Conceptualising contexts, mechanisms and outcomes for implementing large-scale, multisite hospital improvement initiatives: a realist synthesis.

ABSTRACT:

Design

Realist synthesis.

Study background

Large-scale hospital improvement initiatives can standardise healthcare across multiple sites but results are contingent on the implementation strategies that complement them. The benefits of these implemented interventions are rarely able to be replicated in different contexts. Realist studies explore this phenomenon in depth by identifying underlying context-mechanism-outcome interactions.

Objectives

To review implementation strategies used in large-scale hospital initiatives and hypothesise initial programme theories for how they worked across different contexts.

Methods

An iterative, four-step process was applied. Step 1 explored the concepts inherent in large-scale interventions using database searches and snowbal

SUBMITTER: Long JC 

PROVIDER: S-EPMC9126051 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature