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dc.contributor.authorHovland, Runar Tengel
dc.contributor.authorMoltu, Christian
dc.identifier.citationHovland, R. T., & Moltu, C. (2019). Making way for a clinical feedback system in the narrow space between sessions: navigating competing demands in complex healthcare settings. International Journal of Mental Health Systems, 13(1).en_US
dc.description.abstractBackground Although substantial empirical research supports the clinical value of routine outcome measures/clinical feedback systems (ROM/CFS), translation into routine practice poses several challenges. The present case study investigated how stakeholders, clinicians, patients and clinical managers related to the implementation of the Norse Feedback (NF) in ordinary practice. Methods We did an in-depth qualitative case study of the implementation of NF in a public mental-health institution. The settings were two outpatient clinics and two in-patient clinics organized under the same health trust. Data were drawn from three sources: archival sources (n = 16), field notes (n = 23), and 43 in-depth interviews with clinicians (n = 19), clinical managers (n = 5) and patients (n = 12). Ten of the participants were interviewed twice. The data were coded inductively and analyzed using a stringent qualitative methodology. Results We present our findings under three inter-related domains. First, we describe what followed the clinical feedback implementation. Second, we present the context experienced as being complex and high on work-pressure. Third, we describe the situated rules about the priority between competing tasks. Conclusions The preliminary results complement and contextualize understandings of known barriers to implementing ROM/CFS in clinical settings. We apply a socio-material perspective to discuss clinicians’ responses to complexity, implementation, and why some incentivized tasks prevailed over others regardless of therapists’ perceived benefits.en_US
dc.publisherBioMed Centralen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectimplementation researchen_US
dc.subjectclinical feedback systemsen_US
dc.subjectnorse feedbacken_US
dc.subjectcomplex adaptive systemsen_US
dc.titleMaking way for a clinical feedback system in the narrow space between sessions: Navigating competing demands in complex healthcare settingsen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© The Author(s) 2019.en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.source.journalInternational Journal of Mental Health Systemsen_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal