How do oilcloth sessions work? A realist evaluation approach to exploring ripple effects in an implementation strategy
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How do oilcloth sessions work? A realist evaluation approach to exploring ripple effects in an implementation strategy. / Kirk, Jeanette Wassar; Stefansdottir, Nina Thorny; Andersen, Ove; Lindstroem, Mette Bendtz; Powell, Byron; Nilsen, Per; Tjørnhøj-Thomsen, Tine; Broholm-Jørgensen, Marie.
I: Journal of Health Organization and Management, Bind 38, Nr. 9, 2024, s. 195-215.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - How do oilcloth sessions work? A realist evaluation approach to exploring ripple effects in an implementation strategy
AU - Kirk, Jeanette Wassar
AU - Stefansdottir, Nina Thorny
AU - Andersen, Ove
AU - Lindstroem, Mette Bendtz
AU - Powell, Byron
AU - Nilsen, Per
AU - Tjørnhøj-Thomsen, Tine
AU - Broholm-Jørgensen, Marie
N1 - Publisher Copyright: © 2024, Jeanette Wassar Kirk, Nina Thorny Stefansdottir, Ove Andersen, Mette Bendtz Lindstroem, Byron Powell, Per Nilsen, Tine Tjørnhøj-Thomsen and Marie Broholm-Jørgensen.
PY - 2024
Y1 - 2024
N2 - Purpose: To explore the mechanisms of the implementation strategy, “oilcloth sessions” and understand and explain the ripple effects of oilcloth sessions as a strategy to implement a new emergency department. Design/methodology/approach: A qualitative design was used whereby data were collected using field notes from an ethnographic study of the oilcloth sessions and follow-up semi-structured interviews with staff, managers and key employees who participated in the oilcloth sessions. The data analysis was inspired by the realist evaluation approach of generative causality proposed by Pawson and Tilley. Findings: The primary ripple effect was that the oilcloth sessions were used for different purposes than the proposed program theory, including being used as: (1) a stage, (2) a battlefield, (3) a space for imagination and (4) a strategic management tool influencing the implementation outcomes. The results bring essential knowledge that may help to explain why and how a well-defined implementation strategy has unplanned outcomes. Originality/value: Unintended outcomes of implementation strategies are an underexplored issue. This study may help implementation researchers rethink the activities required to reduce unintended negative outcomes or explore potential unplanned outcomes and, in this way, hinder or enhance outcomes, effectiveness and sustainability. Future studies within implementation research should incorporate attention to unintended outcomes to fully understand the impact of implementation strategies.
AB - Purpose: To explore the mechanisms of the implementation strategy, “oilcloth sessions” and understand and explain the ripple effects of oilcloth sessions as a strategy to implement a new emergency department. Design/methodology/approach: A qualitative design was used whereby data were collected using field notes from an ethnographic study of the oilcloth sessions and follow-up semi-structured interviews with staff, managers and key employees who participated in the oilcloth sessions. The data analysis was inspired by the realist evaluation approach of generative causality proposed by Pawson and Tilley. Findings: The primary ripple effect was that the oilcloth sessions were used for different purposes than the proposed program theory, including being used as: (1) a stage, (2) a battlefield, (3) a space for imagination and (4) a strategic management tool influencing the implementation outcomes. The results bring essential knowledge that may help to explain why and how a well-defined implementation strategy has unplanned outcomes. Originality/value: Unintended outcomes of implementation strategies are an underexplored issue. This study may help implementation researchers rethink the activities required to reduce unintended negative outcomes or explore potential unplanned outcomes and, in this way, hinder or enhance outcomes, effectiveness and sustainability. Future studies within implementation research should incorporate attention to unintended outcomes to fully understand the impact of implementation strategies.
KW - Ethnography
KW - Implementation strategies
KW - Qualitative research
KW - Realist evaluation
KW - Ripple effects
KW - Semi-structured interviews
U2 - 10.1108/JHOM-01-2023-0022
DO - 10.1108/JHOM-01-2023-0022
M3 - Journal article
C2 - 38825598
AN - SCOPUS:85194999041
VL - 38
SP - 195
EP - 215
JO - Journal of Health, Organization and Management
JF - Journal of Health, Organization and Management
SN - 1477-7266
IS - 9
ER -
ID: 394480674