Implementation science: issues of fidelity to consider in community nursing

British Journal of Community Nursing
Sinead Hanafin, Emma Dwan O'Reilly

Abstract

Programme implementation is a complex process, and literature around the area of implementation science is growing, particularly with respect to programme fidelity (Dusenbury et al, 2003; Carroll et al, 2007). This paper draws on the findings from an evaluation in one area involving restructuring of the Public Health Nursing service from a generalist, geographically based service, to a team-based specialist approach. From this evaluation, it is clear that careful consideration must be given to a number of key issues that could arise in moving from a pilot project to a more mainstream or widescale implementation. These issues could relate to workforce planning; the role of the team leader; formation, maintenance, and development of teams; expertise and knowledge, including knowledge of local communities; active caseload management; continuity across a range of areas; alignment with primary care teams; co-location; and the need for support, particularly in the IT infrastructure.

References

Mar 1, 2002·British Journal of Nursing : BJN·J Bentley, C Tite
Nov 25, 2003·BMJ : British Medical Journal·Jeannie L HaggertyRachael McKendry
Nov 2, 2006·British Journal of Community Nursing·Melissa Baldwin
Dec 7, 2007·Implementation Science : IS·Christopher CarrollShashi Balain
Apr 18, 2008·Journal of Clinical Nursing·Anne-Marie BradyCecily Begley
May 31, 2012·American Journal of Community Psychology·Duncan C MeyersAbraham Wandersman
Apr 13, 2013·Nursing Management·Erin Dean
May 10, 2013·British Journal of Community Nursing·Anne McDonaldDame Sarah Cowley
Jul 4, 2015·British Journal of Community Nursing·Virginia Pye
Aug 8, 2015·British Journal of Community Nursing·Sinead Hanafin, Emma Dwan O'Reilly

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