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Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence

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Understanding how and why de-implementation works in health and care : research protocol for a realist synthesis of evidence. / Burton, Christopher; Williams, Lynne; Bucknall, Tracey; Edwards, Stephen; Fisher, Denise; Hall, Beth; Harris, Gill; Jones, Peter; Makin, Matthew; McBride, Anne; Meacock, Rachel; Parkinson, John; Rycroft-Malone, Jo; Waring, Justin.

In: Systematic Reviews, Vol. 8, No. 1, 194, 05.08.2019.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Burton, C, Williams, L, Bucknall, T, Edwards, S, Fisher, D, Hall, B, Harris, G, Jones, P, Makin, M, McBride, A, Meacock, R, Parkinson, J, Rycroft-Malone, J & Waring, J 2019, 'Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence', Systematic Reviews, vol. 8, no. 1, 194. https://doi.org/10.1186/s13643-019-1111-8

APA

Burton, C., Williams, L., Bucknall, T., Edwards, S., Fisher, D., Hall, B., Harris, G., Jones, P., Makin, M., McBride, A., Meacock, R., Parkinson, J., Rycroft-Malone, J., & Waring, J. (2019). Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence. Systematic Reviews, 8(1), [194]. https://doi.org/10.1186/s13643-019-1111-8

Vancouver

Burton C, Williams L, Bucknall T, Edwards S, Fisher D, Hall B et al. Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence. Systematic Reviews. 2019 Aug 5;8(1). 194. https://doi.org/10.1186/s13643-019-1111-8

Author

Burton, Christopher ; Williams, Lynne ; Bucknall, Tracey ; Edwards, Stephen ; Fisher, Denise ; Hall, Beth ; Harris, Gill ; Jones, Peter ; Makin, Matthew ; McBride, Anne ; Meacock, Rachel ; Parkinson, John ; Rycroft-Malone, Jo ; Waring, Justin. / Understanding how and why de-implementation works in health and care : research protocol for a realist synthesis of evidence. In: Systematic Reviews. 2019 ; Vol. 8, No. 1.

Bibtex

@article{48ff0ae31b954eeeb40d498fb50d5859,
title = "Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence",
abstract = "BACKGROUND: Strategies to improve the effectiveness and quality of health and care have predominantly emphasised the implementation of new research and evidence into service organisation and delivery. A parallel, but less understood issue is how clinicians and service leaders stop existing practices and interventions that are no longer evidence based, where new evidence supersedes old evidence, or interventions are replaced with those that are more cost effective. The aim of this evidence synthesis is to produce meaningful programme theory and practical guidance for policy makers, managers and clinicians to understand how and why de-implementation processes and procedures can work.METHODS AND ANALYSIS: The synthesis will examine the attributes or characteristics that constitute the concept of de-implementation. The research team will then draw on the principles of realist inquiry to provide an explanatory account of how, in what context and for whom to explain the successful processes and impacts of de-implementation. The review will be conducted in four phases over 18 months. Phase 1: develop a framework to map the preliminary programme theories through an initial scoping of the literature and consultation with key stakeholders. Phase 2: systematic searches of the evidence to develop the theories identified in phase 1. Phase 3: validation and refinement of programme theories through stakeholder interviews. Phase 4: formulating actionable recommendations for managers, commissioners and service leaders about what works through different approaches to de-implementation.DISCUSSION: This evidence synthesis will address gaps in knowledge about de-implementation across health and care services and ensure that guidance about strategies and approaches accounts for contextual factors, which may be operating at different organisational and decision-making levels. Through the development of the programme theory, which explains what works, how and under which circumstances, findings from the evidence synthesis will support managers and service leaders to make measured decisions about de-implementation.SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017081030.",
keywords = "De-implementation, Low-value practice, Overuse, Health services, Concept analysis, Realist synthesis",
author = "Christopher Burton and Lynne Williams and Tracey Bucknall and Stephen Edwards and Denise Fisher and Beth Hall and Gill Harris and Peter Jones and Matthew Makin and Anne McBride and Rachel Meacock and John Parkinson and Jo Rycroft-Malone and Justin Waring",
year = "2019",
month = aug,
day = "5",
doi = "10.1186/s13643-019-1111-8",
language = "English",
volume = "8",
journal = "Systematic Reviews",
issn = "2046-4053",
publisher = "BIOMED CENTRAL LTD",
number = "1",

}

RIS

TY - JOUR

T1 - Understanding how and why de-implementation works in health and care

T2 - research protocol for a realist synthesis of evidence

AU - Burton, Christopher

AU - Williams, Lynne

AU - Bucknall, Tracey

AU - Edwards, Stephen

AU - Fisher, Denise

AU - Hall, Beth

AU - Harris, Gill

AU - Jones, Peter

AU - Makin, Matthew

AU - McBride, Anne

AU - Meacock, Rachel

AU - Parkinson, John

AU - Rycroft-Malone, Jo

AU - Waring, Justin

PY - 2019/8/5

Y1 - 2019/8/5

N2 - BACKGROUND: Strategies to improve the effectiveness and quality of health and care have predominantly emphasised the implementation of new research and evidence into service organisation and delivery. A parallel, but less understood issue is how clinicians and service leaders stop existing practices and interventions that are no longer evidence based, where new evidence supersedes old evidence, or interventions are replaced with those that are more cost effective. The aim of this evidence synthesis is to produce meaningful programme theory and practical guidance for policy makers, managers and clinicians to understand how and why de-implementation processes and procedures can work.METHODS AND ANALYSIS: The synthesis will examine the attributes or characteristics that constitute the concept of de-implementation. The research team will then draw on the principles of realist inquiry to provide an explanatory account of how, in what context and for whom to explain the successful processes and impacts of de-implementation. The review will be conducted in four phases over 18 months. Phase 1: develop a framework to map the preliminary programme theories through an initial scoping of the literature and consultation with key stakeholders. Phase 2: systematic searches of the evidence to develop the theories identified in phase 1. Phase 3: validation and refinement of programme theories through stakeholder interviews. Phase 4: formulating actionable recommendations for managers, commissioners and service leaders about what works through different approaches to de-implementation.DISCUSSION: This evidence synthesis will address gaps in knowledge about de-implementation across health and care services and ensure that guidance about strategies and approaches accounts for contextual factors, which may be operating at different organisational and decision-making levels. Through the development of the programme theory, which explains what works, how and under which circumstances, findings from the evidence synthesis will support managers and service leaders to make measured decisions about de-implementation.SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017081030.

AB - BACKGROUND: Strategies to improve the effectiveness and quality of health and care have predominantly emphasised the implementation of new research and evidence into service organisation and delivery. A parallel, but less understood issue is how clinicians and service leaders stop existing practices and interventions that are no longer evidence based, where new evidence supersedes old evidence, or interventions are replaced with those that are more cost effective. The aim of this evidence synthesis is to produce meaningful programme theory and practical guidance for policy makers, managers and clinicians to understand how and why de-implementation processes and procedures can work.METHODS AND ANALYSIS: The synthesis will examine the attributes or characteristics that constitute the concept of de-implementation. The research team will then draw on the principles of realist inquiry to provide an explanatory account of how, in what context and for whom to explain the successful processes and impacts of de-implementation. The review will be conducted in four phases over 18 months. Phase 1: develop a framework to map the preliminary programme theories through an initial scoping of the literature and consultation with key stakeholders. Phase 2: systematic searches of the evidence to develop the theories identified in phase 1. Phase 3: validation and refinement of programme theories through stakeholder interviews. Phase 4: formulating actionable recommendations for managers, commissioners and service leaders about what works through different approaches to de-implementation.DISCUSSION: This evidence synthesis will address gaps in knowledge about de-implementation across health and care services and ensure that guidance about strategies and approaches accounts for contextual factors, which may be operating at different organisational and decision-making levels. Through the development of the programme theory, which explains what works, how and under which circumstances, findings from the evidence synthesis will support managers and service leaders to make measured decisions about de-implementation.SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017081030.

KW - De-implementation

KW - Low-value practice

KW - Overuse

KW - Health services

KW - Concept analysis

KW - Realist synthesis

U2 - 10.1186/s13643-019-1111-8

DO - 10.1186/s13643-019-1111-8

M3 - Journal article

C2 - 31383018

VL - 8

JO - Systematic Reviews

JF - Systematic Reviews

SN - 2046-4053

IS - 1

M1 - 194

ER -