Relational factors influencing implementation in aged care: a literature review

Introduction: There are widespread efforts to implement change and innovation to improve care for older people in aged care. Relational factors are among the key determinants of implementation in care settings, and are an emerging area of implementation research attention. 

Aim: This study aimed to identify relational factors that influence implementation in aged care. 

Methods: We conducted inductive descriptive qualitative content analysis of studies included in a recent comprehensive scoping review of implementation in aged care. 

Results: We identified a variety of relational factors that influence implementation. Collaboration among stakeholders was a key factor, in particular between disciplines, and among the aged care staff as well as with external service providers. We found that managers' support was vital, as was clear and frequent communication between stakeholders. Implementation was aided by established, cohesive, trusting, non-hierarchical relationships, as well as shared values and visions. 

Conclusions: A range of factors in the socio-relational context can influence implementation in aged care. Assessing these factors and tailoring implementation strategies accordingly can promote successful implementation to improve care for older people. 

Spanish abstract http://links.lww.com/IJEBH/A384.