6th UK and Ireland Implementation Science Research Conference 2023
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PRESENter
Lisa Ann Kennedy
presenter biography
Lisa Ann Kennedy is an analyst on the National Care Experience programme where she leads on the analysis and reporting of survey findings and on the development of new surveys. She holds a PhD in Psychology and an MSc in Health Psychology from the University of Galway.
background
Ireland’s National Care Experience Programme (NCEP) is a joint initiative from the regulator (Health Information and Quality Authority, HIQA), the provider (the Health Service Executive, HSE) and the policy-maker (the Department of Health). The Programme has conducted surveys of people’s experiences in Irish care settings since 2017, including experiences of inpatient, maternity, maternity bereavement, nursing home, and end of life care. Survey findings help to identify areas requiring improvement at local and national levels. Implementation science provides frameworks for understanding how the findings can be used to inform meaningful changes in care settings.
MEthod
Five of the dominant Implementation Science frameworks were adopted in the analysis: the Consolidated Framework for Implementation Research (CFIR)[1], Reach Effectiveness Adoption Implementation and Maintenance (RE-AIM)[2], Active Implementation Framework (AIF)[3], Normalisation Process Theory (NPT)[4], and Promoting Action on Research Implementation in Health Services (PARIHS)[5]. The aims, objectives and operationalisation of the NCEP were mapped to key elements of each framework using a framework-based approach with a view to understanding how each could contribute to the impact of the NCEP.
results
The frameworks identified were potentially useful at the practice and policy levels, and could assist in identifying barriers and facilitators to implementing change, developing appropriate implementation strategies, and evaluating implementation success. The frameworks also provided insights into the design and development of the NCEP surveys themselves.
Conclusion
Insights from implementation science can aid the development and implementation of care experience surveys, as well as facilitating the utilisation of the survey findings to optimise their overall impact. An implementation science lens can support the translation of the findings of care experience surveys into meaningful improvements in the delivery of care.