Abstract
The process of implementation and continuous utilisation of clinical guidelines has gained prominence in the delivery of healthcare. Several organisational factors such as management support, organisational readiness for change, local policies and practices have been shown to influence their implementation and use. However, the role of stakeholders’ and in particular service users’ acceptance and involvement in implementation efforts has received relatively little attention in the organisational literature. Using a comparative case study methodology, this chapter explores factors that influenced the implementation effectiveness of a clinical practice guideline for antenatal care in four healthcare organisations in Nigeria. A cross-case analysis revealed distinctive and variable implementation policies and practices such as community involvement and engagement, as well as local adaptation and modification to the guideline. Importantly, the findings indicate that service users were not passive in the implementation process, but rather are active change agents who influence and help to co-shape implementation effectiveness.
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Adeosun, C., McKee, L., Homans, H. (2018). Stakeholders’ Involvement and Service Users’ Acceptance in the Implementation of a New Practice Guideline. In: McDermott, A., Kitchener, M., Exworthy, M. (eds) Managing Improvement in Healthcare. Organizational Behaviour in Health Care. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-62235-4_16
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