Organizational contexts, implementation process, and capacity outcomes of multicultural, multilingual Home‐Based Programs in public initiatives: A Mixed‐Methods study.
Aims: The study aim was to examine the impact of a home‐based programme intervention on organizational contexts, implementation processes and organizational capacity outcomes from multicultural, multilingual participants working at community‐based organizations. Design: This was a sequential explora...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 78; no. 10; pp. 3409 - 3427 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Oct2022
|
| 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=159063598&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159063598 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Oct2022 vid: 78 iid: 10 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 159063598 158586440 159063598 159063598 10.1111/jan.15276 159063598 ppf: 3409 ppct: 18 formats: tig: atl: Organizational contexts, implementation process, and capacity outcomes of multicultural, multilingual Home‐Based Programs in public initiatives: A Mixed‐Methods study. aug: au: Kim, Eunjung Boutain, Doris M. Lim, Sungwon Parker, Sanithia Wang, Di Maldonado Nofziger, Rebekah Weiner, Byran J. affil: University of Washington School of Nursing, Seattle WA,, USA sug: subj: Organizational Culture Program Implementation Home Health Care Organizational Development Outcome Assessment Multilingualism Cultural Diversity Public Health Multimethod Studies Action Research Implementation Science Prospective Studies Organizational Efficiency Exploratory Research Seminars and Workshops Surveys T-Tests Qualitative Studies Content Analysis Outcomes of Education Program Development Budgets Human Data Analysis Software Descriptive Statistics Funding Source Consent Interviews Coefficient alpha Summated Rating Scaling ab: Aims: The study aim was to examine the impact of a home‐based programme intervention on organizational contexts, implementation processes and organizational capacity outcomes from multicultural, multilingual participants working at community‐based organizations. Design: This was a sequential exploratory, mixed‐methods longitudinal study using community‐based participatory research principles. Sample Twenty participants from nine multicultural, multilingual community‐based organizations were in this public health initiative's intervention to develop community‐designed, home‐based programmes. Methods: Capacity building providers delivered the intervention selected by the funders. Workshop outcomes were descriptively measured in April/May 2019. In April/May and November 2019, participants completed surveys about organizational contexts, implementation processes and organizational capacity outcomes, which were analysed with t‐tests using the organization as the unit of analysis. Qualitative data were analysed using content analysis. Results: Seven programmes were new and two were modified. As workshop outcomes, 59% of participants reported increased overall implementation knowledge and 74% reported capacity building providers as the most helpful resource. After 6 to 7 months, no statistically significant changes were noted in organizational contexts, implementation processes or organizational capacity outcomes. Participants benefited from capacity building because they had programmes developed, formed partnerships with capacity building providers, gained implementation knowledge, and engaged in networking. Conclusion: Participants reported excellent individual and organizational strengths. Many Initiative factors contributed to no statistical changes. Namely, there was no opportunity for baseline data; limited community‐based organization engagement in the intervention model selection, timeline and processes; the Initiative's timeline did not fit participants' timeline; insufficient time to develop culturally and linguistically appropriate programmes; late literature review abstracts; lack of adequate, planful and paid capacity building time; and a contract requirement to have the programme due when it was not implementable. These Initiative design factors, as reported by participants, limited the Initiative's home‐based programme development. Impact This study highlights the strengths of participants, community‐based organizations and capacity building providers. Model selection, timeline and budget were identified as key factors for equitable implementation in multicultural, multilingual organizations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|