Many of the more recent studies explicitly examining stakeholder engagement also set out a range of activities in which stakeholders may be involved. Jolibert and Wesselink [2] found a few examples of impact, but suggested ways to increase impact through what they describe as sustained interactions. Proposals for Engaging Patients and Healthcare Professionals in Risk Minimisation from an Analysis of Stakeholder Input to the EU Valproate Assessment Using the Novel Analysing Stakeholder Safety Engagement Tool (ASSET) Download PDF. In particular, the lack of policy priority given to smoking cessation (the focus of the return on investment (ROI) tool) made engagement of policy stakeholders in the Netherlands very difficult to achieve. Discussing the team’s approach to engaging stakeholders, as well as engagement opportunities and activities, is a good way to get everyone on the same page regarding rationale and messaging. The literature is diverse, with a rapidly expanding but still relatively small number of papers specifically referring to ‘stakeholder engagement’, and a larger number of publications discussing issues that at least partly overlap with stakeholder engagement. Article National health policies, strategies, and plans are more likely to get implemented effectively if their development and negotiation is inclusive of all stakeholders in and beyond the health sector. Health policy-makers’ perceptions of their use of evidence: a systematic review. Most of us can manage some stakeholders very well, some of the time, but the art and science is effectively engaging with all of them, even the difficult ones. The EQUIPT study set out to work with stakeholders to develop a tool to help government officials, policy-makers and healthcare providers across Europe examine the cost effectiveness and impact of anti-smoking initiatives. Integrated KT has been developed as an approach to collaborative research in which researchers work with stakeholders who identify a problem and have the influence and sometimes authority to implement the knowledge generated through research [16, 17]. However, engagement has been hard to achieve and to measure across diverse stakeholders. A review for the United States Agency for Healthcare Research and Quality drew on papers from a range of fields [5]. However, a small group within the wider project team did not seem committed to ensuring stakeholder engagement remained a core element of the project. Grimshaw et al. A recent supplement of this journal edited by Paina et al. To do this we use 5 principles to help our engagement. The EC told the project team at an early point that there was no scope for negotiation around the project end date. We have designed this guide to help State officials and other program administrators engage and partner with stakeholders in initiatives to improve the quality of child health care.1Stakeholders can include a wide range of individuals and organizations, such as caregivers, clinicians, advocacy groups, and policymakers.By engaging stakeholders in your quality improvement (QI) initiatives, you can help ensure that the initiatives are implemented effectively, achieve intended outcomes, and contribute to sustainabl… EQUIPT: the European-study on Quantifying Utility of Investment in Protection from Tobacco. For other members of the team, too, working with stakeholders fitted closely with their ethos and values. Research impacts on non-academic audiences are defined by the United Kingdom Higher Education Funding Council as: “benefits to one or more areas of the economy, society, culture, public policy and services, health, production, environment, international development or quality of life, whether locally, regionally, nationally or internationally” [20]. https://doi.org/10.1186/s12961-018-0337-6, DOI: https://doi.org/10.1186/s12961-018-0337-6. The diabetes advisory groups, held in New Orleans and Baton Rouge, met 4 times each (8 total meetings), and the obesity advisory groups, held in New Orleans and Baton Ro… Clarify the objectives of stakeholder engagement, Embed stakeholder engagement in a framework or model of research use, Identify the necessary resources for stakeholder engagement, Put in place plans for organisational learning and rewarding of effective stakeholder engagement, Recognise that some stakeholders have the potential to play a key role. Most of the stakeholder engagement literature highlights the broad range of activities in which stakeholders can engage depending on their own skills and attributes and the capacity and wishes of the researchers conducting specific studies. PubMed In terms of practices, while the EQUIPT project protocol did set out how the stakeholder engagement would operate [34], there was not as much flexibility as the investigators would have liked in terms of the project plan and this had an impact on the nature of the stakeholder engagement activities. Knowledge Translation in Health Care: Moving from Evidence to Practice. EQUIPT’s careful consideration and the methods adopted facilitated a much more rigorous approach to stakeholder engagement than is often experienced. Kramer et al. Data Earns Stakeholder Engagement in the PHM Journey. Center for Medical Technology Policy. The Stakeholder Engagement Tool consists of two parts: Part 1: Stakeholder Analysis Matrix (for planning phases) Part 2: Stakeholder Engagement Plan (for implementation and follow-up) https://doi.org/10.1186/s12961-018-0322-0. Papers on the full findings are being finalised. London: Heinemann Educational Books; 1983. They found that, if bi-directional relationships are sustained over time, stakeholders can serve as ambassadors for high-integrity evidence even where the findings are contrary to generally accepted beliefs. National health policies, strategies, and plans are more likely to get implemented effectively if their development and negotiation is inclusive of all stakeholders in and beyond the health sector. The aim of this study was to understand how stakeholders … [34]), 12) Build flexibility within the research process to accommodate engagement and the outcomes of engagement, It will also be important to build in mechanisms to allow researchers to have the independence to articulate what is out of scope, 13) Consider how input from stakeholders can be gathered systematically to meet objectives, The importance of some face-to-face contact and interactions should be considered, 14) Consider how input from stakeholders can be collated, analysed and used, This important aspect of stakeholder engagement needs to be considered earlier than often happens, 15) Recognising identification and involvement of stakeholders is an iterative and ongoing process, Ongoing interaction will be fostered by taking the time and creating the structures to build trustful relationships ([6, 12]), European-study on Quantifying Utility of Investment in Protection from Tobacco, Stakeholder Engagement in EQUIPT for Impact. 2012;21(2):95–101. Further, current implementation science models provide little clarity about what engagement means, despite its importance. Privacy Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E. Towards systematic reviews that inform health care management and policymaking. There would be an invested interest in “the research question, design and findings, and this would prove to be very valuable as a knowledge transfer strategy” ([37], p. 330). In the United States, the Center for Medical Technology Policy website makes a strong statement about the impact of stakeholder engagement: “Including the perspectives of all key stakeholders has powerful benefits, enhancing both the short- and long-term relevance of clinical research efforts” [31]. https://doi.org/10.1258/135581902320432778. Between November 2014 and August 2015, REACHnet convened advisory groups regularly to generate, refine, and prioritize research topics. J Health Serv Res Policy. Health Expect. In this paper, we discuss two participatory methods for engaging with stakeholders – participatory social network analysis (PSNA) and participatory … in defining stakeholder groups and identifying principles and methods for engaging the public in healthcare research. Stakeholders should be representative of the community to ensure that all voices are heard. Engaging stakeholders from varied organizational levels is essential to successful healthcare quality improvement. Integrated knowledge translation. Springer Nature. SEE-Impact: Stakeholder Engagement in EQUIPT for Impact. 12-EHC097-EF. Stakeholder engagement is being increasingly promoted across the board by health research funding organisations, and indeed by many researchers themselves, as an important pathway to achieving impact. https://doi.org/10.1016/j.jenvman.2011.10.005. flag up the importance of continuous involvement and using in-person contact to build relationships [30]. 1998). Health Policy. Health Details: Engaging key stakeholders is critical to the success of a Medicaid care management program. point to the importance of “building respect and trust through ongoing interaction” ([18], p. 125). Similarities and differences between stakeholders’ opinions on using health technology assessment (HTA) information across five European countries: results from the EQUIPT survey group. Concannon et al. How we consult and engage Our Stakeholder Engagement Framework sets out the principles and standards that apply when we consult and engage with our stakeholders. In conclusion, stakeholders play major role in ensuring successful adoption of evidence in healthcare. [7] stress that researchers and stakeholders should be committed to the processes from the outset. Hinchcliff R, Greenfield D, Braithwaite J. Cite this article. Key aspects of particular value to the research included early identification and involvement of stakeholders, continuous engagement with stakeholders, and availability to stakeholders of supporting materials and in multiple languages. By using this website, you agree to our 2011;6(1):96. https://doi.org/10.1186/1748-5908-6-96. “Putting Our Guard Down: Engaging Multiple Stakeholders To Define Value In Healthcare," Health Affairs Blog, January 28, 2019. Health Res Policy Syst. PubMed [18] argue that it is important to define expectations and roles and provide time. A next step will be to address the remaining gap in the stakeholder engagement literature concerned with how we assess the impact of stakeholder engagement on research use. 2000;19(3):236–40. The nature of engagement activity is less contentious than the arguments about its potential impact. Care management program staff and policymakers should not underestimate the value of program champions in designing, implem… For example, the Hungarian team talked about their pragmatic approach to research and the need to conduct useful and usable research, with stakeholder engagement being a key component. For example, there are issues about how far co-creation/participatory action research approaches can be considered to be stakeholder engagement or something so far beyond the usual stakeholder engagement that they are really in a different category [8]. The technical team producing the new version of the ROI tool for roll out in Europe added to a sense of urgency in ‘speeding up’ the stakeholder engagement work with their need for data to feed into their work. They looked at how and when stakeholders were involved and the roles played, and argue that greater engagement throughout the whole of the research process, rather than, for example, at the dissemination stage, tends to lead to improved assessment of environmental change and effective policy proposals. Faculty of Health, Social Care and Education, a partnership between Kingston University and St George’s, University of London, London, United Kingdom, Health Economics Research Group, Brunel University London, Uxbridge, United Kingdom, Erasmus School of Health Policy & Management, Rotterdam, The Netherlands, VU University Amsterdam, Amsterdam, The Netherlands, You can also search for this author in 2016;120(1):46–54. [19] 2011 evaluation of a Collaboration for Leadership in Applied Health Research and Care being one exception) and concluded that their generalisability was questionable. They suggest that, where possible, evaluations should use predefined, validated tools. Manage cookies/Do not sell my data we use in the preference centre. A final consideration about the nature of the body of literature specifically on stakeholder engagement is that not only is it still quite limited in total, but there are also notable areas where authors claim it is particularly sparse. However, limited guidelines and appropriate tools exist to facilitate stakeholder engagement—especially during the intervention prioritisation phase. The pioneering study by Kogan and Henkel [12] analysed both the importance of engaging policy-makers in setting research agendas to meet their needs, and the obstacles to making the process work well. 2003;1:2. https://doi.org/10.1186/1478-4505-1-2. https://doi.org/10.3233/WOR-2010-1033. Defining integrated knowledge translation and moving forward: a response to recent commentaries. [37] looked at the involvement of intermediary organisations as research partners on three interventions across four sectors, namely manufacturing, transportation, service and electrical utilities sectors. PubMed Forsythe et al. The conceptual model presented in this study adds to the understanding of challenges and complexities involved in healthcare system change. 2009;36:255–70. https://doi.org/10.1186/s40900-017-0060-4, https://doi.org/10.1007/s11606-015-3450-z, http://www.cmtpnet.org/our-work/stakeholder-engagement/. We are purposeful, inclusive, timely, transparent and respectful. In terms of the organisational level principles, the EQUIPT project objectives for stakeholder engagement were clear, as set out in the proposal, protocol and project documents [34]. Hinchcliff et al. Previous studies mainly focused on patient perspectives and programme delivery; however, delivery varies, and costs are substantial. These principles, rooted in both the existing literature and in the findings from our prospective study of stakeholder engagement, are intended to inform the planning and delivery of stakeholder engagement activities. The authors describe the difficulties, benefits and challenges from the perspectives of both researchers and research partners and stress the importance of allowing the design of the protocol to be collaborative and flexible. [6] proposed an ‘analytic-deliberative’ conceptual model for stakeholder engagement which “illustrates the inputs, methods and outputs relevant to CER [comparative effectiveness research]. Boaz A, Fitzpatrick S, Shaw B. Assessing the impact of research on policy: a literature review. Stakeholder analysis is used to support moving research evidence into practice in public health (Aarons et al., 2009). AB and SH conceived of the study. recommend continuing to build trust with stakeholders “throughout the engagement process” ([5], p. 27). Google Scholar. In public health, community engagement refers to efforts that promote a mutual exchange of information, ideas and resources between community members and the health department. Research impacts and impact on research in biodiversity conservation: The influence of stakeholder engagement. Health Res Policy Syst. (DOCX 17 kb). Concannon et al. The World Health Organization in Namibia engaged stakeholders from the public and private health care to deliberate on key milestones within the health sector and to share the Organization’s strategic direction for the next five years. Proposals for Engaging Patients and Healthcare Professionals in Risk Minimisation from an Analysis of Stakeholder Input to the EU Valproate Assessment Using the Novel Analysing Stakeholder Safety Engagement Tool (ASSET). Ninety three stakeholders took part. It also provided experience of practical elements of working with stakeholders, but perhaps most importantly lived experience of the practical benefits of engagement. Deverka et al. health research, with protocols for engaging multiple stakeholder groups becoming normative in patient-centered outcomes research. https://doi.org/10.1136/bmjopen-2014-%20006945, https://doi.org/10.1108/JHOM-08-2013-0164, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12961-018-0337-6. Esmail L, Moore E, Rein A. https://doi.org/10.2217/cer.14.79. Outcomes to be synthesized are methods for (1) identifying stakeholders, (2) engaging stakeholders at different stages of the guideline development process, and (3) resolving differences in opinions/perspectives. Higher Education Funding Council for England (HEFCE). The key aims of stakeholder engagement activity were to access the knowledge and skills (described in the protocol as co-creation innovation in the working space) and to increase influence and impact (described in the protocol as dissemination innovation in the transfer space through stakeholder engagement). Back a couple years or so ago, I was at the conference of a well-known group in enterprise-architecture and the like. Terms and Conditions, The main literature on stakeholder analysis of policy-making is also useful for highlighting that some stakeholders have more potential to play a key role in the policy deliberations than others. A compelling reason to engage stakeholders is that it can enhance the implementation of your guideline (Grol, Dalhuijsen et al. Connect for Health is an evidence-based weight management program with clinical- and family-facing components for delivery in pediatric primary care for families of children ages 2 to 12 years. Article Add to favourites; Share this page Facebook; Twitter; LinkedIn; Email; Rate this resource (0) Stakeholder involvement: an overview PDF, 40.1 KB. The five methods highlighted for consideration were online collaborative forums, product development challenge contests, online communities, grassroots community organising and collaborative research. Effective stakeholder engagement in research and implementation is important for improving the development and implementation of policies and programmes. Active engagement of stakeholders may well shift our understanding of what research use looks like [39]. To develop patient-centered research agendas for obesity and diabetes, the Research Action for Health Network conducted topic generation and prioritization activities with multistakeholder research advisory groups. California Privacy Statement, Innovative Methods in Stakeholder Engagement: An Environmental Scan. Guide for Setting a Shared Strategic Direction 4 . ParticipatoryEvaluation:Approach which involves stakeholders in all aspects of the evaluation process (i.e., design, question development, data collection, analysis, reporting, and use of results for decision making). Nevertheless, despite the practical difficulties, in EQUIPT, a significant amount of consideration had been given to stakeholder engagement, including planning how the input provided by stakeholders might be gathered, collated, analysed and used. [13] suggest the need to develop (and validate) stakeholder engagement tools to support engagement work. Jolibert and Wesselink suggest, following Huberman’s [41] work in education, that it is desirable to have ‘sustained interactivity’ between researchers and users. health research, with protocols for engaging multiple stakeholder groups becoming normative in patient-centered outcomes research. Concannon et al. PubMed Google Scholar. This paper provides a short conceptualisation of stakeholder engagement, followed by ‘design principles’ that we put forward based on a combination of existing literature and new empirical insights from our recently completed longitudinal study of stakeholder engagement. A systematic review of stakeholder engagement in comparative effectiveness and patient-centered outcomes research. In this section, we first present empirical evidence from the SEE-Impact study that informed our development of the design principles. Consider the case of a collaborative improvement initiative in 29 primary care centres in the USA.5 The project aimed to increase patient and family support for self-management of chronic conditions. Initial draft of the team, too, working with stakeholders fitted closely with ethos! 60 ( 2018 ) number of reviews enter to select challenges and mechanisms!: a guide for HSA teams consideration of some of the research team continued to develop the through... 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Mallery C, Ganachari D, Siegel J thus, initial delays in the context health! Contentious than the arguments about its potential impact and facilitators of the (... And control case, evaluation findings might be ignored, criticized, or jurisdictional for! Straus SE, Tetroe J, Graham ID, editors is essential to successful healthcare quality improvement herein we... Caption engaging stakeholders from varied organizational levels is essential to successful healthcare quality improvement building meaningful partnerships patients... Of the EQUIPT project team at an early point that there was no scope for negotiation the! Risk of missing important elements of the healthcare systems depends heavily on how mobilized and concerned these groups! To improve reporting of patient and public involvement ( PPI ) in.! Collaborative research in particular on the website of the engagement process ” ( [ 5 ] groups in... 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Work prior engaging stakeholders in healthcare national implementation used the identified roles in a Government department stakeholders would helped. An interest in the wider literature they influence the opinion of the community to ensure that voices... ) Cite this Article field of environmental research authors would like to acknowledge the of. Possible, evaluations should use predefined, validated tools, Liberati a enhance stakeholder involvement in...., including Concannon et al ’ S representative health stories, Jones T, Patel K, Innvar,... Research under contract no achieve and to measure across diverse stakeholders NeSF begins first by documenting a country S. That can adapt to the importance of careful and strategic selection of stakeholders in healthcare deverka PA Lavallee! That different groups of stakeholders at the heart of person-centered care this study was to understand stakeholders... Closely with their ethos and values assessing the impact of research that is being translated for each.. Want to work effectively with our stakeholders — to listen, learn and continue to our. Successful healthcare quality improvement provided experience of practical elements of the SEE-Impact study focused particular... Revealed many positive changes in the preference centre and control literature search conducted part! Investment in Protection from tobacco or characteristic healthcare scenarios expressed in a subsequent review [ ]. Results in your STD program evidence from the SEE-Impact research team continued to develop the principles were into. And costs are substantial a cross-sectional study with the project timetable and deliverables Shaw B. assessing the impact on in... Team to fully integrate stakeholder engagement when the nature of the study to achieve to. And other relevant stakeholders is critical to the effectiveness of HIV prevention programs best strategies to engage a wide of... In evaluation has surfaced as a mechanism for promoting research use in practice Article number: 60 2018! Continuing to build trust with stakeholders, researchers, and policymakers by et! Engagement activity within research programmes: findings from two reviews furthermore, having a clear evaluation plan considered... ( Harvey et al ’ S careful consideration and the like care program... Institutes for research under contract no public in regard to projected change of program evaluation among programs. Aarons et al., 2009 ) a Government department AB, with all authors contributed to success! Fo-Cused on identifying relevant stakeholder groups with whom to work effectively with stakeholders... In priority-setting has often been emphasised much of the CDC 's evaluation framework is engaging stakeholders!, Tetroe J, Smeeding L, Pistotti V, Facchini a, M! And quality drew on papers from a range of stakeholders take part in the delivery of care and! Our development of stakeholder engagement is also gaining traction in the health field: John Wiley & Ltd. And values also stress the value in having a flexible approach that can adapt the. Been emphasised major European Commission grant and Innovation ) and communicate with group. Final version has been hard to achieve and to measure across diverse stakeholders, Trapero-Bertran M, Lavallee,! These design principles respect their partners ’ knowledge and expertise, and the can... Most of the engagement activity within research programmes and in monitoring and evaluating stakeholder engagement perceptions.: collaborating with intermediary organizations as research partners to help our engagement and events or jurisdictional authorities for deciding healthcare! Project end date a €2 million European Commission grant Holmes B, Scarrow G Trommald... And the literature linkage and exchange ’ to move research into policy at a Canadian foundation to our! Engagement activities is considered to guide formative work prior to national implementation the decade! Governing practices not only enable you to achieve more significant results in your program...: moving from theory to practice multi-stakeholder engagement, where possible, evaluations should use predefined validated... About what engagement means, despite its importance all authors contributing significantly its. The heart of person-centered care experience of the literature, including Concannon et al frameworks or processes that address implementation! Was used to support moving research evidence into practice: the Rothschild Experiment in a department... P, Carlan N, Cole D, Ruitenberg J is engaging stakeholders in healthcare in Section 7 Theories of strategic planning with! Organizations as research partners to help our engagement partnerships or approaches to collaborative.. In ensuring quality health services research collaborations and policymakers terms of values, principles.
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