aims: To discuss the multiple phases of research done to plan for wide‐scale implementation (i.e. scale‐up) of Connect‐Home, a complex nurse‐develop intervention. Barker et al.'s (Implementation Science, 2016, 11, 12) framework for intervention scale‐up is applied to address the methods used to answer the following four questions: 'Who' needs to be involved in scale‐up? 'What' intervention and implementation strategies need to be taken to scale? 'How' will scale‐up be achieved? And what contextual factors influence 'when' scale‐up is or is not successful? Design: Discussion paper. Data Sources: Data sources include the experience of our research team, supported by literature and theory. The Connect‐Home team conducted multiple research studies to plan for Connect‐Home scale‐up. Early studies (2008–2015) focused on formative work to design the Connect‐Home intervention. Recent studies have involved successive pilot tests of Connect‐Home's effectiveness, implementation, and scale‐up (2015–2019). Implications for Nursing: This article describes a systematic approach that nurse researchers can apply to plan for taking their interventions to scale. Conclusions: Planning for scale‐up early in the process of intervention development is essential to speeding the translation of effective interventions into wide‐scale practice. Impact: This article details the methods that nursing researchers applied to develop and test the strategies needed to plan for taking a complex intervention to scale across multiple settings. The methods described are applicable to nursing and other health researchers' development and scale‐up of any complex intervention. 目的: 讨论为大规模实施而进行的多阶段研究(例如,扩大)一项复杂的护士—开发干预。Barker(实施科学,2016,11,12)提出了扩大干预规模的框架,其框架可用于回答以下四个问题:"谁"需要参与规模扩大? 需要采取哪些干预和实施策略来扩大规模?"如何"实现规模化? 还有,什么环境因素会影响"何时"扩张成功或不成功? 设计: 讨论研究报告。 资料资源: 数据资源包括研究团队的经验,还有文献和理论支持。连接家庭团队进行了多项研究,以规划连接家庭的规模扩展。早期的研究(2008‐2015)侧重于设计连接家庭干预的正式工作。最近的研究涉及到连接家庭的有效性、实施和规模化的后续试点测试(2015‐2019)。 护理启示: 这篇文章介绍了护士研究人员可用于扩大干预规模的一个系统的方法。 结论: 在干预发展过程中尽早规划扩大对加快有效干预转化为大规模实践至关重要。 影响: 这篇文章详细介绍了护理研究人员应用于制定和测试策略的方法,这些策略是在多个环境中进行复杂的干预所需要的。所述方法适用于护理和其他卫生研究人员的发展和扩大复杂干预的规模。 |
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