REsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings (RESTORE): study protocol

Hdl Handle:
http://hdl.handle.net/10147/264777
Title:
REsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings (RESTORE): study protocol
Authors:
MacFarlane, Anne; O’Donnell, Catherine; Mair, Frances; O’Reilly-de Brún, Mary; de Brún, Tomas; Spiegel, Wolfgang; van den Muijsenbergh, Maria; van Weel-Baumgarten, Evelyn; Lionis, Christos; Burns, Nicola; Gravenhorst, Katja; Princz, Christine; Teunissen, Erik; van den Driessen Mareeuw, Francine; Saridaki, Aristoula; Papadakaki, Maria; Vlahadi, Maria; Dowrick, Christopher
Citation:
Implementation Science. 2012 Nov 20;7(1):111
Issue Date:
20-Nov-2012
URI:
http://dx.doi.org/10.1186/1748-5908-7-111; http://hdl.handle.net/10147/264777
Abstract:
Abstract Background The implementation of guidelines and training initiatives to support communication in cross-cultural primary care consultations is ad hoc across a range of international settings with negative consequences particularly for migrants. This situation reflects a well-documented translational gap between evidence and practice and is part of the wider problem of implementing guidelines and the broader range of professional educational and quality interventions in routine practice. In this paper, we describe our use of a contemporary social theory, Normalization Process Theory and participatory research methodology—Participatory Learning and Action—to investigate and support implementation of such guidelines and training initiatives in routine practice. Methods This is a qualitative case study, using multiple primary care sites across Europe. Purposive and maximum variation sampling approaches will be used to identify and recruit stakeholders—migrant service users, general practitioners, primary care nurses, practice managers and administrative staff, interpreters, cultural mediators, service planners, and policy makers. We are conducting a mapping exercise to identify relevant guidelines and training initiatives. We will then initiate a PLA-brokered dialogue with stakeholders around Normalization Process Theory’s four constructs—coherence, cognitive participation, collective action, and reflexive monitoring. Through this, we will enable stakeholders in each setting to select a single guideline or training initiative for implementation in their local setting. We will prospectively investigate and support the implementation journeys for the five selected interventions. Data will be generated using a Participatory Learning and Action approach to interviews and focus groups. Data analysis will follow the principles of thematic analysis, will occur in iterative cycles throughout the project and will involve participatory co-analysis with key stakeholders to enhance the authenticity and veracity of findings. Discussion This research employs a unique combination of Normalization Process Theory and Participatory Learning and Action, which will provide a novel approach to the analysis of implementation journeys. The findings will advance knowledge in the field of implementation science because we are using and testing theoretical and methodological approaches so that we can critically appraise their scope to mediate barriers and improve the implementation processes.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorMacFarlane, Anne-
dc.contributor.authorO’Donnell, Catherine-
dc.contributor.authorMair, Frances-
dc.contributor.authorO’Reilly-de Brún, Mary-
dc.contributor.authorde Brún, Tomas-
dc.contributor.authorSpiegel, Wolfgang-
dc.contributor.authorvan den Muijsenbergh, Maria-
dc.contributor.authorvan Weel-Baumgarten, Evelyn-
dc.contributor.authorLionis, Christos-
dc.contributor.authorBurns, Nicola-
dc.contributor.authorGravenhorst, Katja-
dc.contributor.authorPrincz, Christine-
dc.contributor.authorTeunissen, Erik-
dc.contributor.authorvan den Driessen Mareeuw, Francine-
dc.contributor.authorSaridaki, Aristoula-
dc.contributor.authorPapadakaki, Maria-
dc.contributor.authorVlahadi, Maria-
dc.contributor.authorDowrick, Christopher-
dc.date.accessioned2013-01-09T15:41:50Z-
dc.date.available2013-01-09T15:41:50Z-
dc.date.issued2012-11-20-
dc.identifier.citationImplementation Science. 2012 Nov 20;7(1):111-
dc.identifier.urihttp://dx.doi.org/10.1186/1748-5908-7-111-
dc.identifier.urihttp://hdl.handle.net/10147/264777-
dc.description.abstractAbstract Background The implementation of guidelines and training initiatives to support communication in cross-cultural primary care consultations is ad hoc across a range of international settings with negative consequences particularly for migrants. This situation reflects a well-documented translational gap between evidence and practice and is part of the wider problem of implementing guidelines and the broader range of professional educational and quality interventions in routine practice. In this paper, we describe our use of a contemporary social theory, Normalization Process Theory and participatory research methodology—Participatory Learning and Action—to investigate and support implementation of such guidelines and training initiatives in routine practice. Methods This is a qualitative case study, using multiple primary care sites across Europe. Purposive and maximum variation sampling approaches will be used to identify and recruit stakeholders—migrant service users, general practitioners, primary care nurses, practice managers and administrative staff, interpreters, cultural mediators, service planners, and policy makers. We are conducting a mapping exercise to identify relevant guidelines and training initiatives. We will then initiate a PLA-brokered dialogue with stakeholders around Normalization Process Theory’s four constructs—coherence, cognitive participation, collective action, and reflexive monitoring. Through this, we will enable stakeholders in each setting to select a single guideline or training initiative for implementation in their local setting. We will prospectively investigate and support the implementation journeys for the five selected interventions. Data will be generated using a Participatory Learning and Action approach to interviews and focus groups. Data analysis will follow the principles of thematic analysis, will occur in iterative cycles throughout the project and will involve participatory co-analysis with key stakeholders to enhance the authenticity and veracity of findings. Discussion This research employs a unique combination of Normalization Process Theory and Participatory Learning and Action, which will provide a novel approach to the analysis of implementation journeys. The findings will advance knowledge in the field of implementation science because we are using and testing theoretical and methodological approaches so that we can critically appraise their scope to mediate barriers and improve the implementation processes.-
dc.titleREsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings (RESTORE): study protocol-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderAnne MacFarlane et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2013-01-09T12:08:03Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.