Abstract
Purpose
Drawing on the experiences of healthcare professionals in one paediatric hospital, this paper explores the influence of context and organisational behaviour on the implementation of a person-centred transition programme for adolescents and young adults (AYA) with long-term conditions.
Design/methodology/approach
A single embedded qualitative case study design informed by a realist evaluation framework, was used. Participants who had experience of implementing the transition programme were recruited from across seven individual services within the healthcare organisation. The data were gathered through semi-structured interviews (n = 20) and analysed using thematic analysis.
Findings
Implementation of the transition programme was influenced by the complex interaction of macro, meso and micro processes and contexts. Features of organisational behaviour including routines and habits, culture, organisational readiness for change and professional relationships shaped professional decision-making around programme implementation.
Originality/value
There exists a significant body of research relating to the role of context and its influence on the successful implementation of complex healthcare interventions. However, within the area of healthcare transition there is little published evidence on the role that organisational behaviour and contextual factors play in influencing transition programme implementation. This paper provides an in-depth understanding of how organisational behaviour and contextual factors affect transition programme implementation.
Drawing on the experiences of healthcare professionals in one paediatric hospital, this paper explores the influence of context and organisational behaviour on the implementation of a person-centred transition programme for adolescents and young adults (AYA) with long-term conditions.
Design/methodology/approach
A single embedded qualitative case study design informed by a realist evaluation framework, was used. Participants who had experience of implementing the transition programme were recruited from across seven individual services within the healthcare organisation. The data were gathered through semi-structured interviews (n = 20) and analysed using thematic analysis.
Findings
Implementation of the transition programme was influenced by the complex interaction of macro, meso and micro processes and contexts. Features of organisational behaviour including routines and habits, culture, organisational readiness for change and professional relationships shaped professional decision-making around programme implementation.
Originality/value
There exists a significant body of research relating to the role of context and its influence on the successful implementation of complex healthcare interventions. However, within the area of healthcare transition there is little published evidence on the role that organisational behaviour and contextual factors play in influencing transition programme implementation. This paper provides an in-depth understanding of how organisational behaviour and contextual factors affect transition programme implementation.
| Original language | English |
|---|---|
| Pages (from-to) | 112-128 |
| Number of pages | 17 |
| Journal | Journal of Health Organization and Management |
| Volume | 38 |
| Issue number | 1 |
| Early online date | 7 Dec 2023 |
| DOIs | |
| Publication status | Published - 24 Jan 2024 |
Keywords
- programme implementation
- realist evaluation
- transition of care
- organisational behaviour
- context
- Context
- Long-term conditions
- Transitional Care
- Healthcare organisation
- Humans
- Patient-Centered Care
- Transition to Adult Care
- Programme implementation
- Group Dynamics
- Young Adult
- Health Personnel
- Adolescent
- Organisational behaviour
- Realist evaluation
- Transition of care
- Child