Balancing reality in embedded research and evaluation: Low vs high embeddedness
dc.contributor.author | Jackson, George L. | |
dc.contributor.author | Damschroder, Laura J. | |
dc.contributor.author | White, Brandolyn S. | |
dc.contributor.author | Henderson, Blake | |
dc.contributor.author | Vega, Ryan J. | |
dc.contributor.author | Kilbourne, Amy M. | |
dc.contributor.author | Cutrona, Sarah L. | |
dc.date.accessioned | 2022-05-06T17:29:50Z | |
dc.date.available | 2023-05-06 13:29:49 | en |
dc.date.available | 2022-05-06T17:29:50Z | |
dc.date.issued | 2022-04 | |
dc.identifier.citation | Jackson, George L.; Damschroder, Laura J.; White, Brandolyn S.; Henderson, Blake; Vega, Ryan J.; Kilbourne, Amy M.; Cutrona, Sarah L. (2022). "Balancing reality in embedded research and evaluation: Low vs high embeddedness." Learning Health Systems 6(2): n/a-n/a. | |
dc.identifier.issn | 2379-6146 | |
dc.identifier.issn | 2379-6146 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/172341 | |
dc.description.abstract | Embedding research and evaluation into organizations is one way to generate “practice-based” evidence needed to accelerate implementation of evidence-based innovations within learning health systems. Organizations and researchers/evaluators vary greatly in how they structure and operationalize these collaborations. One key aspect is the degree of embeddedness: from low embeddedness where researchers/evaluators are located outside organizations (eg, outside evaluation consultants) to high embeddedness where researchers/evaluators are employed by organizations and thus more deeply involved in program evolution and operations. Pros and cons related to the degree of embeddedness (low vs high) must be balanced when developing these relationships. We reflect on this process within the context of an embedded, mixed-methods evaluation of the Veterans Health Administration (VHA) Diffusion of Excellence (DoE) program. Considerations that must be balanced include: (a) low vs high alignment of goals; (b) low vs high involvement in strategic planning; (c) observing what is happening vs being integrally involved with programmatic activities; (d) reporting findings at the project’s end vs providing iterative findings and recommendations that contribute to program evolution; and (e) adhering to predetermined aims vs adapting aims in response to evolving partner needs. | |
dc.publisher | The Free Press | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | embedded research | |
dc.subject.other | implementation science | |
dc.subject.other | Quality Enhancement Research Initiative (QUERI) | |
dc.subject.other | veterans | |
dc.subject.other | diffusion | |
dc.title | Balancing reality in embedded research and evaluation: Low vs high embeddedness | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Biomedical Health Sciences | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/172341/1/lrh210294.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/172341/2/lrh210294_am.pdf | |
dc.identifier.doi | 10.1002/lrh2.10294 | |
dc.identifier.source | Learning Health Systems | |
dc.identifier.citedreference | Munro S, Haile-Mariam A, Greenwell C, Demirci S, Farooqi O, Vasudeva S. Implementation and dissemination of a Department of Veterans Affairs Oral Care Initiative to prevent hospital-acquired pneumonia among nonventilated patients. Nurs Adm Q. 2018; 42 ( 4 ): 363 - 372. | |
dc.identifier.citedreference | Everett CM, Jackson GL, Morgan P. Why the science of healthcare delivery matters to practicing PAs. JAAPA. 2020; 33 ( 3 ): 51 - 53. | |
dc.identifier.citedreference | Jackson GL, Cutrona SL, Kilbourne A, White BS, Everett C, Damschroder LJ. Implementation science: helping healthcare systems improve. JAAPA. 2020; 33 ( 1 ): 51 - 53. | |
dc.identifier.citedreference | Atkins D, Kullgren JT, Simpson L. Enhancing the role of research in a learning health care system. Healthcare. 2021; 8 ( Suppl 1 ): 100556. | |
dc.identifier.citedreference | Vashi AA, Orvek EA, Tuepker A, et al. The veterans health administration (VHA) innovators network: evaluation design, methods and lessons learned through an embedded research approach. Healthcare. 2021; 8 ( Suppl 1 ): 100477. | |
dc.identifier.citedreference | Dacin MT, Ventresca MJ, Beal BD. The embeddedness of organizations: dialogue & directions. J Manag. 1999; 25 ( 3 ): 317 - 356. | |
dc.identifier.citedreference | McGinity R, Salokangas M. Introduction: ‘embedded research’ as an approach into academia for emerging researchers. Manag Educ. 2014; 28 ( 1 ): 3 - 5. | |
dc.identifier.citedreference | Kilbourne AM, Elwy AR, Sales AE, Atkins D. Accelerating research impact in a learning health care system: VA’s Quality Enhancement Research Initiative in the choice act era. Med Care. 2017; 55: S4 - S12. | |
dc.identifier.citedreference | Jackson GL, Powell AA, Ordin DL, et al. Developing and sustaining quality improvement partnerships in the VA: the colorectal cancer care collaborative. J Gen Intern Med. 2010; 25 ( Suppl 1 ): 38 - 43. | |
dc.identifier.citedreference | Elnahal SM, Clancy CM, Shulkin DJ. A framework for disseminating clinical Best practices in the VA health system. JAMA. 2017; 317 ( 3 ): 255 - 256. | |
dc.identifier.citedreference | Vega R, Jackson GL, Henderson B, et al. Diffusion of excellence: accelerating the spread of clinical innovation and best practices across the nation’s largest health system. Perm J. 2019; 23. https://doi.org/10.7812/TPP/18.309 | |
dc.identifier.citedreference | Nevedal AL, Reardon CM, Jackson GL, et al. Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study. Implement Sci Commun. 2020; 1: 61. | |
dc.identifier.citedreference | Jackson GL, Cutrona SL, White BS, et al. Merging implementation practice and science to scale up promising practices: the veterans health administration (VHA) diffusion of excellence (DoE) program. Jt Comm J Qual Patient Saf. 2021; 47 ( 4 ): 217 - 227. | |
dc.identifier.citedreference | Vega RJ, Kizer KW. VHA’s innovation ecosystem: operationalizing innovation in health care. NEJM Catalyst. 2020; 1 ( 6 ). https://doi.org/10.1056/CAT.20.0263 | |
dc.identifier.citedreference | Nevedal AL, Reardon CM, Opra Widerquist MA, et al. Rapid versus traditional qualitative analysis using the consolidated framework for implementation research (CFIR). Implement Sci. 2021; 16 ( 1 ): 67. | |
dc.identifier.citedreference | Munro S, Baker D. Reducing missed oral care opportunities to prevent non-ventilator associated hospital acquired pneumonia at the Department of Veterans Affairs. Appl Nurs Res. 2018; 44: 48 - 53. | |
dc.identifier.citedreference | Rogers EM. Diffusion of Innovations. 4th ed. New York, NY: The Free Press; 1995. | |
dc.identifier.citedreference | Hastings SN, Sloane R, Morey MC, Pavon JM, Hoenig H. Assisted early mobility for hospitalized older veterans: preliminary data from the STRIDE program. J Am Geriatr Soc. 2014; 62 ( 11 ): 2180 - 2184. | |
dc.identifier.citedreference | Wang V, Allen K, Van Houtven CH, et al. Supporting teams to optimize function and independence in veterans: a multi-study program and mixed methods protocol. Implement Sci. 2018; 13 ( 1 ): 58. | |
dc.identifier.citedreference | Sperber NR, Bruening RA, Choate A, et al. Implementing a mandated program across a regional health care system: a rapid qualitative assessment to evaluate early implementation strategies. Qual Manag Health Care. 2019; 28 ( 3 ): 147 - 154. | |
dc.identifier.citedreference | Battar S, Watson Dickerson KR, Sedgwick C, Cmelik T. Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by Deprescribing potentially inappropriate medications and reducing polypharmacy. Fed Pract. 2019; 36 ( 12 ): 564 - 568. | |
dc.identifier.citedreference | Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999; 89 ( 9 ): 1322 - 1327. | |
dc.identifier.citedreference | Glasgow RE, Harden SM, Gaglio B, et al. RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review. Front Public Health. 2019; 7: 64. | |
dc.identifier.citedreference | Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009; 4: 50. | |
dc.identifier.citedreference | Damschroder LJ, Knighton AJ, Griese E, et al. Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: findings from a state-of-the-art (SOTA) conference workgroup. Healthcare. 2021; 8 ( Suppl 1 ): 100455. | |
dc.identifier.citedreference | Kaluzny AD, Zuckerman HS. Strategic alliances: two perspectives for understanding their effects on health services. Hosp Health Serv Adm. 1992; 37 ( 4 ): 477 - 490. | |
dc.identifier.citedreference | Zuckerman HS, Kaluzny AD. Strategic alliances in health care: the challenges of cooperation. Front Health Serv Manag. 1991; 7 ( 3 ): 3 - 23, 35. | |
dc.identifier.citedreference | Zuckerman HS, Kaluzny AD, Ricketts TC 3rd. Alliances in health care: what we know, what we think we know, and what we should know. Health Care Manag Rev. 1995; 20 ( 1 ): 54 - 64. | |
dc.identifier.citedreference | Weiner BJ. A theory of organizational readiness for change. Implement Sci. 2009; 4: 67. | |
dc.identifier.citedreference | Vindrola-Padros C, Pape T, Utley M, Fulop NJ. The role of embedded research in quality improvement: a narrative review. BMJ Qual Saf. 2017; 26 ( 1 ): 70 - 80. | |
dc.identifier.citedreference | Churruca K, Ludlow K, Taylor N, Long JC, Best S, Braithwaite J. The time has come: embedded implementation research for health care improvement. J Eval Clin Pract. 2019; 25 ( 3 ): 373 - 380. | |
dc.identifier.citedreference | Atkins D, Kilbourne AM, Shulkin D. Moving from discovery to system-wide change: the role of research in a learning health care system: experience from three decades of health systems research in the veterans health administration. Annu Rev Public Health. 2017; 38: 467 - 487. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.