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Effective interventions or methodologies which overcome individual, structural and organisational barriers

To evaluate the current evidence for effective interventions or methodologies which overcome individual, structural and organisational barriers to change so as to facilitate effective multidisciplinary/multiagency care

Patricia Lyne, Davina Allen, Philip Satherley

This commissioned systematic review followed an evolutionary path, as it was addressing a body of literature (change management, organisational cultures and social interventions) where experimental design is often inappropriate and consequently traditional appraisal templates were unsuitable. Therefore, as well as producing a summary of high quality evidence from the literature, a substantive part of this review was the development of an appraisal system for academics and clinicians, which could be applied to evaluation studies regardless of study design. This is part of a wider programme of on-going research into understanding and improving the decision making processes used to deliver effective and appropriate care.

This project addresses issues of relevance to the Managing Interfaces element of the Work and Organisation theme.

Funding

Wales Office of Research and Development.

Publications

Lyne P, Allen D, Satherley P, Martinsen C. (2002). "Improving the evidence base for practice: a realistic method for appraising evaluations". Journal of Clinical Effectiveness in Nursing. 6: 81-88.

Lyne P, Satherley P, Allen D. (2000). " Systematic Review: Effectiveness of Interventions Designed to Reduce or Remove the Barriers to Change to Improve Interagency Working". Nursing, Health and Social Care Research Centre Discussion Paper 2000/1, Cardiff: University of Wales College of Medicine, ISBN: 1 903847 01X.