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Book ; Online ; E-Book: Implementation science

Rapport, Frances / Clay-Williams, Robyn / Braithwaite, Jeffrey

the key concepts

(Routledge Key Guides)

2022

Abstract: This accessible textbook introduces a wide spectrum of ideas, approaches and examples that make up the emerging field of implementation science, including implementation theory, processes and methods, data collection and analysis, brokering interest on ... ...

Author's details	edited by Frances Rapport, Robyn Clay-Williams and Jeffrey Braithwaite
Series title	Routledge Key Guides
Abstract	"This accessible textbook introduces a wide spectrum of ideas, approaches and examples that make up the emerging field of implementation science, including implementation theory, processes and methods, data collection and analysis, brokering interest on the ground, and sustainable implementation. This comprehensive and enlightening range of ideas and examples brought together in one place is essential reading for all students, researchers and practitioners with an interest in translating knowledge into practice in healthcare"--
Keywords	Evidence-based medicine
Subject code	610
Language	English
Size	1 online resource (271 pages)
Publisher	Routledge
Publishing place	London, England ; New York, New York
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	1-00-310994-2 ; 1-003-10994-2 ; 1-000-58341-4 ; 9780367626136 ; 978-1-00-310994-5 ; 978-1-003-10994-5 ; 978-1-000-58341-0 ; 0367626136
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Participatory Process Anchored in Systems Thinking for Implementing Ethics in Medical AI: A Qualitative Study.

Goirand, Magali / Austin, Elizabeth / Clay-Williams, Robyn

Studies in health technology and informatics

2024 Volume 310, Page(s) 1522–1523

Abstract: Implementing ethics is a complex issue and should engage stakeholders. Yet, ensuring a fair, transparent, and meaningful participatory process contributes to the complexity. This qualitative study explores how to engage with stakeholders about a COVID-19 ...

Abstract	Implementing ethics is a complex issue and should engage stakeholders. Yet, ensuring a fair, transparent, and meaningful participatory process contributes to the complexity. This qualitative study explores how to engage with stakeholders about a COVID-19 AI app following principles of Critical Systems Thinking. The study is set to explore both process and outcomes of stakeholder engagement and draw recommendations for both.
MeSH term(s)	Humans ; Qualitative Research ; COVID-19 ; Stakeholder Participation ; Systems Analysis
Language	English
Publishing date	2024-01-25
Publishing country	Netherlands
Document type	Journal Article
ISSN	1879-8365
ISSN (online)	1879-8365
DOI	10.3233/SHTI231274
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Innovative Models of Care for Hospitals of the Future.

Clay-Williams, Robyn / Hibbert, Peter / Loy, Graeme / Braithwaite, Jeffrey

International journal of health policy and management

2024 Volume 13, Page(s) 7861

Abstract: New ways of providing acute care outside of traditional hospital building complexes, such as virtual care or hospital in the home, are becoming more common. Despite this, many hospitals are still conceived as "bricks and mortar" centralised constructions, ...

Abstract	New ways of providing acute care outside of traditional hospital building complexes, such as virtual care or hospital in the home, are becoming more common. Despite this, many hospitals are still conceived as "bricks and mortar" centralised constructions, and few health service infrastructure organisations meet intensively with consumers or clinicians prior to conceptualising hospital design. Our study sought to understand the needs and expectation of community members and healthcare providers, and co-design innovative models of acute care to inform development of a new metropolitan hospital in Australia. Our study used a three-step approach, consisting of academic and grey literature reviews; a demographic analysis of the hospital catchment population; and a series of 20 workshops and 6 supplementary interviews with community members and local healthcare providers. We found that care should be tailored to the healthcare needs and expectations of each consumer, with consumers cared for in the community where possible and safe. We propose an innovative model of care for hospitals of the future, consisting of fully integrated acute care underpinned by appropriate digital architecture to deliver care that is community focussed. It is vital that new hospitals build in sufficient adaptability to leverage future innovation and meet the needs of growing and changing communities.
MeSH term(s)	Humans ; Hospitals ; Health Facilities ; Australia ; Critical Care ; Health Personnel
Language	English
Publishing date	2024-02-18
Publishing country	Iran
Document type	Journal Article
ZDB-ID	2724317-5
ISSN	2322-5939 ; 2322-5939
ISSN (online)	2322-5939
ISSN	2322-5939
DOI	10.34172/ijhpm.2024.7861
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Article ; Online: Engaging Stakeholders in a Substantive and Transparent Way When Implementing Ethics in Medical AI: A Qualitative Study.

Goirand, Magali / Austin, Elizabeth / Clay-Williams, Robyn

Studies in health technology and informatics

2023 Volume 304, Page(s) 101–102

Abstract: Implementing ethics is a complex problem requiring stakeholders engagement. Engaging in fair and transparent way with stakeholders is part of the complexity. This qualitative study applies principles and techniques of Critical Systems Thinking while ... ...

Abstract	Implementing ethics is a complex problem requiring stakeholders engagement. Engaging in fair and transparent way with stakeholders is part of the complexity. This qualitative study applies principles and techniques of Critical Systems Thinking while engaging with stakeholders in the context of implementing ethics for a COVID-19 AI. In a reflexive manner, the study examines the participatory process and its output leading to recommendations.
MeSH term(s)	Humans ; COVID-19 ; Qualitative Research ; Artificial Intelligence
Language	English
Publishing date	2023-06-22
Publishing country	Netherlands
Document type	Journal Article
ISSN	1879-8365
ISSN (online)	1879-8365
DOI	10.3233/SHTI230380
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Article ; Online: Mapping the flow of knowledge as guidance for ethics implementation in medical AI: A qualitative study.

Goirand, Magali / Austin, Elizabeth / Clay-Williams, Robyn

PloS one

2023 Volume 18, Issue 11, Page(s) e0288448

Abstract: In response to the COVID-19 crisis, Artificial Intelligence (AI) has been applied to a range of applications in healthcare and public health such as case identification or monitoring of the population. The urgency of the situation should not be to the ... ...

Abstract	In response to the COVID-19 crisis, Artificial Intelligence (AI) has been applied to a range of applications in healthcare and public health such as case identification or monitoring of the population. The urgency of the situation should not be to the detriment of considering the ethical implications of such apps. Implementing ethics in medical AI is a complex issue calling for a systems thinking approach engaging diverse representatives of the stakeholders in a consultative process. The participatory engagement aims to gather the different perspectives of the stakeholders about the app in a transparent and inclusive way. In this study, we engaged a group of clinicians, patients, and AI developers in conversations about a fictitious app which was an aggregate of actual COVID-19 apps. The app featured a COVID-19 symptoms monitoring function for both the patient and the clinician, as well as infection clusters tracking for health agencies. Anchored in Soft Systems Methodology and Critical Systems Thinking, participants were asked to map the flow of knowledge between the clinician, the patient, and the AI app system and answer questions about the ethical boundaries of the system. Because data and information are the resource and the product of the AI app, understanding the nature of the information and knowledge exchanged between the different agents of the system can reveal ethical issues. In this study, not only the output of the participatory process was analysed, but the process of the stakeholders' engagement itself was studied as well. To establish a strong foundation for the implementation of ethics in the AI app, the conversations among stakeholders need to be inclusive, respectful and allow for free and candid dialogues ensuring that the process is transparent for which a systemic intervention is well suited.
MeSH term(s)	Humans ; Artificial Intelligence ; Knowledge ; Qualitative Research ; COVID-19/epidemiology ; Communication
Language	English
Publishing date	2023-11-02
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0288448
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The (in)visibility of deafness: Identity, stigma, quality of life and the potential role of totally implantable cochlear implants.

Lo, Chi Yhun / Clay-Williams, Robyn / Elks, Beth / Warren, Chris / Rapport, Frances

Health expectations : an international journal of public participation in health care and health policy

2024 Volume 27, Issue 3, Page(s) e14060

Abstract: Introduction: The disclosure of deafness is complex, given the historic and on-going stigma associated with being deaf. The aim of this study was to explore how identity, stigma, and quality of life may be impacted when using cochlear implants (CIs) and ...

Abstract	Introduction: The disclosure of deafness is complex, given the historic and on-going stigma associated with being deaf. The aim of this study was to explore how identity, stigma, and quality of life may be impacted when using cochlear implants (CIs) and totally implantable cochlear implants (TICIs). The physical difference between these two assistive listening devices is significant, given many CI users opt to hide their sound processor behind hair or headwear, in contrast to TICIs (an emerging technology) whereby all components are implanted internally and thus invisible. Methods: This qualitative study involved semistructured interviews and demographic questionnaires with 12 adult participants with more than 1 year of experience using their CI. Participants were recruited Australia-wide through community organisations that support deaf and hard-of-hearing individuals. Interview transcripts were analysed thematically, with the themes generated through an inductive process, with consensus generated through group working with three members from the research team. Results: Four major themes were identified: (1) CI challenges; (2) The importance of social and support networks; (3) Identity and disclosure and (4) Concerns about TICIs. The underlying finding was centred around the construction of deaf identity. Participant attitudes were generally categorised as 'Loud and proud', with the recognition that displaying the CI was an extension of self, something to be proud of, and a means to normalise deafness; or 'Out of sight and out of mind', which sought to minimise the visibility of deafness. While both identities differed in how deafness is disclosed, they are fundamentally related to the same ideas of self-agency and empowerment. Conclusion: TICIs present a novel opportunity-the ability for CI users to control the visibility of their deafness and thus control disclosure. This study explored the impact of stigma and categorised two core identities that CI users construct. Future directions include investigating potential CI candidates, to explore if TICIs may be a facilitator to CI uptake. Patient or public contribution: The semistructured interview guide was developed in consultation with adults with CIs. Feedback led to adjustments and improvement to the interview guide. In addition, F. R. has a lived experience with hearing loss, and C. Y. L. is an executive committee member for a nonprofit charity organisation that supports families that are D/deaf and hard-of-hearing.
MeSH term(s)	Humans ; Quality of Life ; Male ; Female ; Cochlear Implants/psychology ; Middle Aged ; Deafness/psychology ; Social Stigma ; Adult ; Qualitative Research ; Australia ; Aged ; Interviews as Topic ; Surveys and Questionnaires
Language	English
Publishing date	2024-04-27
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2119434-8
ISSN	1369-7625 ; 1369-6513
ISSN (online)	1369-7625
ISSN	1369-6513
DOI	10.1111/hex.14060
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Article ; Online: Leading Quality and Safety on the Frontline - A Case Study of Department Leaders in Nursing Homes.

Magerøy, Malin Rosell / Braut, Geir Sverre / Macrae, Carl / Clay-Williams, Robyn / Braithwaite, Jeffrey / Wiig, Siri

Journal of healthcare leadership

2024 Volume 16, Page(s) 193–208

Abstract: Purpose: The role of healthcare leaders is becoming increasingly complex, and carries great responsibility for patients, employees, and the quality of service delivery. This study explored the barriers and enablers that department leaders in nursing ... ...

Abstract	Purpose: The role of healthcare leaders is becoming increasingly complex, and carries great responsibility for patients, employees, and the quality of service delivery. This study explored the barriers and enablers that department leaders in nursing homes encounter when managing the dual responsibilities in Health, Safety and Environment (HSE) and Quality and Patient Safety (QPS). Methodology: Case study design with data collected through semi structured interviews with 16 department leaders in five Norwegian municipalities. We analyzed the data using qualitative content analysis. Results: Data analysis resulted in four themes explaining what department leaders in nursing homes experience as barriers and enablers when handling the dual responsibility of HSE and QPS: Temporal capacity: The importance of having enough time to create a health-promoting work environment that ensures patient safety. Relational capacity: Relationships have an impact on work process and outcomes. Professional competence: Competence affects patient safety and leadership strategies. Organizational structure: Organizational frameworks influence how the dual responsibilities are handled. Conclusion: Evidence from this study showed that external contextual factors (eg, legislations and finances) and internal factors (eg, relationships and expectations) are experienced as barriers and enablers when department leaders are enacting the dual responsibility of HSE and QPS. Of these, relationships were found to be the most significant contributor.
Language	English
Publishing date	2024-04-23
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2587466-4
ISSN	1179-3201 ; 1179-3201
ISSN (online)	1179-3201
ISSN	1179-3201
DOI	10.2147/JHL.S454109
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Article ; Online: Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations.

Austin, Elizabeth E / Blakely, Brette / Salmon, Paul / Braithwaite, Jeffrey / Clay-Williams, Robyn

Applied ergonomics

2024 Volume 117, Page(s) 104240

Abstract: Work Domain Analysis (WDA), the foundational phase in the Cognitive Work Analysis Framework (CWA), provides a platform for understanding and designing complex systems. Though it has been used extensively, there are few applications in healthcare, and ... ...

Abstract	Work Domain Analysis (WDA), the foundational phase in the Cognitive Work Analysis Framework (CWA), provides a platform for understanding and designing complex systems. Though it has been used extensively, there are few applications in healthcare, and model validation for different contexts is not always undertaken. The current study aimed to validate an Emergency Department (ED) WDA across three metropolitan hospitals that differ in the type and nature of services they provide, including the ED in which the original ED WDA was developed. A facilitated workshop was conducted at the first ED and interviews at two subsequent EDs to refine and validate the ED WDA. ED subject matter experts (SMEs) including nurses, doctors, administration, and allied health personnel provided feedback on the model. SME feedback resulted in modifications to the original ED WDA model including combining nodes to reduce duplication and amending five labels for clarity. The resulting WDA provides a valid representation of the EDs found in metropolitan districts within an Australian state and can be used by roles such as frontline ED clinicians, hospital managers, and policy developers to facilitate the design, testing, and sharing of solutions to local and shared problems. The findings also demonstrate the importance of validating WDA models across different contexts.
MeSH term(s)	Humans ; Australia ; Emergency Service, Hospital ; Delivery of Health Care ; Health Personnel/psychology ; Hospitals
Language	English
Publishing date	2024-01-28
Publishing country	England
Document type	Journal Article
ZDB-ID	2003513-5
ISSN	1872-9126 ; 0003-6870
ISSN (online)	1872-9126
ISSN	0003-6870
DOI	10.1016/j.apergo.2024.104240
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Article ; Online: Developing Methods to Support Collaborative Learning and Co-creation of Resilient Healthcare-Tips for Success and Lessons Learned From a Norwegian Hospital Cancer Care Study.

Bergerød, Inger Johanne / Clay-Williams, Robyn / Wiig, Siri

Journal of patient safety

2022 Volume 18, Issue 5, Page(s) 396–403

Abstract: Background: There is a growing attention on the role of patients and stakeholders in resilience, but there is lack of knowledge and methods on how to support collaborative learning between stakeholders and co-creation of resilient healthcare. The aim of ...

Abstract	Background: There is a growing attention on the role of patients and stakeholders in resilience, but there is lack of knowledge and methods on how to support collaborative learning between stakeholders and co-creation of resilient healthcare. The aim of this article was to demonstrate how the methodological process of a consensus process for exploring aspects of next of kin involvement in hospital cancer care can be replicated as an effort to promote resilient healthcare through co-creation with multiple stakeholders in hospitals. Methods: The study applied a modified nominal group technique process developed by synthesizing research findings across 4 phases of a research project with a mixed-methods approach. The process culminated in a 1-day meeting with 20 stakeholder participants (5 next of kin representatives, 10 oncology nurses, and 5 physicians) from 2 Norwegian university hospitals. Results: The consensus method established reflexive spaces with collective sharing of experiences between the 2 hospitals and between the next of kin and healthcare professionals. The method promoted collaborative learning processes including identification and reflection upon new ideas for involvement, and reduction of the gap between healthcare professionals' and next of kin experiences and expectations for involvement. Next of kin were considered as important resources for resilient performance, if involved with a proactive approach. The consensus process identified both successful and unsuccessful collaborative practices and resulted in a co-designed guide for healthcare professionals to support next of kin involvement in hospital cancer care. Conclusions: This study expands the body of knowledge on methods development that is relevant for collaborative learning and co-creation of resilient healthcare. This study demonstrated that the consensus methods process can be used for creating reflexive spaces to support collaborative learning and co-creation of resilience in cancer care. Future research within the field of collaborative learning should explore interventions that include a larger number of stakeholders.
MeSH term(s)	Cancer Care Facilities ; Delivery of Health Care ; Health Personnel ; Hospitals ; Humans ; Interdisciplinary Placement ; Neoplasms/therapy
Language	English
Publishing date	2022-01-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2394324-5
ISSN	1549-8425 ; 1549-8417
ISSN (online)	1549-8425
ISSN	1549-8417
DOI	10.1097/PTS.0000000000000958
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Article ; Online: Integrating virtual models of care through infrastructure innovation in healthcare facility design.

Harrison, Reema / Clay-Williams, Robyn / Cardenas, Alexander

Australian health review : a publication of the Australian Hospital Association

2022 Volume 46, Issue 2, Page(s) 185–187

Abstract: The coronavirus disease 2019 (COVID-19) pandemic has highlighted the potential value of virtual models of care to support more efficient and accessible healthcare delivery at reduced cost. In order to achieve this, the healthcare services and facilities ... ...

Abstract	The coronavirus disease 2019 (COVID-19) pandemic has highlighted the potential value of virtual models of care to support more efficient and accessible healthcare delivery at reduced cost. In order to achieve this, the healthcare services and facilities must be designed to integrate virtual care. To date, incremental approaches have been used to accommodate virtual care innovations within existing systems and services. Infrastructure innovation is now critical to fully realise the benefits of virtual and hybrid models of care for population health and health system efficiency. With record capital expenditure on healthcare infrastructure across Australian jurisdictions, we are in a critical period for making transformative changes to the design of healthcare facilities to ensure the relevance of future facilities and redevelopments. We examine the value proposition posed by our current healthcare infrastructure approach and how system-wide planning for the integration of virtual models of care may optimise the ability of the Australian health system to meet emerging and future health needs.
MeSH term(s)	Australia ; COVID-19 ; Delivery of Health Care ; Facility Design and Construction ; Humans ; Pandemics
Language	English
Publishing date	2022-03-02
Publishing country	Australia
Document type	Journal Article
ZDB-ID	639155-2
ISSN	1449-8944 ; 0159-5709 ; 0156-5788
ISSN (online)	1449-8944
ISSN	0159-5709 ; 0156-5788
DOI	10.1071/AH21335
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