Purpose – Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) are a new UK initiative to promote collaboration between universities and healthcare organisations in carrying out and applying the findings of applied health research. But they face significant,...

Purpose – The purpose of this paper is to present a study of how quality improvement tools and techniques are framed within healthcare settings. Design/methodology/approach – The paper employs an interpretive approach to understand how quality improvement tools and techniques are mobilised...

Purpose – The purpose of this paper is to investigate the process and impact of patient involvement in locally defined improvement projects in two hospital clinics. The paper particularly aims to examine how patient narratives, in the form of diaries and radio montage, help to create new...

Purpose – The purpose of this paper is to report on ethnographic research that investigated how self-employed nurses perceive the contemporary healthcare field, what attributes they possess that facilitate their roles as change agents, what strategies they use to influence change, and what...

Purpose – The purpose of this paper is to understand how organisational culture influences the intentions of primary care staff members (PCSM) to engage in research and development (R&D). Design/methodology/approach – The participants ( n =30) were PCSM employed in a care centre in...

Purpose – The purpose of this paper is to demonstrate how a change management perspective contributes new understandings about music therapy implementation processes. Design/methodology/approach – Narrative inquiry, ethnography, and arts-based research methods were used to explore the...

Purpose – Large-scale change involves modifying not only the structures and functions of multiple organizations, but also the mindsets and behaviours of diverse stakeholders. This paper focuses on the latter: the informal, less visible, and often neglected psychological and social factors...

Purpose – Intervention evaluations have not always accounted for long-term implementation of interventions. The purpose of this paper is to explore implementation of a primary care intervention during the lifespan of the trial and beyond. Design/methodology/approach – Eight general practices...

Purpose – Clinical governance and leadership concepts can lead to more or less successful implementations of new clinical practice. The purpose of this paper is to examine how Fiery Spirits, as institutional entrepreneurs can, working in a team, implement sustained change in hospital clinical...

Purpose – The purpose of this paper is to analyze the implementation of an organizational change initiative – Studer Group®’s Evidence-Based Leadership (EBL) – in two large, US health systems by comparing and contrasting the factors associated with successful implementation and...