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Rzewuska M, Lamont T, Banister K, Gillies K, Goulao B, Locock L, Nevin G, Clarkson JE, Ramsay CR. Twitter communication of the UK public on dental health and care during a COVID lockdown: "My kingdom for a dentist". Community Dent Health 2021; 38:261-267. [PMID: 34304397 DOI: 10.1922/cdh_00026rzewuska07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND The COVID-19 pandemic forced a UK-wide closure of dental services. An understanding of public concerns about dental care was urgently needed to inform careful resumption of paused dental services. AIM To describe public concerns about dental care during lockdown. BASIC RESEARCH DESIGN Framework analysis of relevant Twitter posts identified collected using the Awario tool. RESULTS Of 1863 tweets manually screened for eligibility, 285 were relevant, as they contained views expressed by the public. The number of tweets by country were proportionate to the population size. The key views expressed in tweets focused on: 'oral health impact' ('oral health and self-care', 'types of dental problems', 'managing symptoms at home', 'views on consequences of delaying treatment') and 'dental service or care provision' ('views on managing dental care response', 'experiences with access to dental care'). CONCLUSIONS The impact of COVID-19 on dental services raised many physical and mental health concerns for the public, highlighting their importance. Online profiles and social media communication platforms can be used to provide convenient, and timely information on public perceptions of dental care.
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Affiliation(s)
- M Rzewuska
- Health Services Research Unit, University of Aberdeen, United Kingdom
| | - T Lamont
- School of Dentistry, University of Dundee, United Kingdom
| | - K Banister
- Health Services Research Unit, University of Aberdeen, United Kingdom
| | - K Gillies
- Health Services Research Unit, University of Aberdeen, United Kingdom
| | - B Goulao
- Health Services Research Unit, University of Aberdeen, United Kingdom
| | - L Locock
- Health Services Research Unit, University of Aberdeen, United Kingdom
| | - G Nevin
- NHS Education for Scotland, NHS Scotland, United Kingdom
| | - J E Clarkson
- Health Services Research Unit, University of Dundee, United Kingdom
| | - C R Ramsay
- Health Services Research Unit, University of Aberdeen, United Kingdom
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2
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McNiven A, Boulton M, Locock L, Hinton L. Boundary spanning and identity work in the clinical research delivery workforce: a qualitative study of research nurses, midwives and allied health professionals in the National Health Service, United Kingdom. Health Res Policy Syst 2021; 19:74. [PMID: 33947400 PMCID: PMC8096156 DOI: 10.1186/s12961-021-00722-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Accepted: 04/12/2021] [Indexed: 12/05/2022] Open
Abstract
Background Research nurses, midwives and allied health professionals are members of an important emergent profession delivering clinical research and, in the United Kingdom, have been the focus of considerable investment by the National Institute for Health Research (NIHR). This paper considers the experiences of research nurses, midwives and allied health professionals in relation to professional identity work, recognizing these are coproduced alongside others that they interact with (including patients, clinical staff and other research staff). Methods Semi-structured interviews were conducted with 45 nurses, midwives and allied health professionals in the UK about their experiences of working in research delivery. Interviews were transcribed verbatim and thematically coded and analysed. Results Our analysis highlights how research nurses, midwives and allied health professionals adjust to new roles, shift their professional identities and undertake identity work using uniforms, name badges and job titles as they negotiate complex identities. Conclusions Research nurses, midwives and allied health professionals experience considerable challenges as they enter and transition to a research delivery role, with implications for their sense of professional identities. A change in the work that they undertake and how they are (or perceive they are) viewed by others (including clinical non-research colleagues and patients) has implications for their sense of professional and individual identity. The tensions involved extend to their views on symbols of professional identity, such as uniforms, and as they seek to articulate and demonstrate the value of their conjoined role in research and as a healthcare professional, within the unfolding landscape of health research. We embed our study findings in the context of the newly emerging clinical research practitioner workforce, which further exacerbates and complicates the role and identity complexity for nurses, midwives and allied health professionals in research delivery.
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Affiliation(s)
- A McNiven
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
| | - M Boulton
- Department of Nursing, Oxford Brookes University, Oxford, United Kingdom
| | - L Locock
- Health Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom
| | - L Hinton
- The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, United Kingdom
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3
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Crocker JC, Farrar N, Cook JA, Treweek S, Woolfall K, Chant A, Bostock J, Locock L, Rees S, Olszowski S, Bulbulia R. Recruitment and retention of participants in UK surgical trials: survey of key issues reported by trial staff. BJS Open 2020; 4:1238-1245. [PMID: 33016008 PMCID: PMC7709375 DOI: 10.1002/bjs5.50345] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 07/21/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Recruitment and retention of participants in surgical trials is challenging. Knowledge of the most common and problematic issues will aid future trial design. This study aimed to identify trial staff perspectives on the main issues affecting participant recruitment and retention in UK surgical trials. METHODS An online survey of UK surgical trial staff was performed. Respondents were asked whether or not they had experienced a range of recruitment and retention issues, and, if yes, how relatively problematic these were (no, mild, moderate or serious problem). RESULTS The survey was completed by 155 respondents including 60 trial managers, 53 research nurses, 20 trial methodologists and 19 chief investigators. The three most common recruitment issues were: patients preferring one treatment over another (81·5 per cent of respondents); clinicians' time constraints (78·1 per cent); and clinicians preferring one treatment over another (76·8 per cent). Seven recruitment issues were rated moderate or serious problems by a majority of respondents, the most problematic being a lack of eligible patients (60·3 per cent). The three most common retention issues were: participants forgetting to return questionnaires (81·4 per cent); participants found to be ineligible for the trial (74·3 per cent); and long follow-up period (70·7 per cent). The most problematic retention issues, rated moderate or serious by the majority of respondents, were participants forgetting to return questionnaires (56·4 per cent) and insufficient research nurse time/funding (53·6 per cent). CONCLUSION The survey identified a variety of common recruitment and retention issues, several of which were rated moderate or serious problems by the majority of participating UK surgical trial staff. Mitigation of these problems may help boost recruitment and retention in surgical trials.
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Affiliation(s)
- J. C. Crocker
- Nuffield Department of Primary Care Health SciencesOxfordUK
- National Institute for Health Research Oxford Biomedical Research CentreOxfordUK
- MRC ConDuCT‐II Hub for Trials Methodology Research, Bristol Medical SchoolBristolUK
| | - N. Farrar
- MRC ConDuCT‐II Hub for Trials Methodology Research, Bristol Medical SchoolBristolUK
- Population Health Sciences, Bristol Medical School, University of BristolBristolUK
| | - J. A. Cook
- Surgical Intervention Trials Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal SciencesOxfordUK
- MRC ConDuCT‐II Hub for Trials Methodology Research, Bristol Medical SchoolBristolUK
| | - S. Treweek
- Health Services Research Unit, University of AberdeenAberdeenUK
| | - K. Woolfall
- Department of Public Health, Policy and Systems, Institute of Population Health and Society, University of LiverpoolLiverpoolUK
- MRC North West Hub for Trials Methodology ResearchLiverpoolUK
| | - A. Chant
- Patient partnerCookham, BerkshireUK
| | - J. Bostock
- Quality Safety and Outcomes Policy Research Unit, University of KentCanterburyUK
- Policy Innovation and Evaluation Research Unit, London School of Hygiene and Tropical MedicineLondonUK
| | - L. Locock
- Health Services Research Unit, University of AberdeenAberdeenUK
| | - S. Rees
- Oxford Academic Health Science NetworkOxfordUK
| | - S. Olszowski
- National Institute for Health Research Oxford Biomedical Research CentreOxfordUK
- SPZ AssociatesLyme RegisUK
| | - R. Bulbulia
- Clinical Trial Service Unit Hub for Trials Methodology ResearchOxfordUK
- Medical Research Council (MRC) Population Health Unit, Nuffield Department of Population Health, University of OxfordOxfordUK
- Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation TrustCheltenhamUK
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4
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Johnston M, Butler J, Clark H, Locock L, Murray AD, Robertson L, Hannaford P, Iversen L, Skea Z, Black C. Co-design of data collection with participants of the Aberdeen Children of the 1950s cohort study. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The Aberdeen Children of the 1950s (ACONF) cohort comprises 12,150 people born in Scotland in the 50s. It contains rich early life data, questionnaire data from mid-life and linked electronic health records. Involving participants in designing future data collection is key to ensure research is acceptable and reflects public priorities.
Aim
Gather ACONF members views to inform how to: research healthy ageing, optimise recruitment and maximise participation.
Methods
3 co-design workshops with 30 ACONF members. A discussion was led by a facilitator using guidance questions developed by the study team. Workshops were recorded and transcribed.
Results
Participants viewed healthy ageing as keeping socially and physically active, taking responsibility for oneself and having a positive attitude to ageing. Research priorities were dementia, improvements in the social care system and engaging hard-to-reach groups. Members were keen for future research involvement. Recruitment may be maximised by: more information online, involving participants in recruiting other study members and clarity about potential benefits to themselves or others. It was acceptable to ask their offspring to participate. There were high levels of trust in researchers, but ongoing data protection is vital. Participation may be improved by regular contact (informing members of results, engagement events, phone “apps”). Participants viewed various data collection methods (questionnaires, applications, wearable devices, in-person tests, DNA collection and electronic record linkage) as acceptable.
Conclusions
Participant involvement is a fundamental part of securing a social license for research. Participants were in favour of ongoing research, including recruitment of their children. The workshops highlighted key considerations for future research and data collection.
Key messages
Co-design is vital for highlighting research topics which are important and relevant to the general population. Co-design can highlight strategies for maximising research participation and securing a social license for research.
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Affiliation(s)
- M Johnston
- Aberdeen Centre for Health Data Science, University of Aberdeen, Aberdeen, UK
| | - J Butler
- Aberdeen Centre for Health Data Science, University of Aberdeen, Aberdeen, UK
| | - H Clark
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - L Locock
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - A D Murray
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - L Robertson
- Aberdeen Centre for Health Data Science, University of Aberdeen, Aberdeen, UK
| | - P Hannaford
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - L Iversen
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Z Skea
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - C Black
- Aberdeen Centre for Health Data Science, University of Aberdeen, Aberdeen, UK
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5
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Crocker J, Rees S, Locock L, Petit-Zeman S, Chant A, Treweek S, Cook J, Farrar N, Woolfall K, Bostock J, Harmston R, Ferrey A, Bulbulia R. #3 PIRRIST: A patient and public involvement (PPI) intervention to enhance recruitment and retention in surgical trials (oral presentation). Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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6
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Dixon S, Agha K, Ali F, El-Hindi L, Kelly B, Locock L, Otoo-Oyortey N, Penny S, Plugge E, Hinton L. Female genital mutilation in the UK- where are we, where do we go next? Involving communities in setting the research agenda. Res Involv Engagem 2018; 4:29. [PMID: 30237901 PMCID: PMC6139895 DOI: 10.1186/s40900-018-0103-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Accepted: 06/26/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Female Genital Mutilation (FGM) is all practices involving cutting, alteration or injury to the female genitalia for non-medical reasons. It is a form of violence against women and children, with no benefits and many harms. In 2014, the UK Government committed to working to eliminate FGM. Steps taken towards this aim included creation of educational and safeguarding resources for professionals, and legislative changes including a mandatory reporting duty for professionals in England and Wales (where if a girl under 18 discloses or is found on examination to have FGM then the professional is mandated to report this to the police), and an FGM Enhanced Dataset applicable to NHS organisations in England requiring the submission of personal data about women and girls who have had FGM to NHS Digital. To date, compliance with dataset returns from primary care services have been low. This report describes using patient and public involvement (PPI) to identify research and service priorities to support communities affected by FGM. METHODS We held a series of PPI events (4 focus groups, and a multi-agency seminar) in 2015-2016, following the introduction of these legislative changes, speaking to community members, and professionals involved in their care. We asked participants to consider what they identified as research, knowledge and service priorities to support communities affected by FGM. RESULTS The impact of these legislative and reporting requirements on the trust needed for community members to seek to consult health services was identified as important for further research. Priorities for service development were holistic services, that met a woman's needs throughout her lifecourse. Participants emphasised the importance of understanding how to listen, involve and utilise community voices in developing education for professionals, designing services, and developing policy. CONCLUSIONS There was a desire for change to develop from within affected communities; any learning and resources need to be co-created and constructed in such a way that they can be effectively shared between women, communities, and professionals. Questions remain about how to define community consultation, how to recognise when it was adequate, and how to hear beyond community activists to hear a wider range of voices.
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Affiliation(s)
- S. Dixon
- Nuffield department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - K. Agha
- Oxford Against Cutting, Oxford, UK
| | - F. Ali
- Midaye Somali Development Network, London, UK
| | | | - B. Kelly
- Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford, UK
| | - L. Locock
- Nuffield department of Primary Care Health Sciences, University of Oxford, Oxford, UK
- Health Services Research Unit, University of Aberdeen, Aberdeen, UK
| | | | - S. Penny
- English Creative Writing Department, Brunel University, London, UK
| | - E. Plugge
- Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK
| | - L. Hinton
- Nuffield department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Dixon S, Hinton L, Locock L. 4.11-P7Exploring community and professional priorities for research and resource development for supporting women and communities in the UK affected by female genital mutilation: report from a PPI project. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky048.172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Dixon
- Health Experiences Research Group, Nuffield Department of Primary Health Care Sciences, University of Oxford, United Kingdom
| | - L Hinton
- Health Experiences Research Group, Nuffield Department of Primary Health Care Sciences, University of Oxford, United Kingdom
| | - L Locock
- Health Services Research Unit, University of Aberdeen, United Kingdom
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8
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Crocker J, Rees S, Locock L, Petit-Zeman S, Chant A, Treweek S, Cook J, Farrar N, Woolfall K, Bostock J, Bowman L, Bulbulia R. Developing a patient and public involvement intervention to enhance recruitment and retention in UK surgical trials (PIRRIST). Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.11.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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9
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Luchtenberg M, Maeckelberghe E, Locock L, Powell L, Eduard Verhage AA. Why young people participate in clinical trials. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw167.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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10
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Abstract
This article presents findings from a wider UK Department of Health funded evaluation of English Primary Care Groups (PCGs) and Trusts (PCTs). It presents qualitative research into the experiences of general practitioners (GPs) in these PCG/Ts and explores the extent to which GPs manage, or are managed by, these new organizations. Using the framework of stratification theory, the paper explores whether there is any evidence to suggest PCTs will strengthen collective medical control over resource allocation whilst fending off management control of clinical decision-making. It also examines whether individual GPs not involved at board level feel a loss of control over decisions and their own clinical practice. A stratified random sample of 20 GPs was selected for in-depth interview. The in-depth interviews were designed to capture the full complexity and variety of GPs' experiences that routinely available data could not capture. GPs were anxious that clinical decisions were, or could, be overridden by other concerns such as cost control. The extent to which primary care professionals leading PCGs and PCTs could fend off managerial control was doubted. However, whilst GPs felt under threat, this was more an anticipated threat than a reality. GPs within PCG/Ts seem prepared to accept a degree of standardization if they feel that this is consistent with good clinical care. However, although there was the impression of greater central control, PCGs and PCTs and Government policies did not appear to have made an impression on clinical autonomy.
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Affiliation(s)
- L Locock
- Department of Primary Care, University of Oxford, Oxford, UK.
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11
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Abstract
We undertook a qualitative interview study of women's and their partners’ experiences of severe pregnancy complications. Across the care pathway, women identified a number of examples of good practice that made an important difference to their recovery. There were some areas where women felt the quality of care could be improved, for example during points of transition between higher level and routine care or from hospital to the community. Longer-term support and counselling were felt to be particularly valuable, and yet not always universally available. These results emphasise the importance of integrated quality care across the whole patient pathway.
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Affiliation(s)
- L Hinton
- Health Experiences Research Group, Department of Primary Health Care Sciences, University of Oxford, Oxford, UK
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Abstract
Healthcare organisations are using redesign to tackle variation in the quality of care and improve public satisfaction. It is represented as a radical challenge to traditional assumptions and practices which involves thinking through the best process to achieve speedy and effective patient care, identifying delays, unnecessary steps, or potential for error, and redesigning the process to improve the quality of care. This paper explores the meaning of redesign using practical illustrations. It examines its theoretical origins, particularly total quality management (TQM)/continuous quality improvement (CQI) and re-engineering, and assesses evidence which may inform its application. This evidence suggests that clinical ownership and senior management support will be essential. Redesign seeks to balance the more gradual approach of TQM with the organisation-wide lateral thinking of re-engineering. An incremental negotiated approach seems more likely to ensure clinical ownership, but carries a risk that QI will remain small scale with little impact on the wider organisation. Inclusion of some re-engineering techniques may help to overcome this difficulty. Evidence suggests that most QI techniques achieve only partial success. This may pose difficulties for redesign, which has generated high political expectations that it can solve long term problems in health care.
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Affiliation(s)
- L Locock
- Department of Social Policy and Social Work, University of Oxford, Oxford, UK.
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13
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Abstract
We present findings from evaluations of two government-funded initiatives exploring the transfer of research evidence into clinical practice--the PACE Programme (Promoting Action on Clinical Effectiveness), and the Welsh Clinical Effectiveness Initiative National Demonstration Projects. We situate the findings within the context of available research evidence from healthcare and other settings on the role of opinion leaders or product champions in innovation and change--evidence which leaves a number of problems and unanswered questions. A major concern is the difficulty of achieving a single replicable description of what opinion leaders are and what they do--subjective understandings of their role differ from one setting to another, and we identify a range of very different types of opinion leadership. What makes someone a credible and influential authority is derived not just from their own personality and skills and the dynamic of their relationship with other individuals, but also from other context-specific factors. We examine the question of expert versus peer opinion leaders, and the potential for these different categories to be more or less influential at different stages in the innovation process. An often neglected area is the impact of opinion leaders who are ambivalent or hostile to an innovation. Finally, we note that the interaction between individual opinion leaders and the collective process of negotiating a change and reorienting professional norms remains poorly understood. This raises a number of methodological concerns which need to be considered in further research in this area.
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Affiliation(s)
- L Locock
- Health Services Management Centre, University of Birmingham, UK.
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14
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Locock L, Dopson S. Commissioning. When push comes to shove. Health Serv J 2001; 111:28-9. [PMID: 11215077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
A study of four HAs in three regions found that they had little influence on encouraging trusts to implement the recommendations of the Changing Childbirth report over the period 1993-98. Where changes had been introduced this was often through the influence of an opinion leader in the trust, such as directors of midwifery. The results suggest healthcare professionals providing services have substantial influence over the fate of strategic change initiatives.
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Affiliation(s)
- L Locock
- Health Services Management Centre, Birmingham University
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Dopson S, Locock L, Chambers D, Gabbay J. Implementation of evidence-based medicine: evaluation of the Promoting Action on Clinical Effectiveness programme. J Health Serv Res Policy 2001; 6:23-31. [PMID: 11219356 DOI: 10.1258/1355819011927161] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To evaluate the Promoting Action on Clinical Effectiveness (PACE) programme, which sought to implement clinically effective practice in 16 local sites. METHODS 182 semi-structured interviews, usually by telephone, with project team members, clinicians, and senior managers and representatives from the Department of Health and the King's Fund. RESULTS The most influential factors were strong evidence, supportive opinion leaders and integration within a committed organization; without these factors, projects had little chance of success. Other factors (context analysis, professional involvement and good project management) emerged as important, supporting processes; their presence might be an additional help, but on their own they would not be enough to initiate change. A serious problem with any of them could have a strong adverse impact. CONCLUSIONS Although there is no simple formula for the factors that ensure successful implementation of research-based improvements to clinical practice, certain principles do seem to help. Time and resource need to be devoted to a period of local negotiation and adaptation of good research evidence based on a careful understanding of the local context, in which opinion leader influence is an important component of a well managed and preferably well integrated process of change.
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Locock L. Purchasing. Pull the other one. Health Serv J 1995; 105:26-7. [PMID: 10141239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Locock L, Clark K. Aspects of women's health care in Finland. Health Visit 1989; 62:17-9. [PMID: 2914768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The article is drawn from experience gained on a management study trip to Finland, and begins with a general explanation of the Finnish health care system, which is based on local government. Planning progress over the last fifty years is outlined, culminating in the present emphasis on primary care. There is a short section on family planning, followed by a description of abortion legislation and its effects on the birth rate. Antenatal care is also considered, particularly the important role of public health nurses and the lack of contact during pregnancy with the hospital staff who will attend the delivery. Finally the generous Finnish system of maternity leave is described.
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