To better implement complex health technologies in complex settings such as nursing homes, it is important to make these health technologies flexible to existing situations and processes including: the specific context of the nursing homes; the needs and roles of nursing staff; and the timing and order of A set of planned, intentional activities that aim to put into practice evidence-informed policies and practices in real-world services (see www.implementation.eu) of different intervention components (e.g. training on specific subjects).
Nursing homes may have their own culture and own ways of working. Hence, complex health technologies should be able to fit in this context. The nursing staff may also have varying levels of knowledge and skills and complex health technologies should be flexible for Aligning processes. In this case; being flexible, to a certain extent, with the developed intervention-components to make them compatible with the existing processes in the nursing home. so that it can be used based on the capabilities of all nursing staff. The timing and order of implementing components of the complex health technologies may not be applicable in all situations, so interventions should be flexible for nursing staff to decide when to implement certain A complex health technology is a procedure or system developed through the application of organised knowledge and skills and aims to solve a health problem and to improve quality of lives. Examples of complex health technologies include the PACE intervention (INDUCT Project 11) and the ACP+ intervention (INDUCT Project 12) components.
ThemesComplex health care technology Tailored interventions
Target groupsManagement of care organizations Policymakers Researchers
Type of evidence
Process evaluation of cluster RCT
Feasibility study; preliminary results of process evaluation of cluster RCT
Oosterveld-Vlug M, Onwuteaka-Philipsen BD, Ten Koppel M, Van Hout H, Smets T, Pivodic L, et al. Evaluating the implementation of the PACE Steps to Success Programme in long-term care facilities in seven countries according to the REAIM framework. Implement Sci. 2019;14:107.