Using Implementation Science to Drive Health Care Change

A persistent challenge in bringing about improvement and implementing new and different ways of working in healthcare is that differences in context across different settings make it difficult to generalise what approach to take.

The ASPIC (Analysing implementation in acute stroke and patient-initiated clinics) study was launched to try to understand the differences in context of spread in the Acute Ischaemic Stroke and the Patient Initiated Clinics projects within local hospitals, and to identify cross-cutting lessons for future work.

Working with the Implementation Science Team at the Collaboration for Leadership in Applied Health Research and Care South West Peninsula (PenCLAHRC), we aimed to find answers to the following questions:

  • What can be learned about the implementation processes in different contexts?
  • What constrains and facilitates this implementation?
  • How is the implementation tailored and adapted?
  • What are the critical factors enabling and disabling implementation and improvement?

As well as providing answers to the above questions, the study has been used to develop a checklist. The checklist questions were designed to encourage teams, organisations and departments to identify existing strategies and resources to develop, nurture and sustain readiness for change.

The ASPIC Summary Report and Checklist can be found here.