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dc.contributor.authorMekki, Tone Elin
dc.contributor.authorØye, Christine
dc.contributor.authorKristensen, Bodil
dc.contributor.authorDahl, Helen
dc.contributor.authorHaaland, Astrid
dc.contributor.authorNordin, Kristin Aas
dc.contributor.authorStrandos, Marta
dc.contributor.authorTerum, Toril Marie
dc.contributor.authorYdstebø, Arnt Egil
dc.contributor.authorMcCormack, Brendan
dc.date.accessioned2018-06-29T21:38:35Z
dc.date.available2018-06-29T21:38:35Z
dc.date.issued2017-06-13
dc.identifierER4803
dc.identifier.citationMekki, T., Øye, C., Kristensen, B., Dahl, H., Haaland, A., Nordin, K., Strandos, M., Terum, T., Ydstebø, A. & McCormack, B. (2017) The inter-play between facilitation and context in the promoting action on research implementation in health services framework: A qualitative exploratory implementation study embedded in a cluster randomized controlled trial to reduce restraint in nursing. Journal of Advanced Nursing, 73 (11), pp. 2622-2632.
dc.identifier.issn0309-2402
dc.identifier.urihttps://doi.org/10.1111/jan.13340
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/4803
dc.description.abstractAim: To explore the inter-play between external facilitation and nursing home contexts relative to intervention outcomes. Background: The Promoting Action on Research Implementation in Health Services framework is frequently used to theoretically inform implementation and research in nursing and recent reviews indicate high face validity for health services. However, the inter-play and relationship between framework sub-elements of evidence, context and facilitation and the prospective utility in non-English speaking contexts warrant further illumination. Design: In an overarching single-blind cluster-randomized controlled trial, we applied participatory action research and ethnography from August 2011-June 2015 to evaluate a standardized education intervention to reduce restraint and agitation in nursing home residents living with dementia. The trial results are published elsewhere. Methods: Prospectively informed by the PARIHS framework, a research team and eight facilitators participating in dual roles as action researchers designed, implemented, and evaluated the intervention. How contextual factors influenced the facilitation processes were explored in focus group interviews (1), reflection notes (84) written by the facilitators' after each education session, ethnographic field studies (6 homes), and co-analysis workshops (5). Directed content analysis was used to analyse data. Results: Clinical leaders taking roles of internal facilitator influenced the success of implementation, while complex and fluctuating context elements determined whether restraint use was reduced- or not. The PARIHS framework was found to be relevant in a non-English nursing home setting, albeit some elements merit further conceptualization. Conclusions: Our findings confirm the prospective utility of the PARIHS framework for implementation in a non-English context, particularly the notion of implementation processes as dynamic and multifaceted. 2017 John Wiley & Sons Ltd.
dc.format.extent2622-2632
dc.publisherWiley
dc.relation.ispartofJournal of Advanced Nursing
dc.titleThe inter-play between facilitation and context in the promoting action on research implementation in health services framework: A qualitative exploratory implementation study embedded in a cluster randomized controlled trial to reduce restraint in nursing
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_nur
dc.description.volume73
dc.description.ispublishedpub
dc.description.eprintid4803
rioxxterms.typearticle
refterms.dateAccepted2017-04-11
refterms.dateFCD2017-09-13
qmu.authorMcCormack, Brendan
qmu.centreCentre for Person-centred Practise Research
dc.description.statuspub
dc.description.number11


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