Exploring the implementation of integrated models of care
Research type
Research Study
Full title
Exploring the implementation of integrated models of care from a nursing perspective: A comparative case study design
IRAS ID
348094
Contact name
Gemma E Prebble
Contact email
Sponsor organisation
Bangor university
Duration of Study in the UK
0 years, 10 months, 5 days
Research summary
The study focuses on understanding the nuances and complexity of the role of community nursing in delivering collaborative integrated care. Collaborative co-production of health and care within communities appears to be central to development of integrated care services. Despite the growth of interest in implementation of integrated care the complexity of the challenge has made delivering integrated care initiatives problematic, particularly within primary and community care settings due to the need to adapt models to suit the needs of the communities they serve.
The complexity of integrated care may necessitate adoption or adaption of different models, as no one approach will suit all contexts, leading to the development of a variety of models of integrated care, as indicated by the complexity of problems being addressed. Neighbourhood Nursing and place-based models have been implemented in England and Wales to support integrated care within community services, with nurses leading innovative collaborative working. The underlying interest is to understand the experiences of nurses in delivering integrated care, as collaborative working is dependent on each professional and group having a clear understanding of their own role, both at a service provision and strategic level.
The study design will draw on multiple perspectives from different integrated care initiatives, exploring multi-layered aspects to develop a rich picture of nursing within this context. Adoption of Soft Systems Methodology within a comparative case study design will facilitate inquiry, a four-stage data collection strategy will enable development of purposeful activity models drawing on multiple perspectives to explore the relationships and mechanisms supporting implementation of place-based and neighbourhood models of care and to develop an understanding of role of the nurse within collaborative models of care. Phase five will allow comparison and develop understanding of how contextual factors influence the implementation process in different organisations and clinical settings.REC name
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REC reference
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