Studying at York
Implementation Science for Advanced & Chronic Care - 0990059
Module summary
This Implementation Science module addresses one of the biggest challenges in health and social care today - how to ensure that evidence-based treatments and care are routinely delivered in practice. Enabling change in professional practice, whether clinical, managerial, or educational, is vital for people to have access to the treatments and care for which there is evidence of benefit, and correspondingly to prevent practitioners from delivering interventions for which there is evidence of harm.
The management of advanced and complex chronic conditions requires close attention to people’s physical, psychosocial, and spiritual needs. Ensuring that vulnerable people get evidence-based health and social care is a constant challenge for health professionals, managers, and commissioners. Ironically, efforts to increase the use of evidence in practice are more often based on anecdote or blind hope than research. This module will equip clinicians and postgraduate researchers with the transferable skills that will enable them to critically research, select, and adapt implementation strategies to enable the evidence-based management of people with complex advanced and chronic care needs.
Module will run
| Occurrence | Teaching period |
|---|---|
| A | Semester 2 2023-24 |
Module aims
This module will equip clinicians, educators and postgraduate researchers with the skills to critically research, select, and adapt implementation strategies that enable the delivery of evidence-based advanced and chronic care.
Students will critically consider how research evidence, learning from reflection, and locally-generated data can be integrated to achieve evidence-based change in practice.
Module learning outcomes
Upon successfully completing the module, students will be able to:
- Identify, critically analyse, and evaluate the individual, team, professional, and organisational factors that influence the implementation of evidence in advanced and chronic care and related areas of clinical and/or educational practice
- Understand and apply approaches to implementation from the social, psychological, health, and organisational sciences
- Critically apply both implementation theory (including models and frameworks) and evidence about implementation effectiveness to the development and optimisation of interventions and implementation strategies
- Put into practice an evidence-informed implementation strategy for the implementation of evidence in advanced and chronic care or a related area of clinical or educational practice
Appreciate and engage with a diverse range of stakeholders who are relevant for implementation
Module content
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Session:
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Assessment
| Task | Length | % of module mark |
|---|---|---|
| Essay/coursework Essay : Implementation brief for service manager or executive board |
N/A | 20 |
| Essay/coursework Essay : Implementation strategy |
N/A | 80 |
Special assessment rules
None
Reassessment
None
Module feedback
Feedback during online facilitation and in one-to-one tutorials will enable students to continually build and focus their learning in relation to their practice and research priorities so that they are optimally-positioned to demonstrate their skills in the assignments. Written feedback on the summative assignments will also be provided.
Indicative reading
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Berwick, D. (2008) The science of improvement. JAMA 299 (10) 1182-1184
Bauer, M.S, Damschroder, L., Hagedorn, H., Smith, J., & Kilbourne, A.M (2015) An introduction to implementation science for the non-specialist. BMC Psychology 3:32
Best, A. and B. Holmes (2010). "Systems thinking, knowledge and action: towards better models and methods." Evidence & Policy 6(2): 145-159.
Marshall, M., Provonost, P. & Dixon-Woods, M. (2013) Promotion of improvement as a science. The Lancet 381 419-421
D.A Richards & I. Rahm Hallberg (Eds.) (2015) Complex interventions in health: an overview of research methods. Abingdon: Routledge
Michie, S., M. M. van Stralen and R. West (2011). "The behaviour change wheel: a new method for characterising and designing behaviour change interventions." Implement Sci 6: 42.
Davidoff, F. Dixon-Woods, M., Leviton, L. & Michie, S. (2015) Demystifying theory and its use in improvement. BMJ Qual Saf. doi:10.1136/bmjqs-2014-003627
May, C. (2013) Towards a general theory of implementation. Implementation Science 8:18 Nilsen, P. (2015). "Making sense of implementation theories, models and frameworks." Implement Sci 10(1): 53.
Hawe, P., A. Shiell and T. Riley (2009) "Theorising interventions as events in systems." Am J Community Psychol 43(3-4): 267-276.
Nilsen, P & Birken, S (2020) Handbook on Implementation Science. Edward Elgar Publishing |