Improving Patient Care: The Implementation of Change in Health Care

Richard P.T.M. Grol; Michel Wensing; and Eccles, Martin

doi:10.1002/9781118525975

Cited by 506Healthcare Quality and ManagementPatient Satisfaction in HealthcarePrimary Care and Health Outcomes

Improving Patient Care: The Implementation of Change in Health Care

Richard P.T.M. Grol, Michel Wensing, and Eccles, Martin·2013·Wiley eBooks

DOI 10.1002/9781118525975

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The explicit application of theory could shorten the time needed to develop improvement interventions.
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [7]
The explicit application of theory could enhance learning from improvement efforts.
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [7]
The explicit application of theory could identify conditions of context necessary for the success of improvement interventions.
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [7]
The explicit application of theory could optimise the design of improvement interventions.
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [7]

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“[24], but the former provides some more details, which is why we chose the first publication.”
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“69 70 Similarly, Grol et al 7 have identified four important domains of theory related to the multiple layers of social and economic context required for success in changing the behaviour of providers and patients (actions of individual stakeholders; interpersonal interaction and social context; organisational context…”
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“We conducted a barrier analysis [23] which, similar to studies outside the cancer setting [24, 25], identified lack of resources, education and training and support from leaders, poor uptake by patients, and lack of integration within the community, as key.”
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“…effective and applicable strategies underscores the need to use theories as a basis for any future implementation program to make the underlying mechanisms which contribute to the implementation of ASBI explicit and to identify Bcore components^ of the strategies (Grol et al. 2013; Nilsen 2015).”
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“They explore their motivations, interests, positions, expectations and expected benefits [14].”
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“Background Introducing new clinical practice guidelines (CPGs) and implementing changes in healthcare practices is described as complex and challenging, and often the intended result is not achieved [1].”
Background
Using theory to improve low back pain care in Australian Aboriginal primary care: a mixed method single cohort pilot study
Lin, I. B., Coffin, J., & O’Sullivan, P. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0441-z · Cited by 46 · see citing works
“The uptake of new behaviours by practitioners is greater if research translation efforts are done in a systematic manner and based on evidence [24].”
BackgroundInfluential
Quality indicators for in-hospital geriatric co-management programmes: a systematic literature review and international Delphi study
Grootven, B. V., McNicoll, L., Mendelson, D. A., Friedman, S. M., Fagard, K., Milisen, K., Flamaing, J., & Deschodt, M. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020617 · Cited by 46 · see citing works
Nudging healthcare professionals in clinical settings: a scoping review of the literature
Sant’Anna, A., Vilhelmsson, A., & Wolf, A. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06496-z · Cited by 49 · see citing works
Development and Evaluation of an Implementation Strategy for Collecting Data in a National Registry and the Use of Patient-Reported Outcome Measures in Physical Therapist Practices: Quality Improvement Study
Meerhoff, G. A., van Dulmen, S. A., Maas, M. J. M., Heijblom, K., der Sanden, M. W. G. N., & van der Wees, P. J. (2017) · Physical Therapy · doi:10.1093/ptj/pzx051 · Cited by 45 · see citing works
Implementation in rehabilitation: a roadmap for practitioners and researchers
Morris, J. H., Bernhardsson, S., Bird, M., Connell, L., Lynch, E. A., Jarvis, K. A., Kayes, N. M., Miller, K. J., Mudge, S., & Fisher, R. J. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1587013 · Cited by 45 · see citing works
Health Care Professionals’ Experience of a Digital Tool for Patient Exchange, Anamnesis, and Triage in Primary Care: Qualitative Study
Eldh, A. C., Sverker, A., Bendtsen, P., & Nilsson, E. (2020) · JMIR Human Factors · doi:10.2196/21698 · Cited by 44 · see citing works
Translation and psychometric evaluation of the German version of the Organisational Readiness for Implementing Change measure (ORIC): a cross-sectional study
Lindig, A., Hahlweg, P., Christalle, E., & Scholl, I. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034380 · Cited by 44 · see citing works
Getting evidence‐based pressure ulcer prevention into practice: a multi‐faceted unit‐tailored intervention in a hospital setting
Sving, E., Högman, M., Mamhidir, A., & Gunningberg, L. (2014) · International Wound Journal · doi:10.1111/iwj.12337 · Cited by 42 · see citing works
Health care providers’ perceived barriers to and need for the implementation of a national integrated health care standard on childhood obesity in the Netherlands – a mixed methods approach
Schalkwijk, A. A. H., Nijpels, G., Bot, S. D. M., & Elders, P. J. M. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1324-7 · Cited by 43 · see citing works
“organizational structure, financial reimbursement) [26].”
BackgroundMethodInfluential
Training in Implementation Practice Leadership (TRIPLE): evaluation of a novel practice change strategy in behavioral health organizations
Proctor, E. K., Ramsey, A. T., Brown, M. T., Malone, S. M., Hooley, C., & McKay, V. (2019) · Implementation Science · doi:10.1186/s13012-019-0906-2 · Cited by 45 · see citing works
Comparative effectiveness of external vs blended facilitation on collaborative care model implementation in slow‐implementer community practices
Smith, S. N., Liebrecht, C., Bauer, M. S., & Kilbourne, A. M. (2020) · Health Services Research · doi:10.1111/1475-6773.13583 · Cited by 44 · see citing works
Quality indicators for the referral process from primary to specialised mental health care: an explorative study in accordance with the RAND appropriateness method
Hartveit, M., Vanhaecht, K., Thorsen, O., Biringer, E., Haug, K., & Aslaksen, A. B. (2017) · BMC Health Services Research · doi:10.1186/s12913-016-1941-1 · Cited by 42 · see citing works
“Finally, indicators identified in the focus group interviews and the literature review were assessed using criteria for indicators (see Table 2) by expert panels [13, 27].”
BackgroundMethodInfluential
Improving the quality of person-centred healthcare from the patient perspective: development of person-centred quality indicators
Santana, M., Manalili, K., Zelinsky, S., Brien, S., Gibbons, E. J., King, J., Frank, L. B., Wallström, S., Fairie, P., Leeb, K., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037323 · Cited by 42 · see citing works
Implementation of evidence-based interventions: analyzing critical components for sustainability in community mental health services
Bergmark, M., Bejerholm, U., & Markström, U. (2018) · Social Work in Mental Health · doi:10.1080/15332985.2018.1511500 · Cited by 49 · see citing works
Delivering Evidence-Based Upper Limb Rehabilitation for Children with Cerebral Palsy: Barriers and Enablers Identified by Three Pediatric Teams
Sakzewski, L., Ziviani, J. M., & Boyd, R. N. (2013) · Physical & Occupational Therapy In Pediatrics · doi:10.3109/01942638.2013.861890 · Cited by 41 · see citing works
“Analysis of determinants for each context is a vital component to informing the implementation program as they could either strengthen or weaken the effect of research translation strategies (Wensing et al., 2013).”
Background
Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study
Car, L. T., Papachristou, N., Bull, A. R., Majeed, A., Gallagher, J., El-Khatib, M., Aylin, P. P., Rudan, I., Atun, R. A., Car, J., et al. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0530-z · Cited by 43 · see citing works
The CLUES study: a cluster randomized clinical trial for the evaluation of cardiovascular guideline implementation in primary care
Etxeberría, A., Pérez, I., Alcorta, I., Emparanza, J. I., de Velasco, E. R., Iglesias, M. T., Orozco‐Beltrán, D., & del Campo, R. R. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-438 · Cited by 40 · see citing works
Computer-supported feedback message tailoring: theory-informed adaptation of clinical audit and feedback for learning and behavior change
Landis‐Lewis, Z., Brehaut, J., Hochheiser, H., Douglas, G. P., & Jacobson, R. S. (2015) · Implementation Science · doi:10.1186/s13012-014-0203-z · Cited by 38 · see citing works
“However, barriers to behavior change differ across healthcare providers, stemming from differences in providers’ training, knowledge, work experience, personality, and other individual characteristics [6].”
Background
What role does performance information play in securing improvement in healthcare? a conceptual framework for levers of change
Lévesque, J., & Sutherland, K. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014825 · Cited by 40 · see citing works
Technology-Based Alcohol Interventions in Primary Care: Systematic Review
Ramsey, A. T., Satterfield, J. M., Gerke, D. R., & Proctor, E. K. (2019) · Journal of Medical Internet Research · doi:10.2196/10859 · Cited by 40 · see citing works
The implementation of change model adds value to value-based healthcare: a qualitative study
Zipfel, N., van der Nat, P. B., Rensing, B. J. W. M., Daeter, E. J., Westert, G. P., & Groenewoud, S. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4498-y · Cited by 40 · see citing works
“There is support in the literature for our proposal of continuous monitoring of outcomes and adaptation where needed [14].”
BackgroundMethod
Value of small sample sizes in rapid-cycle quality improvement projects 2: assessing fidelity of implementation for improvement interventions
Etchells, E. E., & Woodcock, T. M. (2017) · BMJ Quality & Safety · doi:10.1136/bmjqs-2017-006963 · Cited by 39 · see citing works
The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records
Maritz, R., Aronsky, D., & Prodinger, B. (2017) · Applied Clinical Informatics · doi:10.4338/aci-2017050078 · Cited by 39 · see citing works
The Building Blocks of Implementation Frameworks and Models in Primary Care: A Narrative Review
Huybrechts, I., Declercq, A., Verté, E., Raeymaeckers, P., & Anthierens, S. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.675171 · Cited by 41 · see citing works
Staff experiences and understandings of the RE s TRAIN Yourself initiative to minimize the use of physical restraint on mental health wards
Duxbury, J. A., Thomson, G., Scholes, A., Jones, F. A., Baker, J. A., Downe, S. M., Greenwood, P., Price, O., Whittington, R., & McKeown, M. (2019) · International Journal of Mental Health Nursing · doi:10.1111/inm.12577 · Cited by 38 · see citing works
Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators
Kottner, J., Hahnel, E., Lichterfeld, A., Blume‐Peytavi, U., & Büscher, A. (2017) · International Wound Journal · doi:10.1111/iwj.12854 · Cited by 37 · see citing works
Developing implementation strategies to adopt Enhanced Recovery After Surgery (ERAS®) guidelines
Lam, J., Howlett, A. A., McLuckie, D., Stephen, L., Else, S., Jones, A., Beaudry, P., & Brindle, M. E. (2020) · BJS Open · doi:10.1093/bjsopen/zraa011 · Cited by 38 · see citing works
Predictors of Intensive Care Unit Nurses’ Practice of Evidence-Based Practice Guidelines
Abuejheisheh, A. J., Tarawneh, O., Qaddumi, J. A. S., Almahmoud, O. H., & Darawad, M. W. (2020) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/0046958020902323 · Cited by 36 · see citing works
Collaborating on the development and implementation of evidence-based practices: Advancing science and practice
Olswang, L. B., & Goldstein, H. (2017) · Evidence-Based Communication Assessment and Intervention · doi:10.1080/17489539.2017.1386404 · Cited by 36 · see citing works

Authors: Grol, R. P. T. M., Wensing, M., & and Eccles, M.
ORCID: Michel Wensing
Venue: Wiley eBooks
Publisher: Wiley
Published: 2013-05-20
DOI: 10.1002/9781118525975
OpenAlex: W2475480659
Cited by: 506
References: 0
Citations by year: 2026: 10 · 2025: 23 · 2024: 26 · 2023: 23 · 2022: 32 · 2021: 72 · 2020: 76 · 2019: 41 · 2018: 42 · 2017: 47 · 2016: 33 · 2015: 42 · 2014: 34 · 2013: 5
FWCI: 32.89
Type: book
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
Locations: Wiley eBooks (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Keywords: patient care, quality improvement

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