View Item 
        •   Utrecht University Student Theses Repository Home
        • UU Theses Repository
        • Theses
        • View Item
        •   Utrecht University Student Theses Repository Home
        • UU Theses Repository
        • Theses
        • View Item
        JavaScript is disabled for your browser. Some features of this site may not work without it.

        Browse

        All of UU Student Theses RepositoryBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

        Implementation of a Clinical Pathway: a Prospective Case Study

        Thumbnail
        View/Open
        Implementation of a Clinical Pathway.pdf (180.7Kb)
        Nederlandse samenvatting.docx (12.17Kb)
        Trefwoorden.docx (9.986Kb)
        Publication date
        2011
        Author
        Bor, M. van den
        Metadata
        Show full item record
        Summary
        Title Implementation of a clinical pathway: a prospective case study Background Clinical pathways are increasingly being used to improve the effectiveness and efficiency of patient care. Numerous studies have been conducted on the effectiveness of clinical pathways in the last two decades. However there is limited evidence of innovation effectiveness. The Innovation Contingency model (IC-model) proposes that implementation effectiveness is necessary for innovation effectiveness. Aim and research questions The knowledge and insights acquired can be used to provide evidence-based implementation decisions in the future. This study also contributes to the further development of the IC-model. This study contains two main questions: ‘Is there, from the perspective of the theoretical framework of the IC-model, a relation between the fit of the innovation ‘clinical pathway’ and the context ‘organization’ and implementation effectiveness?’ and ‘How does the multidisciplinary team experience the implementation process?’ Method The research presented in this paper is a prospective case study with a mixed method design. Results Baseline measurement: The configuration of the innovation is mainly perceived as rule focused and to some extent team and result focused. The configuration of the organization is perceived by nurses as mainly team and to some extent development focused. Physicians can be described as mainly team and to some extent rule focused. Follow up measurement: Higher configuration scores of both innovation and organization, goes together with higher implementation effectiveness. In the implementation process the multidisciplinary team experienced barriers and facilitators of implementation. An important barrier was the resistance within the team of physicians. An important facilitator was the introduction of the clinical pathway owner and coordinator. Conclusions This study showed that higher configuration scores of the innovation and organization goes together with higher implementation effectiveness. The multidisciplinary team experienced barriers and facilitators during the implementation process. Recommendations Determination of characteristics of the context in relation to the innovation in the beginning of the implementation process will help to search for specific implementation interventions. Tailored interventions favour implementation effectiveness.
        URI
        https://studenttheses.uu.nl/handle/20.500.12932/7898
        Collections
        • Theses
        Utrecht university logo