PDF(Pubmed)
Abstract：
UNASSIGNED: Implementing new innovations across the health and social care system is complex, involving many factors that in recent years have been compounded by Covid-19. While a plethora of implementation tools and frameworks are available, there are limitations in terms of their design and accessibility. Co-production is a valuable mechanism for developing tools that have utility and accessibility for those tasked with using them in health and social care organisations and there is growing acknowledgement of increasing the role of co-production in implementation science. This paper provides novel insight into co-production practices and relevance to implementation science by reporting findings from a study to co-produce a web-based implementation toolkit (WIT) that is accessible, usable and designed to support adaptive implementation across health and social care systems. Key themes relating to the process of co-production are outlined and the value of using co-production in implementation processes are discussed.
UNASSIGNED: A web-based survey (n = 36) was conducted with a range of stakeholders across health and social care. Findings identified a need for WIT. Survey respondents were invited to express interest in becoming part of a co-production group and to take part in three online interactive workshops to co-produce WIT. Workshops took place with the group (n = 12) and focused on key developmental stages of WIT.
UNASSIGNED: Online co-production workshops were integral to the development and refinement of WIT. Benefits of using this process identified three interrelated themes: (i) Co-designing key features of the toolkit, (ii) Co-producing a toolkit with utility for users across health and social care settings, (iii) Co-producing a toolkit to support the implementation journey. Our approach of undertaking co-production as a dialogic process enabled generation of these themes. To illuminate discussion of these themes we draw upon iterative co-development of the \"active ingredients\" of key components (e.g., interactive Implementation Wheel) and functions (e.g., interactive \"pop-up\" definitions of keyword) and features (e.g., case studies) of WIT.
UNASSIGNED: Using a co-production approach with a range of end-users across health and social care systems, highlights the benefits of understanding implementation processes for users in these settings. User-centred design and processes for ensuring accessibility readily support the translation of implementation into rapidly changing health and social care systems to benefit outcomes for patients, their families, carers, service users and practitioners.
UNASSIGNED: A web-based survey (n = 36) was conducted with a range of stakeholders across health and social care. Findings identified a need for WIT. Survey respondents were invited to express interest in becoming part of a co-production group and to take part in three online interactive workshops to co-produce WIT. Workshops took place with the group (n = 12) and focused on key developmental stages of WIT.
UNASSIGNED: Online co-production workshops were integral to the development and refinement of WIT. Benefits of using this process identified three interrelated themes: (i) Co-designing key features of the toolkit, (ii) Co-producing a toolkit with utility for users across health and social care settings, (iii) Co-producing a toolkit to support the implementation journey. Our approach of undertaking co-production as a dialogic process enabled generation of these themes. To illuminate discussion of these themes we draw upon iterative co-development of the \"active ingredients\" of key components (e.g., interactive Implementation Wheel) and functions (e.g., interactive \"pop-up\" definitions of keyword) and features (e.g., case studies) of WIT.
UNASSIGNED: Using a co-production approach with a range of end-users across health and social care systems, highlights the benefits of understanding implementation processes for users in these settings. User-centred design and processes for ensuring accessibility readily support the translation of implementation into rapidly changing health and social care systems to benefit outcomes for patients, their families, carers, service users and practitioners.
摘要：
■在整个卫生和社会护理系统中实施新的创新是复杂的，涉及许多因素，近年来新冠肺炎加剧了这些因素。虽然有大量的实施工具和框架可用，在它们的设计和可访问性方面存在限制。联合生产是一种有价值的机制，可以为那些在健康和社会护理组织中使用它们的人开发具有实用性和可及性的工具，并且人们越来越认识到联合生产在实施科学中的作用越来越大。本文通过报告一项研究的结果，以共同制作可访问的基于Web的实施工具包（WIT），为联合生产实践和与实施科学的相关性提供了新颖的见解。可用于支持跨健康和社会护理系统的适应性实施。概述了与联合制作过程有关的关键主题，并讨论了在实施过程中使用联合制作的价值。
■一项基于网络的调查（n=36）是对健康和社会护理的一系列利益相关者进行的。调查结果确定需要WIT。调查受访者被邀请表示有兴趣加入联合制作小组，并参加三个在线互动研讨会，共同制作WIT。与该小组（n=12）一起举办了研讨会，重点是WIT的关键发展阶段。
■在线联合制作研讨会是WIT开发和完善不可或缺的一部分。使用此过程的好处确定了三个相互关联的主题：（i）共同设计工具包的关键功能，（ii）为健康和社会护理环境中的用户共同制作具有实用性的工具包，（三）共同制作工具包，支持实施之旅。我们将联合制作作为对话过程的方法使这些主题得以产生。为了阐明对这些主题的讨论，我们利用关键成分的“活性成分”的迭代共同开发(例如，交互式实施轮)和功能(例如，关键字的交互式“弹出”定义)和功能(例如，案例研究)。
■使用联合生产方法，与卫生和社会护理系统中的一系列最终用户合作，突出了在这些设置中了解用户的实施过程的好处。以用户为中心的设计和确保可访问性的流程可轻松支持将实施转化为快速变化的健康和社会护理系统，以使患者受益。他们的家人,看护者,服务用户和从业者。
■一项基于网络的调查（n=36）是对健康和社会护理的一系列利益相关者进行的。调查结果确定需要WIT。调查受访者被邀请表示有兴趣加入联合制作小组，并参加三个在线互动研讨会，共同制作WIT。与该小组（n=12）一起举办了研讨会，重点是WIT的关键发展阶段。
■在线联合制作研讨会是WIT开发和完善不可或缺的一部分。使用此过程的好处确定了三个相互关联的主题：（i）共同设计工具包的关键功能，（ii）为健康和社会护理环境中的用户共同制作具有实用性的工具包，（三）共同制作工具包，支持实施之旅。我们将联合制作作为对话过程的方法使这些主题得以产生。为了阐明对这些主题的讨论，我们利用关键成分的“活性成分”的迭代共同开发(例如，交互式实施轮)和功能(例如，关键字的交互式“弹出”定义)和功能(例如，案例研究)。
■使用联合生产方法，与卫生和社会护理系统中的一系列最终用户合作，突出了在这些设置中了解用户的实施过程的好处。以用户为中心的设计和确保可访问性的流程可轻松支持将实施转化为快速变化的健康和社会护理系统，以使患者受益。他们的家人,看护者,服务用户和从业者。
