Review findings will follow RAMESES guidelines and will be disseminated via a report, presentations and peer-reviewed publications. A review advisory group will oversee the review process. Data will be extracted and tested against the programme theory. Searches for primary evidence will be conducted iteratively. ![]() ![]() The reviewers will consult with experts and stakeholders in the early stages to focus the review and develop a programme theory consisting of explanatory ‘context–mechanism–outcome’ configurations. The review process will follow five iterative steps: (1) clarify scope, (2) search for evidence, (3) appraise primary studies and extract data, (4) synthesise evidence and draw conclusions and (5) disseminate findings. The review will also consider the influence of context on improvement outcomes (provider- and patient-level), spread and sustainability. The dynamic nature of context and change over time will be explored by examining which aspects of context impact at key points in the improvement trajectory. The review will explore which contextual factors are important, and how, why, when and for whom they are important, within varied settings. A realist review of empirical studies of healthcare QI initiatives will be undertaken to examine the influence and impact of contextual factors on quality improvement in healthcare settings and explore whether QI initiatives can work in all contexts. There is a paucity of information on the mechanisms underlying how and why QI projects succeed or fail in given settings. Understanding and overcoming contextual barriers is therefore crucial to implementing effective improvement yet context is still poorly understood. Successful healthcare quality improvement (QI) initiatives frequently fail to transfer to different settings, with local contextual factors often cited as the cause. ![]() Context shapes the effectiveness of knowledge implementation and influences health improvement.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |