HIEBP - implementation science Flashcards
what is implementation science about?
Implementation of evidence-based practice is about behaviour change
2 key things to remember:
- Evidence of benefit does not ensure implementation in practice
- Interventions to implement change in health care should be tested
how many behaviour change techniques are there
93
how to change behaviour in healthcare?
Public health campaigns - media, health service, schools,
Legislation – seat belts, smoking, clean air, childhood immunisations
Screening programmes – cancer screening, early childhood screening
Local commissioning of services – smoking, breast feeding
Education of healthcare staff – prevention programmes
Financial incentives - Quality and outcomes framework, Commission for Quality and Innovation
Policing of services – Care Quality Commission
obstacles to implementation
Lack of experience in the executors of the implementation plan
Inadequate planning
Disorganised work culture
Poor readiness to change
Poor team structure
Lack of necessary resources
Lack of leadership
Lack of commitment
Lack of prioritisation