Make complex health technologies flexible for tailoring to local contexts
Guidance
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 implementation of different intervention components (e.g. training on specific subjects).
Explanation
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 tailoring 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 complex health technology components.
Themes
Complex health care technology Tailored interventions
Target groups
Management of care organizations Policymakers ResearchersType of evidence
Process evaluation of cluster RCT
Annelien van Dael (INDUCT ESR 12)
Feasibility study; preliminary results of process evaluation of cluster RCT
References
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.