From Theory to Implementation: Adaptations to a Quality Improvement Initiative According to Implementation Context.
As countries continue to invest in quality improvement (QI) initiatives in health facilities, it is important to acknowledge the role of context in implementation. We conducted a qualitative study between February 2019 and January 2020 to explore how a QI initiative was adapted to enable implementat...
| Publicado en: | Qualitative Health Research Vol. 32; no. 4; pp. 646 - 656 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
Mar2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155317778&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155317778 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10497323 QHR jtl: Qualitative Health Research issn: 10497323 maglogo: Y pubinfo: dt: Mar2022 vid: 32 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 155317778 153570839 155317778 155317778 10.1177/10497323211058699 155317778 ppf: 646 ppct: 10 formats: tig: atl: From Theory to Implementation: Adaptations to a Quality Improvement Initiative According to Implementation Context. aug: au: Olaniran, Abimbola A. Oludipe, Modupe Hill, Zelee Ogunyemi, Adedoyin Umar, Nasir Ohiri, Kelechi Schellenberg, Joanna Marchant, Tanya affil: Department of Disease Control, 4919 London School of Hygiene and Tropical Medicine, London, UK sug: subj: Implementation Science Quality Improvement Human Health Facilities Qualitative Studies Exploratory Research Data Collection Thematic Analysis ab: As countries continue to invest in quality improvement (QI) initiatives in health facilities, it is important to acknowledge the role of context in implementation. We conducted a qualitative study between February 2019 and January 2020 to explore how a QI initiative was adapted to enable implementation in three facility types: primary health centres, public hospitals and private facilities in Lagos State, Nigeria. Despite a common theory of change, implementation of the initiative needed to be adapted to accommodate the local needs, priorities and organisational culture of each facility type. Across facility types, inadequate human and capital resources constrained implementation and necessitated an extension of the initiative's duration. In public facilities, the local governance structure was adapted to facilitate coordination, but similar adaptations to governance were not possible for private facilities. Our findings highlight the importance of anticipating and planning for the local adaptation of QI initiatives according to implementation environment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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