Factors that influence the implementation of health and social care Standards: a systematic review and meta-summary protocol

Health and social care Standards are evidence-based statements that demonstrate a desired level of care. Setting Standards for health and social care is a mechanism by which quality improvements can be achieved. Limited evidence exists on appropriate implementation strategies to overcome challenges with implementing Standards. The aim of this protocol is to set out a comprehensive plan to undertake a systematic search, appraisal and mixed research synthesis of the international literature that examines factors that hinder and facilitate implementation of health and social care Standards in order to inform the design of implementation strategies. A research question, “What are the enablers and barriers to implementing health and social care Standards in health and social care services?” was designed using the ‘SPICE’ (Setting, Perspectives, Interest phenomenon of, Comparison, Evaluation) framework. Electronic databases, grey literature and reference lists from included studies will be searched. Primary qualitative, quantitative descriptive and mixed methods studies reporting on enablers and barriers to implementing nationally endorsed Standards, will be included. The review will focus on experiences and perspectives from multi-level stakeholders including patient and public involvement. The quality of studies will be appraised using appropriate tools and findings used to weight interpretation of findings. Search outputs, data extraction and quality appraisal will be undertaken by two reviewers independently. Sandelowski meta-summary will be used to synthesise the data. Frequency and intensity effect sizes of enablers and barriers will be calculated to evaluate their prevalence across the studies. The Confidence in Evidence from Reviews of Qualitative research (CERQual) approach will be applied to assess confidence in the findings of the review. Findings from this examination will inform influencing factors to implementation. Subsequently, this will contribute to pairing Standards with appropriate implementation strategies that will optimise the enabling factors and overcome challenges to implementation.

Download Full-text

Factors that influence the implementation of health and social care Standards: a systematic review and meta-summary protocol

HRB Open Research ◽

10.12688/hrbopenres.13212.1 ◽

2021 ◽

Vol 4 ◽

pp. 24

Author(s):

Yvonne Kelly ◽

Niamh O’Rourke ◽

Rachel Flynn ◽

Josephine Hegarty ◽

Laura O’Connor

Keyword(s):

Public Involvement ◽

Social Care ◽

Data Extraction ◽

Research Question ◽

Grey Literature ◽

Implementation Strategies ◽

Evaluation Framework ◽

Enabling Factors ◽

Intensity Effect ◽

Health And Social Care

Health and social care Standards are evidence-based statements that demonstrate a desired level of care. Setting Standards for health and social care is a mechanism by which quality improvements can be achieved. Limited evidence exists on appropriate implementation strategies to overcome challenges with implementing Standards. In order to inform the design of implementation strategies, there is a need to examine factors that influence their implementation. The aim of this protocol is to set out a comprehensive plan to undertake a systematic search, appraisal and mixed research synthesis of the international literature that examines implementation of health and social care Standards. A research question, “What are the enablers and barriers to implementing health and social care Standards in health and social care services?” was designed using the ‘SPICE’ (Setting, Perspectives, Interest phenomenon of, Comparison, Evaluation) framework. Electronic databases, grey literature and reference lists from included studies will be searched. Primary qualitative, quantitative descriptive and mixed methods studies reporting on enablers and barriers to implementing nationally endorsed Standards, will be included. The review will focus on experiences and perspectives from multi-level stakeholders including patient and public involvement. The quality of studies will be appraised using appropriate tools and findings used to weight interpretation of findings. Search outputs, data extraction and quality appraisal will be undertaken by two reviewers independently. Sandelowski meta-summary will be used to synthesise the data. Frequency and intensity effect sizes of enablers and barriers will be calculated to evaluate their prevalence across the studies. The Confidence in Evidence from Reviews of Qualitative research (CERQual) approach will be applied to assess confidence in the findings of the review. Findings from this examination will inform influencing factors to implementation. Subsequently, this will contribute to pairing Standards with appropriate implementation strategies that will optimise the enabling factors and overcome challenges to implementation.

Download Full-text

Patient and public involvement in stroke research: a scoping review protocol

HRB Open Research ◽

10.12688/hrbopenres.13449.1 ◽

2021 ◽

Vol 4 ◽

pp. 118

Author(s):

Patricia Hall ◽

Thilo Kroll ◽

Julianne Hickey ◽

Diarmuid Stokes ◽

Olive Lennon

Keyword(s):

Scoping Review ◽

Public Involvement ◽

Data Extraction ◽

Research Question ◽

Grey Literature ◽

Healthcare Research ◽

Stroke Research ◽

Health And Social Care ◽

Review Protocol ◽

The Impact

Background: Growing consensus supports public and patient involvement (PPI) in research as the lived experience of patients, family carers and users of health and social care services bring unique insights to healthcare research. The impact and burden of stroke present ongoing challenges for those living with its consequences and could potentially limit PPI activity. This review aims to explore PPI in published stroke research to identify and describe the extent, nature and design of PPI activities, the type/s of studies involved and the profile of PPI participants engaged in stroke research. Methods: This systematic scoping review, guided by the Arksey & O’Malley five step framework, will be reported according to the PRISMA-ScR reporting guidelines. PPI is embedded at each stage of this proposed scoping review from conceptualisation, participation, contribution and collaboration. The Population, Concept, Context (PCC) structure defines the research question which asks - How is PPI in stroke research currently being conducted and how do the study authors report their PPI activities and its impact? A comprehensive range of electronic databases including PubMed, CINAHL, EMBASE, PsychINFO and the Cochrane Database of Systematic Reviews will generate a broad range of studies. Grey literature (e.g. OpenGrey, Leanus) and internationally recognised stroke organisation websites will be searched for additional research reports. Data extraction will adhere to the Joanna Briggs Institute guidelines, with results collated and mapped to the research cycle stage/s. Conclusions: The outlined scoping review protocol will comprehensively identify and map the existing scientific literature that reports PPI in stroke research. Findings will be presented in relation to PPI conceptualisation, participant profiles and activities in stroke research, volume, type and range of approaches. Knowledge gaps and future priorities for PPI in stroke research will be identified.

Download Full-text

Exploring disconnected discourses about Patient and Public Involvement and Volunteer Involvement in English health and social care

Health Expectations ◽

10.1111/hex.13162 ◽

2020 ◽

Author(s):

Jurgen Grotz ◽

Linda Birt ◽

Heather Edwards ◽

Michael Locke ◽

Fiona Poland

Keyword(s):

Public Involvement ◽

Social Care ◽

Patient And Public Involvement ◽

Health And Social Care

Download Full-text

Valuing the impact of health and social care programs using social return on investment analysis: how have academics advanced the methodology? A systematic review

BMJ Open ◽

10.1136/bmjopen-2019-029789 ◽

2019 ◽

Vol 9 (8) ◽

pp. e029789 ◽

Cited By ~ 5

Author(s):

Claire Louise Hutchinson ◽

Angela Berndt ◽

Deborah Forsythe ◽

Susan Gilbert-Hunt ◽

Stacey George ◽

...

Keyword(s):

Systematic Review ◽

Return On Investment ◽

Social Care ◽

Assessment Tool ◽

Research Question ◽

Social Return On Investment ◽

Health And Social Care ◽

Wide Range ◽

The Impact

ObjectivesTo identify how social return on investment (SROI) analysis—traditionally used by business consultants—has been interpreted, used and innovated by academics in the health and social care sector and to assess the quality of peer-reviewed SROI studies in this sector.DesignSystematic review.SettingsCommunity and residential settings.ParticipantsA wide range of demographic groups and age groups.ResultsThe following databases were searched: Web of Science, Scopus, CINAHL, Econlit, Medline, PsychINFO, Embase, Emerald, Social Care Online and the National Institute for Health and Care Excellence. Limited uptake of SROI methodology by academics was found in the health and social care sector. From 868 papers screened, 8 studies met the criteria for inclusion in this systematic review. Study quality was found to be highly variable, ranging from 38% to 90% based on scores from a purpose-designed quality assessment tool. In general, relatively high consistency and clarity was observed in the reporting of the research question, reasons for using this methodology and justifying the need for the study. However, weaknesses were observed in other areas including justifying stakeholders, reporting sample sizes, undertaking sensitivity analysis and reporting unexpected or negative outcomes. Most papers cited links to additional materials to aid in reporting. There was little evidence that academics had innovated or advanced the methodology beyond that outlined in a much-cited SROI guide.ConclusionAcademics have thus far been slow to adopt SROI methodology in the evaluation of health and social care interventions, and there is little evidence of innovation and development of the methodology. The word count requirements of peer-reviewed journals may make it difficult for authors to be fully transparent about the details of their studies, potentially impacting the quality of reporting in those studies published in these journals.PROSPERO registration numberCRD42018080195.

Download Full-text

Quality of patient, family, caregiver and public engagement in decision-making in healthcare systems: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2019-032788 ◽

2019 ◽

Vol 9 (11) ◽

pp. e032788

Author(s):

Clayon Hamilton ◽

M Elizabeth Snow ◽

Nancy Clark ◽

Shannon Gibson ◽

Maryam Dehnadi ◽

...

Keyword(s):

Decision Making ◽

Scoping Review ◽

Family Caregiver ◽

Research Question ◽

Grey Literature ◽

Healthcare Systems ◽

Evaluation Framework ◽

Bibliographic Databases ◽

Scientific Article

IntroductionTo advance person- and family-centred healthcare, government initiatives have supported the engagement of patients and family caregivers in decision-making in healthcare systems. There is, however, no consensus on how to define success for such initiatives. This scoping review aims to identify the key elements for defining the quality of patient and family caregiver engagement in decision-making across the engagement domains (individual, community/organisation, system) of British Columbia’s healthcare system. We will use those elements to develop a conceptual evaluation framework.Methods and analysisThis scoping review follows Arskey and O’Malley’s methodology. (1) The research question was identified through team discussions. (2) Articles for data source will be identified using a librarian-informed search strategy for seven bibliographic databases as well as grey literature sources. (3) Selected articles will be relevant to the evaluation of patient and family caregiver engagement in healthcare systems. (4) Two researchers will independently extract data into predefined and emerging categories. (5) The researchers will reconcile and organise the identified elements. The research team’s collective perspective will then refine the elements, and select, interpret and summarise the results. (6) Persons from key stakeholder groups will be consulted to refine the emergent conceptual framework.Ethics and disseminationWe will seek ethics approval for the stakeholder consultation. This study follows an integrated knowledge translation approach. The results will inform evaluation of the Patients as Partners Initiative of the British Columbia Ministry of Health, and will be disseminated as a scientific article, a research brief, and presentations at conferences and stakeholder meetings.

Download Full-text

Patient and Public Involvement of young people with a chronic condition in projects in health and social care: A scoping review

Health Expectations ◽

10.1111/hex.13069 ◽

2020 ◽

Vol 23 (4) ◽

pp. 789-801 ◽

Cited By ~ 3

Author(s):

Femke Schelven ◽

Hennie Boeije ◽

Veerle Mariën ◽

Jany Rademakers

Keyword(s):

Young People ◽

Scoping Review ◽

Chronic Condition ◽

Public Involvement ◽

Social Care ◽

Patient And Public Involvement ◽

Health And Social Care

Download Full-text

Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a protocol for a scoping review

BMJ Open ◽

10.1136/bmjopen-2017-018247 ◽

2017 ◽

Vol 7 (12) ◽

pp. e018247 ◽

Cited By ~ 6

Author(s):

Elana Commisso ◽

Katherine S McGilton ◽

Ana Patricia Ayala ◽

Melissa, K Andrew ◽

Howard Bergman ◽

...

Keyword(s):

Older Adults ◽

Family Caregivers ◽

Scoping Review ◽

Chronic Conditions ◽

Social Care ◽

Grey Literature ◽

Well Being ◽

Multiple Chronic Conditions ◽

Care Needs ◽

Health And Social Care

IntroductionPeople are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequently rely on the support of friend and/or family caregivers. Caregivers of older adults with MCC often face challenges to their own well-being and also require support. Currently, not enough is known about the health and social care needs of older adults with MCC and the needs of their caregivers or how best to identify and meet these needs. This study will examine and synthesise the literature on the needs of older adults with MCC and those of their caregivers, and identify gaps in evidence and directions for further research.Methods and analysisWe will conduct a scoping review of the peer-reviewed and grey literature using the updated Arksey and O’Malley framework. The literature will be identified using a multidatabase and grey literature search strategy developed by a health sciences librarian. Papers, reports and other materials addressing the health and social care needs of older adults and their friend/family caregivers will be included. Search results will be screened, independently, by two reviewers, and data will be abstracted from included literature and charted in duplicate.Ethics and disseminationThis scoping review does not require ethics approval. We anticipate that study findings will inform novel strategies for identifying and ascertaining the health and social care needs of older adults living with MCC and those of their caregivers. Working with knowledge-user members of our team, we will prepare materials and presentations to disseminate findings to relevant stakeholder and end-user groups at local, national and international levels. We will also publish our findings in a peer-reviewed journal.

Download Full-text