Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23554
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Collective action for knowledge moblisation: a realist evaluation of the Collaborations for Leadership in applied Health Research and Care
Authors: Rycroft-Malone, Jo
Burton, Christopher
Wilkinson, Joyce E
Harvey, Gill
McCormack, Brendan
Baker, Richard
Dopson, Sue
Graham, Ian
Staniszewska, Sophie
Thompson, Carl
Ariss, Steven
Melville-Richards, Lucy
Williams, Lynne
Contact Email: j.e.wilkinson@stir.ac.uk
Issue Date: Dec-2015
Publisher: NIHR Health Technology Assessment Programme
Citation: Rycroft-Malone J, Burton C, Wilkinson JE, Harvey G, McCormack B, Baker R, Dopson S, Graham I, Staniszewska S, Thompson C, Ariss S, Melville-Richards L & Williams L (2015) Collective action for knowledge moblisation: a realist evaluation of the Collaborations for Leadership in applied Health Research and Care, Health Services and Delivery Research [non valid], 3 (44).
Abstract: Background  The establishment of the Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) was the culmination of a number of policy initiatives to bridge the gap between evidence and practice. CLAHRCs were created and funded to facilitate development of partnerships and connect the worlds of academia and practice in an effort to improve patient outcomes through the conduct and application of applied health research.  Objectives  Our starting point was to test the theory that bringing higher education institutions and health-care organisations closer together catalyses knowledge mobilisation. The overall purpose was to develop explanatory theory regarding implementation through CLAHRCs and answer the question ‘what works, for whom, why and in what circumstances?’. The study objectives focused on identifying and tracking implementation mechanisms and processes over time; determining what influences whether or not and how research is used in CLAHRCs; investigating the role played by boundary objects in the success or failure of implementation; and determining whether or not and how CLAHRCs develop and sustain interactions and communities of practice.  Methods  This study was a longitudinal realist evaluation using multiple qualitative case studies, incorporating stakeholder engagement and formative feedback. Three CLAHRCs were studied in depth over four rounds of data collection through a process of hypothesis generation, refining, testing and programme theory specification. Data collection included interviews, observation, documents, feedback sessions and an interpretive forum.  Findings  Knowledge mobilisation in CLAHRCs was a function of a number of interconnected issues that provided more or less conducive conditions for collective action. The potential of CLAHRCs to close the metaphorical ‘know–do’ gap was dependent on historical regional relationships, their approach to engaging different communities, their architectures, what priorities were set and how, and providing additional resources for implementation, including investment in roles and activities to bridge and broker boundaries. Additionally, we observed a balance towards conducting research rather than implementing it. Key mechanisms of interpretations of collaborative action, opportunities for connectivity, facilitation, motivation, review and reflection, and unlocking barriers/releasing potential were important to the processes and outcomes of CLAHRCs. These mechanisms operated in different contexts including stakeholders’ positioning, or ‘where they were coming from’, governance arrangements, availability of resources, competing drivers, receptiveness to learning and evaluation, and alignment of structures, positions and resources. Preceding conditions influenced the course and journey of the CLAHRCs in a path-dependent way. We observed them evolving over time and their development led to the accumulation of different types of impacts, from those that were conceptual to, later in their life cycle, those that were more direct.  Conclusions  Most studies of implementation focus on researching one-off projects, so a strength of this study was in researching a systems approach to knowledge mobilisation over time. Although CLAHRC-like approaches show promise, realising their full potential will require a longer and more sustained focus on relationship building, resource allocation and, in some cases, culture change. This reinforces the point that research implementation within a CLAHRC model is a long-term investment and one that is set within a life cycle of organisational collaboration.
Type: Journal Article
URI: http://hdl.handle.net/1893/23554
DOI Link: http://dx.doi.org/10.3310/hsdr03440
Rights: © Queen’s Printer and Controller of HMSO 2015. This work was produced by Rycroft-Malone et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Affiliation: Bangor University
Bangor University
HS UG Regulated - Stirling
University of Manchester
Queen Margaret University
University of Leicester
University of Oxford
University of Ottawa
University of Warwick
University of York
University of Sheffield
Bangor University
Bangor University

Files in This Item:
File Description SizeFormat 
FullReport-hsdr03440.pdf22.27 MBAdobe PDFView/Open


This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.