Norwegian version

Public defence: Siv Linnerud

Siv Linnerud will defend her thesis "Designing and evaluating implementation strategies for fall prevention in homecare services" for the PhD in Health Sciences.

The ordinary opponents are:

The leader of the public defense is Dean Marit Kirkevold, OsloMet.

The main supervisor is Associate Professor Therese Brovold, OsloMet.

The co-supervisors are Researcher Linda Kvæl, OsloMet and Associate Professor Birgitte Graverholt, Western Norway University of Applied Sciences.

Thesis abstract

Not enough research is being used to improve health services today, and it often takes long time for new research to be implemented. One area where there is a lot of research is within fall prevention.

Falling is a common problem among older adults, and falls can lead to serious consequences and increased need for health services.

To increase the use of research, it is recommended to use specific methods, or implementation strategies, aimed to avoid what prevents or use what facilitates the use of research.

The goal of this project was to learn more about how implementation strategies for fall prevention in home care services can be created and evaluated.

Method

The project is made up of four parts. In the first part, we investigated which implementation strategies actually work through a literature review (Study I).

In collaboration with service users, healthcare personnel, and researchers, we created an implementation strategy (Study II).

We then tested whether this implementation strategy can be used in home care services (Study III).

Finally, we examined the role of leaders in home care and interviewed leaders about their experience with the implementation of fall prevention knowledge and their perception of their own role (Study IV).

Results

Overall, the results showed that there is limited research around which implementation strategies actually increase the use of fall prevention research.

The implementation strategy we developed consisted of four components:

  • management anchoring
  • the forming of an implementation group
  • competence enhancement
  • support in the implementation process.

The implementation strategy was found to be feasible within homecare services, but the implementation group should consist of employees with different backgrounds.

Implementation activities should be performed in arenas that already exist, be of short duration, and be repeated multiple times. It is also important that leaders understand that they must actively participate in the implementation, provide trust, and support employees.