Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/25802
Full metadata record
DC FieldValueLanguage
dc.contributor.authorColes, Emmaen_UK
dc.contributor.authorWells, Maryen_UK
dc.contributor.authorMaxwell, Margareten_UK
dc.contributor.authorHarris, Fiona Men_UK
dc.contributor.authorAnderson, Julieen_UK
dc.contributor.authorGray, Nicola Men_UK
dc.contributor.authorMilner, Gilen_UK
dc.contributor.authorMacGillivray, Stephenen_UK
dc.date.accessioned2017-08-29T22:19:14Z-
dc.date.available2017-08-29T22:19:14Z-
dc.date.issued2017-08-23en_UK
dc.identifier.other168en_UK
dc.identifier.urihttp://hdl.handle.net/1893/25802-
dc.description.abstractBackground  Context shapes the effectiveness of knowledge implementation and influences health improvement. Successful healthcare quality improvement (QI) initiatives frequently fail to transfer to different settings, with local contextual factors often cited as the cause. Understanding and overcoming contextual barriers is therefore crucial to implementing effective improvement; yet context is still poorly understood. There is a paucity of information on the mechanisms underlyinghowandwhyQI projects succeed or fail in given 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.  Methods  The review will explore which contextual factors are important, and how, why, when and for whom they are important, within varied settings. 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 also consider the influence of context on improvement outcomes (provider- and patient-level), spread and sustainability. 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 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. Searches for primary evidence will be conducted iteratively. Data will be extracted and tested against the programme theory. A review advisory group will oversee the review process. Review findings will follow RAMESES guidelines and will be disseminated via a report, presentations and peer-reviewed publications.  Discussion  The review will update and consolidate evidence on the contextual conditions for effective improvement and distil new knowledge to inform the design and development of context-sensitive QI initiatives. This review ties in with the study of improvement programmes as vehicles of change and the development of an evidence base around healthcare improvement by addressing whether QI initiatives can work in all contexts.  Systematic review registration  PROSPERO CRD42017062135en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationColes E, Wells M, Maxwell M, Harris FM, Anderson J, Gray NM, Milner G & MacGillivray S (2017) The influence of contextual factors on healthcare quality improvement initiatives: what works, for whom and in what setting? Protocol for a realist review. Systematic Reviews, 6 (1), Art. No.: 168. https://doi.org/10.1186/s13643-017-0566-8en_UK
dc.rights© The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectRealist reviewen_UK
dc.subjectRealist synthesisen_UK
dc.subjectContexten_UK
dc.subjectQuality improvementen_UK
dc.subjectHealth improvementen_UK
dc.subjectImplementationen_UK
dc.subjectHealthcareen_UK
dc.subjectEvidence-based practiceen_UK
dc.subjectKnowledge translationen_UK
dc.titleThe influence of contextual factors on healthcare quality improvement initiatives: what works, for whom and in what setting? Protocol for a realist reviewen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s13643-017-0566-8en_UK
dc.identifier.pmid28830572en_UK
dc.citation.jtitleSystematic Reviewsen_UK
dc.citation.issn2046-4053en_UK
dc.citation.volume6en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNHS Health Scotlanden_UK
dc.contributor.funderScottish Funding Councilen_UK
dc.contributor.funderChief Scientist Officeen_UK
dc.citation.date23/08/2017en_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.identifier.scopusid2-s2.0-85027959068en_UK
dc.identifier.wtid521204en_UK
dc.contributor.orcid0000-0001-9828-9014en_UK
dc.contributor.orcid0000-0001-5789-2773en_UK
dc.contributor.orcid0000-0003-3318-9500en_UK
dc.contributor.orcid0000-0003-3258-5624en_UK
dc.date.accepted2017-08-15en_UK
dcterms.dateAccepted2017-08-15en_UK
dc.date.filedepositdate2017-08-29en_UK
dc.relation.funderprojectTo Establish a Scottish Improvement Science R,D & KT Collaborating Centre (SISCC)en_UK
dc.relation.funderref242343290en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorColes, Emma|0000-0001-9828-9014en_UK
local.rioxx.authorWells, Mary|0000-0001-5789-2773en_UK
local.rioxx.authorMaxwell, Margaret|0000-0003-3318-9500en_UK
local.rioxx.authorHarris, Fiona M|0000-0003-3258-5624en_UK
local.rioxx.authorAnderson, Julie|en_UK
local.rioxx.authorGray, Nicola M|en_UK
local.rioxx.authorMilner, Gil|en_UK
local.rioxx.authorMacGillivray, Stephen|en_UK
local.rioxx.project242343290|Chief Scientist Office|http://dx.doi.org/10.13039/501100000589en_UK
local.rioxx.freetoreaddate2017-08-29en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2017-08-29|en_UK
local.rioxx.filenames13643-017-0566-8.pdfen_UK
local.rioxx.filecount1en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
s13643-017-0566-8.pdfFulltext - Published Version430.91 kBAdobe PDFView/Open


This item is protected by original copyright



A file in this item is licensed under a Creative Commons License Creative Commons

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

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved https://creativecommons.org/publicdomain/zero/1.0/

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.