Implementation

Pilot studies show that technical aids that support communication between healthcare staff and families caring for their children at home have the potential to contribute to increased security and quality of care. Research on how new methods will be used in different activities indicates that although there is good scientific evidence that a particular method will produce the intended effect, it is not at all certain that it will be used. The reasons for this are many and there are a large number of theories and models that are used to try to explain how this comes about. Some of the main causes can be summarized in five main areas. This is partly about the method or the new way of working itself, for example, if it is perceived to be more advantageous than the existing way of working, if it is easy to use, and if it conforms to established routines and attitudes.

.Furthermore, both organizational conditions at the workplace and external environmental factors such as incentive systems and different regulations have significance for the extent to which new methods are established and established. It has also been shown that the attitudes, knowledge, and motivation of decision-makers, employees, and users can in many cases have a direct impact on the extent to which new knowledge, method, or technology will be applied. Finally, the way one works to actively support so-called implementation has consequences for the outcome. Here it can be about involving stakeholders, planning, setting goals, and following up on such a process.

Thus, there is relatively good knowledge of what in principle may be important to consider to ensure that new knowledge or methods will benefit children and their families. What is less well-tested is how this knowledge can be used in a practically feasible way to support implementation processes. In this project, we build on previous research on implementation and try out tools to facilitate the mapping of obstacles and supporting factors and thereby providing the basis for planning, following up, and stimulating learning in connection with implementation. The theoretical basis is implementation research and models for management, organizing, decision-making, and complexity.

The project is part of the FORTE-funded research program eChildhealth