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dc.contributor.authorMcCormack, B
dc.contributor.authorRycroft-Malone, J
dc.contributor.authorDeCorby, K
dc.contributor.authorHutchinson, AM
dc.contributor.authorBucknall, T
dc.contributor.authorKent, B
dc.contributor.authorSchultz, A
dc.contributor.authorSnelgrove-Clarke, E
dc.contributor.authorStetler, C
dc.contributor.authorTitler, M
dc.contributor.authorWallin, L
dc.contributor.authorWilson, V
dc.date.accessioned2016-12-16T18:22:10Z
dc.date.available2016-12-16T18:22:10Z
dc.date.issued2013-12
dc.identifier.issn1748-5908
dc.identifier.issn1748-5908
dc.identifier.other107
dc.identifier.urihttp://hdl.handle.net/10026.1/8133
dc.description.abstract

<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p> <jats:italic>Change agency</jats:italic> in its various forms is one intervention aimed at improving the effectiveness of the uptake of evidence. Facilitators, knowledge brokers and opinion leaders are examples of change agency strategies used to promote knowledge utilization. This review adopts a realist approach and addresses the following question: <jats:italic>What change agency characteristics work, for whom do they work, in what circumstances and why?</jats:italic> </jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>The literature reviewed spanned the period 1997-2007. Change agency was operationalized as roles that are aimed at effecting successful change in individuals and organizations. A theoretical framework, developed through stakeholder consultation formed the basis for a search for relevant literature. Team members, working in sub groups, independently themed the data and developed chains of inference to form a series of hypotheses regarding change agency and the role of change agency in knowledge use.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>24, 478 electronic references were initially returned from search strategies. Preliminary screening of the article titles reduced the list of potentially relevant papers to 196. A review of full document versions of potentially relevant papers resulted in a final list of 52 papers. The findings add to the knowledge of change agency as they raise issues pertaining to how change agents’ function, how individual change agent characteristics effect evidence-informed health care, the influence of interaction between the change agent and the setting and the overall effect of change agency on knowledge utilization. Particular issues are raised such as how accessibility of the change agent, their cultural compatibility and their attitude mediate overall effectiveness. Findings also indicate the importance of promoting reflection on practice and role modeling. The findings of this study are limited by the complexity and diversity of the change agency literature, poor indexing of literature and a lack of theory-driven approaches.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>This is the first realist review of change agency. Though effectiveness evidence is weak, change agent roles are evolving, as is the literature, which requires more detailed description of interventions, outcomes measures, the context, intensity, and levels at which interventions are implemented in order to understand how change agent interventions effect evidence-informed health care.</jats:p> </jats:sec>

dc.format.extent107-
dc.format.mediumElectronic
dc.languageen
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.subjectRealist synthesis
dc.subjectEvidence-informed health care
dc.subjectChange agency
dc.subjectFacilitators
dc.subjectOpinion leaders
dc.subjectKnowledge brokers' knowledge utilization
dc.titleA realist review of interventions and strategies to promote evidence-informed healthcare: a focus on change agency
dc.typejournal-article
dc.typeJournal Article
dc.typeReview
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000324819400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1
plymouth.volume8
plymouth.publication-statusPublished
plymouth.journalImplementation Science
dc.identifier.doi10.1186/1748-5908-8-107
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2013-08-29
dc.identifier.eissn1748-5908
dc.rights.embargoperiodNo embargo
rioxxterms.versionofrecord10.1186/1748-5908-8-107
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2013-09-08
rioxxterms.typeJournal Article/Review


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