Imperial College London
Alternate

Emeritus ProfessorDerekBell

Faculty of Medicine, School of Public Health

Emeritus Professor in Acute Medicine
 
 
 
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Contact

 

+44 (0)7886 725 212d.bell

 
 
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Assistant

 

Miss Heather Barnes +44 (0)20 3315 8144

 
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Location

 

Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Lennox:2017:10.1136/bmjopen-2016-014417,
author = {Lennox, L and Doyle, C and Reed, J and Bell, D},
doi = {10.1136/bmjopen-2016-014417},
journal = {BMJ Open},
title = {What makes a sustainability tool valuable, practical, and useful in real world healthcare practice? A mixed methods study on the development of the Long Term Success Tool in Northwest London},
url = {http://dx.doi.org/10.1136/bmjopen-2016-014417},
volume = {7},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives Although improvement initiatives show benefits to patient care, they often fail to sustain. Models and frameworks exist to address this challenge, but issues with design, clarity and usability have been barriers to use in healthcare settings. This work aimed to collaborate with stakeholders to develop a sustainability tool relevant to people in healthcare settings and practical for use in improvement initiatives.Design Tool development was conducted in six stages. A scoping literature review, group discussions and a stakeholder engagement event explored literature findings and their resonance with stakeholders in healthcare settings. Interviews, small-scale trialling and piloting explored the design and tested the practicality of the tool in improvement initiatives.Setting National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Northwest London (CLAHRC NWL).Participants CLAHRC NWL improvement initiative teams and staff.Results The iterative design process and engagement of stakeholders informed the articulation of the sustainability factors identified from the literature and guided tool design for practical application. Key iterations of factors and tool design are discussed. From the development process, the Long Term Success Tool (LTST) has been designed. The Tool supports those implementing improvements to reflect on 12 sustainability factors to identify risks to increase chances of achieving sustainability over time. The Tool is designed to provide a platform for improvement teams to share their own views on sustainability as well as learn about the different views held within their team to prompt discussion and actions.Conclusion The development of the LTST has reinforced the importance of working with stakeholders to design strategies which respond to their needs and preferences and can practically be implemented in real-world settings. Further research is required to study the use and effectivenes
AU  - Lennox,L
AU  - Doyle,C
AU  - Reed,J
AU  - Bell,D
DO  - 10.1136/bmjopen-2016-014417
PY  - 2017///
SN  - 2044-6055
TI  - What makes a sustainability tool valuable, practical, and useful in real world healthcare practice? A mixed methods study on the development of the Long Term Success Tool in Northwest London
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2016-014417
UR  - http://hdl.handle.net/10044/1/50245
VL  - 7
ER  -
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