Abstract
PurposeThe purpose is to share strategies, rationales and lessons learnt from user involvement in a quality and safety improvement research project from the practice field in nursing homes and homecare services.Design/methodology/approachThis is a viewpoint paper summarizing how researchers and co-researchers from the practice field of nursing homes and homecare services (nurse counsellors from different municipalities, patient ombudsman and next-of-kin representatives/and elderly care organization representant) experienced user involvement through all phases of the research project. The project included implementation of a leadership intervention.FindingsMultiple strategies of user involvement were applied during the project including partnership in the consortium, employment of user representatives (co-researchers) and user-led research activities. The rationale was to ensure sound context adaptation of the intervention and development of tailor-made activities and tools based on equality and mutual trust in the collaboration. Both university-based researchers and Co-researchers experienced it as useful and necessary to involve or being involved in all phases of the research project, including the designing, planning, intervention implementation, evaluation and dissemination of results.Originality/valueUser involvement in research is a growing field. There is limited focus on this aspect in quality and safety interventions in nursing homes and homecare settings and in projects focussing on the leadership' role in improving quality and safety.
Highlights
Research exploring quality and safety healthcare interventions often appears straight forward, well planned and executed, and managing all eventualities (Aase et al, 2021)
User involvement strategies and experiences we describe our diverse strategies and lessons learnt from user involvement in research in the SAFE-LEAD leadership intervention study
Involvement in further context adaptation of leadership guide Involvement in context adaptation of intervention design and programme Involvement in development of a context mapping tool for primary care Involvement of local site managers in pilottesting Involvement in design and development of learning material Intervention teams established with a combination of competence from universitybased researchers and co-researchers Co-researcher involvement in data collection and analysis Involvement in context mapping Co-researcher led evaluation of the context mapping tool
Summary
Research exploring quality and safety healthcare interventions often appears straight forward, well planned and executed, and managing all eventualities (Aase et al, 2021). A review of the literature about embedded research in quality improvement pinpoints how different strategies have been applied to foster knowledge coproduction These strategies focus on partnerships between academic researchers and healthcare organizations and stakeholders. These types of strategies imply that the partnerships serve as boundary spanning roles and knowledge brokers when establishing links between academic and practice-based organizations. Such embedded research has the potential to strengthen understanding of organizational culture, focus research appropriately, secure engagement from staff in the organizations and to contribute to translate research into practice (Vindrola-Padros et al, 2017). Previous research has demonstrated that involving users as co-researchers in implementation programmes seems to have a positive effect on individual-level motivation and meaning making (Vaughn et al, 2018) as well as on organizational outcomes (Collins and Holton, 2004), especially if the programmes are integrated into the organizational culture (Amagoh, 2009)
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