TY - JOUR
T1 - The development of implementation management instruments for a new complex stroke caregiver intervention based on systematic stakeholder and risk analyses
AU - Krieger, Theresia
AU - Boumans, Nicolle
AU - Feron, Frans
AU - Dorant, Elisabeth
N1 - Funding Information:
No external funding. We explicitly acknowledge all stakeholders actively participating in the analysing process. The presented study stems from the research project The Caregivers? Guide, conducted under the direction of Prof. Dr. Johannes Jungbauer, at the Catholic University North-Rhine Westphalia (Germany).
Publisher Copyright:
© 2019 Nordic College of Caring Science
PY - 2020/3
Y1 - 2020/3
N2 - Background Stakeholders are important contributors in the implementation of a complex public health intervention. During the development phase of an implementation, alongside careful design of its components and investing in the exploration of the dynamic multi-stakeholder stroke rehabilitation setting, it is essential to assess possible implementation risks. Systematic stakeholder and risk analyses can guide the exploration process and enable teams involved in complex interventions to develop context-tailored implementation management instruments. Purpose To develop instruments that facilitate the implementation of the complex stroke caregiver intervention project in the real-life support system. Methods Systematic stakeholder and risk analyses were conducted composing five activities. Project stakeholders were identified, classified and assessed using a top-down approach, while implementation risks were identified and assessed by applying a bottom-up approach. Data were collected through interviews and focus groups. Results Based on the knowledge provided by the stakeholders, two context-tailored implementation management instruments were designed with a top-down approach: (1) a comprehensive 'stakeholder-risk atlas' providing individual stakeholder information, such as role, access, contribution, power and interest, expectations, perceived risks and specific engagement activities and (2) an overall 'project implementation strategy' concentrating on communication, transparency, network building and professionalism. Conclusion Complex interventions will benefit from early and comprehensive stakeholder and risk analyses. The early involvement of stakeholders, with their insightful knowledge, enables the research team to develop context-tailored implementation management instruments. Instruments will support the team during implementation and may impact positively on the outcome of the intervention. Knowledge can be obtained by combining top-down and bottom-up working approaches.
AB - Background Stakeholders are important contributors in the implementation of a complex public health intervention. During the development phase of an implementation, alongside careful design of its components and investing in the exploration of the dynamic multi-stakeholder stroke rehabilitation setting, it is essential to assess possible implementation risks. Systematic stakeholder and risk analyses can guide the exploration process and enable teams involved in complex interventions to develop context-tailored implementation management instruments. Purpose To develop instruments that facilitate the implementation of the complex stroke caregiver intervention project in the real-life support system. Methods Systematic stakeholder and risk analyses were conducted composing five activities. Project stakeholders were identified, classified and assessed using a top-down approach, while implementation risks were identified and assessed by applying a bottom-up approach. Data were collected through interviews and focus groups. Results Based on the knowledge provided by the stakeholders, two context-tailored implementation management instruments were designed with a top-down approach: (1) a comprehensive 'stakeholder-risk atlas' providing individual stakeholder information, such as role, access, contribution, power and interest, expectations, perceived risks and specific engagement activities and (2) an overall 'project implementation strategy' concentrating on communication, transparency, network building and professionalism. Conclusion Complex interventions will benefit from early and comprehensive stakeholder and risk analyses. The early involvement of stakeholders, with their insightful knowledge, enables the research team to develop context-tailored implementation management instruments. Instruments will support the team during implementation and may impact positively on the outcome of the intervention. Knowledge can be obtained by combining top-down and bottom-up working approaches.
KW - complex public health intervention
KW - implementation management instruments
KW - project management techniques
KW - stakeholder and risk analyses
KW - family caregivers
KW - HEALTH-CARE
KW - SERVICES
KW - CRITERIA
U2 - 10.1111/scs.12723
DO - 10.1111/scs.12723
M3 - Article
C2 - 31250940
SN - 0283-9318
VL - 34
SP - 215
EP - 229
JO - Scandinavian Journal of Caring Sciences
JF - Scandinavian Journal of Caring Sciences
IS - 1
ER -