TY  - JOUR
PY  - 2023//
TI  - Stakeholder development of an implementation strategy for fall prevention in Norwegian home care - a qualitative co-creation approach
JO  - BMC health services research
A1  - Linnerud, Siv
A1  - Kvael, Linda Aimee Hartford
A1  - Graverholt, Birgitte
A1  - Idland, Gro
A1  - Taraldsen, Kristin
A1  - Brovold, Therese
SP  - e1390
EP  - e1390
VL  - 23
IS  - 1
N2  - BACKGROUND: The uptake of fall prevention evidence has been slow and limited in home care services. Involving stakeholders in the implementation process is suggested as a method to successfully tailor implementation strategies. The aim of this study was to develop an implementation strategy for fall prevention, targeting healthcare providers working in home care services. <br><br>METHODS: This study used an explorative qualitative approach in a five-step co-creation process to involve researchers, service users, and healthcare providers. The first two steps consisted of workshops. This was followed by focus group interviews and individual interviews with key informants as steps three and four. Data from the first four steps were analyzed using reflexive thematic analysis. The fifth and final step was a workshop finalizing a strategy for implementing fall prevention evidence in home health services. <br><br>RESULTS: Overall, our findings, resulted in an implementation strategy for fall prevention with four components: (1) Empower leaders to facilitate implementation, operationalized through what managers pay attention to regularly, resource priorities, and time spent on fall prevention, (2) Establish implementation teams, consisting of multidisciplinary healthcare providers from different levels of the organization, with formalized responsibility for implementation, (3) Tailor dual competence improvement, reflecting the need for knowledge and skills for fall prevention and implementation among healthcare providers and users, and (4) Provide implementation support, representing guidance through the implementation process. <br><br>CONCLUSIONS: This study advances our understanding of implementation in home care services. Implementation of fall prevention requires an implementation strategy involving a blend of essential components targeting leaders, competent healthcare providers and users, and establishing structures enhancing the implementation process.<p />  <p>Language: en</p>
LA  - en
SN  - 1472-6963
UR  - http://dx.doi.org/10.1186/s12913-023-10394-x
ID  - ref1
ER  -