scholarly journals The NICE schizophrenia guidelines: the challenge of implementation1

2004 ◽  
Vol 10 (6) ◽  
pp. 403-412 ◽  
Author(s):  
Paul Rowlands
Keyword(s):  
Clinical Guidelines ◽  
Good Practice ◽  
Successful Implementation ◽  
Service Users ◽  
Sense Of Ownership ◽  
Full Implementation ◽  
Structural Problems ◽  
Collaborative Working ◽  
Organisational Level

I explore implementation of the National Institute for Clinical Excellence's clinical guidelines for schizophrenia at an individual practitioner level and at an organisational level. Integrating effective individual and team approaches into a systematic organisational approach with collaborative working between managers, clinicians and service users will be essential to successful implementation and is likely to require a strong lead from senior clinicians. Implementation is likely to be best achieved through a sense of ownership of the guidelines and a process that borrows from their spirit, which emphasises collaboration, building on the strengths and good practice already present. Although full implementation will require additional resources, current resources must be employed effectively. The task of implementation is immense, however, and in some areas resource deficiencies and other structural problems might present insurmountable obstacles.

scholarly journals Inter-professional education and primary care: EFPC position paper

2019 ◽  
Vol 20 ◽  
Author(s):  
Robin Miller ◽  
Nynke Scherpbier ◽  
Loes van Amsterdam ◽  
Virgínia Guedes ◽  
Peter Pype
Keyword(s):  
Primary Care ◽  
Professional Education ◽  
Good Practice ◽  
Continuing Professional Development ◽  
Position Paper ◽  
Successful Implementation ◽  
Ability To Work ◽  
Design And Implementation ◽  
European Forum ◽  
Evidence Review

Abstract Inter-professional education (IPE) can support professionals in developing their ability to work collaboratively. This position paper from the European Forum for Primary Care considers the design and implementation of IPE within primary care. This paper is based on workshops and is an evidence review of good practice. Enablers of IPE programmes are involving patients in the design and delivery, providing a holistic focus, focussing on practical actions, deploying multi-modal learning formats and activities, including more than two professions, evaluating formative and summative aspects, and encouraging team-based working. Guidance for the successful implementation of IPE is set out with examples from qualifying and continuing professional development programmes.

Conclusion

2018 ◽  
Author(s):  
Liz Beddoe ◽  
Allen Bartley
Keyword(s):  
Social Work ◽  
Social Workers ◽  
Good Practice ◽  
Active Role ◽  
Service Users ◽  
The Social ◽  
Country Specific

This chapter summarises the recurring themes and lessons from the preceding substantive chapters and reflects upon their implications. It draws together the different issues, laws and culture in social work across the five countries examined, and compares the country-specific challenges raised in the chapters. The editors make recommendations for how the social work profession can take a more active role in the transition of Transnational Social Workers, and highlight good practice in preceding chapters. Finally, they comment on the need for more research in the area, including with service users.

scholarly journals Investigating the barriers and facilitators to implementing mental health first aid in the workplace: a qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Melanie Jay Narayanasamy ◽  
Louise Thomson ◽  
Carol Coole ◽  
Fiona Nouri ◽  
Avril Drummond
Keyword(s):  
Mental Health ◽  
Good Practice ◽  
First Aid ◽  
Barriers And Facilitators ◽  
Successful Implementation ◽  
Mental Health First Aid ◽  
Structured Interviews ◽  
Content Type ◽  
Factors Affecting ◽  
Employee Characteristics

Purpose There has been little research into the use and efficacy of Mental Health First Aid (MHFA) across UK workplaces. This paper aims to investigate the implementation of MHFA across six UK organisations, identifying key barriers and facilitators. Design/methodology/approach Twenty-seven workplace representatives were recruited from six organisations through purposive sampling and took part in semi-structured interviews exploring their experiences of workplace MHFA. The data underwent thematic analysis, identifying key themes around implementation. Findings Implementation varied across organisations, including different reasons for initial interest in the programme, and variable ways that MHFA-trained employees operated post-training. Key barriers to successful implementation included negative attitudes around mental health, the perception that MHFA roles were onerous, and employees’ reluctance to engage in the MHFA programme. Successful implementation was perceived to be based on individual qualities of MHFA instructors and good practice demonstrated by trained individuals in the workplace. The role of the inner organisational setting and employee characteristics were further highlighted as barriers and facilitators to effective implementation. Research limitations/implications MHFA is a complex intervention, presenting in different ways when implemented into complex workplace settings. As such, traditional evaluation methods may not be appropriate for gaining insights into its effectiveness. Future evaluations of workplace MHFA must consider the complexity of implementing and operationalising this intervention in the workplace. Originality/value This study is the first to highlight the factors affecting successful implementation of MHFA across a range of UK workplaces.

Always On

2017 ◽  
pp. 314-328 ◽  
Author(s):  
Sarah Williams
Keyword(s):  
Social Media ◽  
Service Sector ◽  
Good Practice ◽  
Cost Effective ◽  
Customer Engagement ◽  
Service Users ◽  
Social Media Platforms ◽  
Cost Effective Alternative ◽  
Promotional Strategies ◽  
Ideal Method

Social media is often viewed as a solution to service sector engagement issues, since it presents a cost-effective alternative to traditional promotional strategies; acting both as a promotional platform and a forum for customer engagement. Social media is increasingly being used by service sector organisations to engage with communities and create dialogue between organisations and their service users. In a world where consumers are increasingly ‘always on', the challenge is how to effectively use social media as a key promotional, communications and engagement tool, and to move its use from broadcast platforms to forums for online customer engagement. The aim of this chapter is to understand how service sector organisations are engaging with social media platforms and customer communities; to identify whether, in an ‘always on' world, this represents the ideal method of community building, or whether it is being used as a more cost effective broadcast tool; and to identify areas of good practice.

Information and Process in Health

2021 ◽  
pp. 263-279
Author(s):  
Patrik Eklund
Keyword(s):  
Integrated Care ◽  
Clinical Guidelines ◽  
Good Practice ◽  
Healthy Ageing ◽  
Process Models ◽  
Older Person ◽  
Social Data ◽  
Care Processes ◽  
Algebraic Framework ◽  
Process Structure

Cooperation and partnership in healthy ageing enhances and enriches the underlying information and process models within integrated care. On information, functioning oriented data as part of health and social data describes medical conditions and functioning capacity of the older person. Similarly, the notion of a good practice, as embracing a conglomerate of guidelines, is also well understood but less so in terms of process substance. Process structure granularity is often quite coarse and less formal, comparable to process descriptions annotated with clinical guidelines. This chapter describes an algebraic framework for representation of functioning data typically found in contexts of integrated care processes in healthy ageing.

scholarly journals Challenges and opportunities for telehealth in the management of chronic obstructive pulmonary disease: a qualitative case study in Greece

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Violeta Gaveikaite ◽  
Casandra Grundstrom ◽  
Stefan Winter ◽  
Helen Schonenberg ◽  
Minna Isomursu ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Clinical Guidelines ◽  
Healthcare Professionals ◽  
Care Pathway ◽  
Self Management ◽  
Chronic Obstructive ◽  
Successful Implementation ◽  
Obstructive Pulmonary Disease ◽  
Challenges And Opportunities

Abstract Background Telehealth (TH) was introduced as a promising tool to support integrated care for the management of chronic obstructive pulmonary disease (COPD). It aims at improving self-management and providing remote support for continuous disease management. However, it is often not clear how TH-supported services fit into existing pathways for COPD management. The objective of this study is to uncover where TH can successfully contribute to providing care for COPD patients exemplified in a Greek care pathway. The secondary objective is to identify what conditions need to be considered for successful implementation of TH services. Methods Building on a single case study, we used a two-phase approach to identify areas in a Greek COPD care pathway where care services that are recommended in clinical guidelines are currently not implemented (challenges) and areas that are not explicitly recommended in the guidelines but that would benefit from TH services (opportunities). In phase I, we used the care delivery value chain framework to identify the divergence between the clinical guidelines and the actual practice captured by a survey with COPD healthcare professionals. In phase II, we conducted in-depth interviews with the same healthcare professionals based on the discovered divergences. The responses were analyzed with respect to identified opportunities for TH and care pathway challenges. Results Our results reveal insights in two areas. First, several areas with challenges were identified: patient education, self-management, medication adherence, physical activity, and comorbidity management. TH opportunities were perceived as offering better bi-directional communication and a tool for reassuring patients. Second, considering the identified challenges and opportunities together with other case context details a set of conditions was extracted that should be fulfilled to implement TH successfully. Conclusions The results of this case study provide detailed insights into a care pathway for COPD in Greece. Addressing the identified challenges and opportunities in this pathway is crucial for adopting and implementing service innovations. Therefore, this study contributes to a better understanding of requirements for the successful implementation of integrated TH services in the field of COPD management. Consequently, it may encourage healthcare professionals to implement TH-supported services as part of routine COPD management.

scholarly journals Review of the Commonwealth Local Government Good Practice Scheme

2012 ◽  
pp. 150-158
Author(s):  
Rachael Duchnowski
Keyword(s):  
Local Government ◽  
Millennium Development Goals ◽  
Local Authority ◽  
Local Level ◽  
Good Practice ◽  
Government Performance ◽  
Successful Implementation ◽  
Management Efficiency ◽  
Efficiency And Effectiveness ◽  
Development Goals

The overarching objective of the Commonwealth Local Government Good Practice Scheme (GPS) was to contribute towards the achievement of the Millennium Development Goals at the local level; there were four expected outputs:1. Increased capacity of local authorities to plan and deliver services, through successful implementation of CLGF-funded projects focussed on the following nationally agreed themes, relevant to the achievement of the MDGs;2. Measurable and/or assessable improvements in individual and/or departmental/local authority management efficiency and effectiveness delivered through the GPS projects;3. National local government associations possess effective knowledge management systems and dissemination networks working nationally - and internationally through CLGF;4. Utilisation of expertise of local government practitioners in partner countries to improve local government performance more widely.

Process tracing change management: the reform of the Italian judiciary

2018 ◽  
Vol 31 (5) ◽  
pp. 566-582 ◽  
Author(s):  
Simone Busetti ◽  
Giancarlo Vecchi
Keyword(s):  
Change Management ◽  
Qualitative Method ◽  
Good Practice ◽  
Process Tracing ◽  
Successful Implementation ◽  
Programme Implementation ◽  
Local Conditions ◽  
National Programme ◽  
Content Type ◽  
Managerial Knowledge

Purpose In 2009, the Italian Government initiated a national programme to improve the management of judicial offices. Programme implementation has been patchy and unsatisfactory in all but a few cases. Against this background, the Law Court of Milan has achieved exceptional results and is now recognised as a good practice benchmark for Italy. The purpose of this paper is to investigate this case in order to reconstruct the local conditions for successful implementation of the national programme. Design/methodology/approach To test a theory of the programme based on leaders’ engagement, their access to managerial knowledge, and the transfer and consolidation of that knowledge, the present study applies process tracing, a qualitative method that uses Bayesian reasoning to improve the accuracy of within-case inferences. Findings The analysis shows how programme and context features interacted to support change. In particular, while the national programme succeeded in providing resources for leader engagement and knowledge access, the transfer and consolidation of managerial knowledge depended largely on a brokerage function performed locally between consultants and magistrates. Originality/value The paper sheds light on the local conditions for change management and does so by employing an innovative qualitative method that improves the reliability of within-case inferences.

scholarly journals Development and implementation of autism standards for prisons

2015 ◽  
Vol 6 (2) ◽  
pp. 68-80 ◽  
Author(s):  
Alexandra Lewis ◽  
Robert Pritchett ◽  
Clare Hughes ◽  
Kim Turner
Keyword(s):  
Design Methodology ◽  
Good Practice ◽  
Adverse Impact ◽  
Autistic Spectrum Disorders ◽  
Successful Implementation ◽  
Young Offenders ◽  
Autistic Spectrum ◽  
Content Type ◽  
Spectrum Disorders ◽  
Operational Processes

Purpose – The purpose of this paper is to describe the experience of a southern English young offenders institution in developing and implementing standards to improve awareness and care of prisoners with autistic spectrum disorders (ASD). Design/methodology/approach – Some contextual factors driving the project are discussed, the multi-agency process involved in the development and implementation of the standards is described and recommendations are made regarding implementation of the standards in other settings. Findings – It is expected that successful implementation of the standards will reduce the level of distress and difficulty experienced by people with ASD who find themselves in custody, it will also improve the prison’s ability to meet the needs of prisoners with ASD and thereby improve rehabilitation and reduce any adverse impact on everyday operational processes. Demonstrating success in meeting the standards will enable the prison to achieve accreditation by the National Autistic Society. In March 2015 the prisons minister encouraged all prisons to follow this approach and this will have practice and resource implications. Originality/value – This paper describes a clear framework which prisons can use to work systematically towards achieving good practice in addressing the needs of prisoners with ASD. It will enable prisons to meet the duties imposed on them by the Autism Act, 2009 and the Equalities Act, 2010.

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