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

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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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Background
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Method
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“32,33 39 The skills of communication, both verbal and non-verbal, are applicable across the health professions.”
Background
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“have been sparse and non-consistent (5) and targeted implementation initiatives in the form of complex interventions are now regarded the best way to promote change (6) even though this approach still has not been able overall to demonstrate more than partial effectiveness (7).”
Background
Effective teamwork in primary healthcare through a structured patient-sorting system - a qualitative study on staff members’ conceptions
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“Previous research has shown that quality improvement agents need to know how new working methods and procedures are implemented, understand the target groups and the setting, try to see target groups’ perspective and involve them in both the development and implementation of the innovation [26].”
Background
From Postpartum Haemorrhage Guideline to Local Protocol: A Study of Protocol Quality
Woiski, M., van Vugt, H. C., Dijkman, A., Grol, R. P. T. M., Marcus, A. E., Middeldorp, J. M., Mol, B. W., Mols, F., Oudijk, M. A., PORATH, M. M., et al. (2016) · Maternal and Child Health Journal · doi:10.1007/s10995-016-2050-9 · Cited by 10
Self-citation
CogChamps – a model of implementing evidence-based care in hospitals: study protocol
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Integrating AI-based triage in primary care: a qualitative study of Swedish healthcare professionals’ experiences applying normalization process theory
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“Self-efficacy and skills, in conjunction with perceived demand and the benefits of an innovation, were found to lead to greater implementation and fidelity [19, 24].”
BackgroundInfluential
A qualitative study of the barriers and facilitators impacting the implementation of a quality improvement program for emergency departments: SurgeCon
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“Grol (2013) illustrates the importance of the perception of necessity in successfully adopting an intervention, particularly in a healthcare environment.”
Background
Obstacles and drivers in the adoption of Standardized Structured Reporting (SSR): insights from pathologists
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“Interviews were structured using a guide combining Grol and Wensing’s implementation strategies [41, 42] with Nictiz’s interoperability layers [43].”
‘Now I use words like asymmetry and unstable’: nurses' experiences in using a standardized assessment for motor performance within routine child health care
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The Ecology of Sustainable Implementation
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Understanding quality improvement at scale in general practice: a qualitative evaluation of a COPD improvement programme
Marshall, M., Mountford, J., Gamet, K., Gungor, G., Burke, C., Hudson, R. M., Stephen Morris, A., Patel, N. V., Koczan, P., Meaker, R., et al. (2014) · British Journal of General Practice · doi:10.3399/bjgp14x682801 · Cited by 10
Determinants for the implementation of person-centered tools for workers with chronic health conditions: a mixed-method study using the Tailored Implementation for Chronic Diseases checklist
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“on the implementation of change model [28].”
Critical stakeholder determinants to the implementation of intersectoral community approaches targeting childhood obesity
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Practitioner experiences from the structured implementation of evidence‐based practice in primary care physiotherapy: A qualitative study
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The Doctors, Their Patients, and the Symptom Checker App: Qualitative Interview Study With General Practitioners in Germany
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“As implementation theories and patient-reported outcome studies have shown, the additional information will only be used by health care professionals if it is meaningfully embedded into workflows [73-75].”
Supporting lifestyle change in obese pregnant mothers through the wearable internet-of-things (SLIM) -intervention for overweight pregnant women: Study protocol for a quasi-experimental trial
Saarikko, J., Axelin, A., Huvinen, E., Rahmani, A. M., Azimi, I., Pasanen, M., & Niela‐Vilén, H. (2023) · PLoS ONE · doi:10.1371/journal.pone.0279696 · Cited by 12
Stakeholder-identified barriers and enablers to ultrasound implementation in inflammatory bowel disease services in the UK: a qualitative interview study
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The Oncological Emergency of Intestinal Obstruction: ED Recognition and Treatment Outcomes
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Tran, K. L., Webster, F., Ivers, N. M., Laupacis, A., & Dhalla, I. A. (2021) · Canadian Family Physician · doi:10.46747/cfp.6710759 · Cited by 8
Perceived Factors of Influence on the Implementation of a Multidimensional Project to Improve Patients’ Movement Behavior During Hospitalization: A Qualitative Study
Bor, P., van Delft, L., Valkenet, K., & Veenhof, C. (2021) · Physical Therapy · doi:10.1093/ptj/pzab260 · Cited by 8
Brief behaviour change counselling in non-communicable diseases in Mangochi, Southern Malawi: a hypothetical acceptability study
Lutala, P., & Muula, A. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-01032-0 · Cited by 8
“Used for recommendations in clinical practice or to set standards [56], clinical practice guidelines help improve healthcare quality, reduce variations in practice between healthcare providers, improve the morale of practitioners who have knowledge gaps and realign practice with theory and evidence [56].”
Background
Evidencebased klinische praktijkrichtlijnen in de mondzorg 4. Toepassing vergt een implementatiestrategie
Braspenning, J. C. C. (2015) · Nederlands Tijdschrift voor Tandheelkunde · doi:10.5177/ntvt.2015.03.14251 · Cited by 8
Leading implementation of the management innovation value-based healthcare at a Swedish University Hospital
Nilsson, K., & Sandoff, M. (2017) · Journal of Hospital Administration · doi:10.5430/jha.v6n1p51 · Cited by 8
Perspectives on clinical use of bioimpedance in hemodialysis: focus group interviews with renal care professionals
Stenberg, J., Henriksson, C., Lindberg, M., & Furuland, H. (2018) · BMC Nephrology · doi:10.1186/s12882-018-0907-4 · Cited by 8
Validity of the Brief Child and Family Phone Interview by comparison with Longitudinal Expert All Data diagnoses in outpatients
Andersson, M., Bäckström, M., Ivarsson, T., Råstam, M., & Jarbin, H. (2018) · Scandinavian Journal of Child and Adolescent Psychiatry and Psychology · doi:10.21307/sjcapp-2018-009 · Cited by 7
“The utility of an intake instrument depends not only on its ability to identify psychiatric disorders and relevant risk factors but also on how the instrument is perceived by clinicians and patients, which is crucial for implementation (4).”
Background
Examining the effect of the individual characteristics of implementers and the interaction of multiple relationships on the structure of psychosocial intervention teams
Ramos‐Vidal, I., Sañudo, J. E. P., Villamil, I., & Uribe, A. (2020) · Implementation Science · doi:10.1186/s13012-020-01032-9 · Cited by 8
“These moderate levels of exchange are partially explained by the configuration of the teams, but it is necessary to increase the interactions in both relationships, which are essential to providing quality service [18, 20].”
Background
Het toepassen van valpreventiemaatregelen bij thuiswonende ouderen: een survey onderzoek in Vlaanderen
Leysens, G., Vlaeyen, E., Vanaken, D., et al. (2017) · Tijdschrift voor Gerontologie en Geriatrie · doi:10.1007/s12439-017-0215-7 · Cited by 7
Messen, Bewerten, Handeln: Qualitätsindikatoren zur Koronaren Herzkrankheit im Praxistest
Andres, E., Bleek, J., Stock, J., et al. (2018) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2018.08.003 · Cited by 7
Antimicrobial stewardship programs; a two-part narrative review of step-wise design and issues of controversy. Part II: Ten questions reflecting knowledge gaps and issues of controversy in the field of antimicrobial stewardship
Resman, F. (2020) · Therapeutic Advances in Infectious Disease · doi:10.1177/2049936120945083 · Cited by 9
Speech and language therapy services for people with Down syndrome: The disparity between research and practice
Frizelle, P., Ceroni, A., Bateman, L., et al. (2021) · Journal of Policy and Practice in Intellectual Disabilities · doi:10.1111/jppi.12405 · Cited by 7
What can science contribute to quality improvement in general practice?
Marshall, M., Baker, M., Rafi, I., & Howe, A. C. (2014) · British Journal of General Practice · doi:10.3399/bjgp14x679877 · Cited by 7
A Structured Process Description of a Pragmatic Implementation Project: Improving Integrated Care for Older Persons in Residential Care Homes
Poot, A. J., de Waard, C. S., Wind, A. W., Caljouw, M. A. A., & Gussekloo, J. (2017) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/0046958017737906 · Cited by 7
“This observation aligns with (1) the conceptual framework of Kitson et al in which (besides the level of evidence) the context in which the evidence is implemented and the method of facilitating the change are considered equally important and (2) the model of Grol et al that proposes that an iterative or cyclic implem…”
Method
Assessing nurses' attitudes toward the use of modern technology to care for patients at Selected Public And Private Hospitals, Benin-City, Nigeria, 2020
Olorunfemi, O., Osunde, N. R., Olorunfemi, O., & Adams, S. (2020) · International Archives of Health Sciences · doi:10.4103/iahs.iahs_25_20 · Cited by 8
Professionals’ Expectations and Preparedness to Implement Knowledge-Based Palliative Care at Nursing Homes before an Educational Intervention: A Focus Group Interview Study
Persson, H. Å., Ahlström, G., & Ekwall, A. K. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18178977 · Cited by 7
Co-developing patient and family engagement indicators for health system improvement with healthcare system stakeholders: a consensus study
Santana, M., Ahmed, S., Fairie, P., Zelinsky, S., Wilkinson, G., McCarron, T. L., Mork, M., Patel, J., & Wasylak, T. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-067609 · Cited by 8
A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery
Ament, S. M. C., de Kok, M., van de Velde, C. J. �., Roukema, J. A., Bell, T. V. R. J., van der Ent, F. W., van der Weijden, T., MEYENFELDT, M. F. V., & Dirksen, C. D. (2015) · Implementation Science · doi:10.1186/s13012-015-0270-9 · Cited by 7
“the SSP guidelines) was developed at the expert centre, onetime costs related to the development of the innovation before implementation were not included [18].”
BackgroundMethod
Implementation and Use of a Patient Symptom Diary During Chemotherapy: A Mixed-Methods Evaluation of the Nurse Perspective
Coolbrandt, A., Bruyninckx, E., Verslype, C., Steffens, E., Vanhove, E., Wildiers, H. P. M. W., & Milisen, K. (2017) · Oncology nursing forum · doi:10.1188/17.onf.e213-e222 · Cited by 7
“These include organizing discussions about implementation and involving key individuals and opinion leaders in the process (Grol et al., 2015).”
Background
HeiMeKOM (Heidelberger Meilenstein Kommunikation): Entwicklung einer interprofessionellen Intervention zur Verbesserung der Kommunikation bei Patient*innen mit eingeschränkter Prognose
Villalobos, M., Siegle, A., Hagelskamp, L., et al. (2019) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2019.06.006 · Cited by 7
Self-citation
A theory-based implementation program for alcohol screening and brief intervention (ASBI) in general practices: Planned development and study protocol of a cluster randomised controlled trial
Abidi, L., Oenema, A., Candel, M. J. J. M., & van de Mheen, D. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2016.10.008 · Cited by 6
Implementation of client versus care‐provider strategies to improve external cephalic version rates: a cluster randomized controlled trial
Vlemmix, F., Rosman, A. N., Rijnders, M. E. B., et al. (2015) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.12609 · Cited by 7
Strategies for implementation of a transmural fall-prevention care pathway for older adults with fall-related injuries at the emergency department
Charmant, W. M., Snoeker, B. A. M., van Hout, H. P. J., Geleijn, E., van der Velde, N., Veenhof, C., & Nanayakkara, P. W. B. (2024) · BMC Emergency Medicine · doi:10.1186/s12873-024-01085-9 · Cited by 6
“The authors stress the importance of considering these factors within the context of the individual, the health team and the hospital organisation when using multifaceted strategies [46, 47].”
Background
Efficacy of an implementation package on documentation of central venous catheter insertions: an observational study
Linné, E., Adrian, M., Bentzer, P., & Kander, T. (2021) · BMJ Open Quality · doi:10.1136/bmjoq-2020-001155 · Cited by 6
“13 In implementation science the importance of a well-developed proposal to changes, strategies and maintenance of change, a planned time schedule and tasks, continuous monitoring, form of media or channel of distribution and determined responsibilities, are stressed.”
Optimizing the detection of hereditary predisposition in women with epithelial ovarian cancer: nationwide implementation of the Tumor-First workflow
Witjes, V. M., Hermkens, D. M. A., Swillens, J. E. M., et al. (2024) · Familial Cancer · doi:10.1007/s10689-024-00398-9 · Cited by 6
“The implementation project commenced with an examination of the current situation (i.e., context and stake-holders), as has also been suggested as an initial step in the implementation of the change model developed by Grol and Wensing [18].”

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 › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords: patient care, quality improvement

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