Using an implementation science approach to build leader facilitation capability in healthcare: a novel approach for enhancing action learning set facilitation
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 17 September 2021
Issue publication date: 13 October 2021
Abstract
Purpose
The study describes the implementation of a novel strategy, entitled the Action Learning Set Facilitation Model, to develop internal facilitation capability to lead change. The Model incorporated the Novice-Experienced-Expert pathway, a facilitation development approach underpinning the integrated-Promoting Action on Research Implementation in Health Services Implementation Framework, with action learning methodology.
Design/methodology/approach
A mixed-methods descriptive approach reports the results of 22 interviews, 182 Action Learning Sets and 159 post program survey data sets to explore facilitator experiences, strengths and potential application of the Model.
Findings
At program completion, five novice (of 174) and one experienced (of 27) facilitator transitioned to the next facilitation level. The three groups of facilitators described positive change in confidence and facilitation skill, and experience of action learning sets. Inconsistencies between self-report competence and observed practice amongst novices was reported. Novices had decreasing exposure to the Model due to factors related to ongoing organisational change. Internal facilitators were considered trusted and credible facilitators.
Research limitations/implications
There are practical and resource implications in investing in internal facilitation capability, noting proposed and real benefits of similar development programs may be compromised during, or as a consequence of organisational change. Further research describing application of the facilitation model, strategies to enhance multisystemic support for programs and evaluation support are suggested.
Practical implications
The Action Learning Set Facilitation Model offers promise in developing internal facilitation capability supporting change in organisations. Critical success factors include building broad scale internal capability, stable leadership and longitudinal support to embed practice.
Originality/value
This is the first application of the facilitation component of the integrated-Promoting Action on Research Implementation in Health Services implementation framework embedded to action learning sets as an implementation science strategy for leader development supporting organisational change.
Keywords
Acknowledgements
The authors wish to thank Leigh Willson, ALS coordinator, Libby Carter and Sam Miller, Program Leads for their support, and all study participants for their assistance, time, and valuable insights.
Disclaimer: The views expressed here represent those of the authors.
Declaration of conflicting interests: The authors declare no conflict of interest.
Funding: The workshop program, evaluation and some support for the academic expert facilitators was funded by the Central Adelaide Local Health Network (CALHN) and approved by their Learning and Development Committee. CALHN did not exert editorial influence over the content of this paper. This aspect of the evaluation of the program was unfunded.
Citation
Shoobridge, J., Schultz, T., Harvey, G. and Kirby, N. (2021), "Using an implementation science approach to build leader facilitation capability in healthcare: a novel approach for enhancing action learning set facilitation", Journal of Health Organization and Management, Vol. 35 No. 7, pp. 846-867. https://doi.org/10.1108/JHOM-12-2020-0510
Publisher
:Emerald Publishing Limited
Copyright © 2021, Emerald Publishing Limited