2. Theories on implementation of change in healthcare

  1. Richard Grol,
  2. Michel Wensing,
  3. Martin Eccles and
  4. David Davis
  1. Richard Grol1,
  2. Michel Wensing1,
  3. Marije Bosch2,
  4. Marlies Hulscher1 and
  5. Martin Eccles3

Published Online: 28 JUN 2013

DOI: 10.1002/9781118525975.ch2

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

How to Cite

Grol, R., Wensing, M., Bosch, M., Hulscher, M. and Eccles, M. (2013) Theories on implementation of change in healthcare, in Improving Patient Care: The Implementation of Change in Health Care, Second Edition (eds R. Grol, M. Wensing, M. Eccles and D. Davis), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118525975.ch2

Author Information

  1. 1

    Department IQ healthcare, UMC St Radboud, Nijmegen, the Netherlands

  2. 2

    National Trauma Research Institute/Central Clinical School, Monash University, Melbourne, Victoria, Australia

  3. 3

    Centre for Health Services Research, School of Population and Health Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne, UK

Publication History

  1. Published Online: 28 JUN 2013
  2. Published Print: 20 MAY 2013

ISBN Information

Print ISBN: 9780470673386

Online ISBN: 9781118525975

SEARCH

Keywords:

  • diabetes;
  • economic factors;
  • hand hygiene;
  • healthcare changes;
  • individual factors;
  • organizational factors;
  • social influence

Summary

This chapter presents a number of current, popular theories from different disciplines in four categories: theories that focus on individual factors, theories about social influence, theories about the influence of organizational factors, and theories about the influence of economic factors on changing healthcare. The theories are divided into impact theories and process theories. The chapter focuses primarily on impact theories which suggest concrete factors that may influence change processes. Many theories can contribute to describing and explaining effective implementation of changes in patient care. For practical purposes, an integrated model is needed that offers direct support for designing and planning implementation activities in normal patient care. Two practical and commonplace examples are used to illustrate the theories. The first example is hand hygiene. The second example concerns the management of patients with diabetes mellitus.