ArticleImplementation science : IS2019
Implementation of change in health care in Sweden: a qualitative study of professionals' change responses.
Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04799860 (Act in Time- Implementation of Health Promotive Work-way in Primary Care Setting - Evaluation of Effect- and Implementation Process), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Act in Time- Implementation of Health Promotive Work-way in Primary Care Setting - Evaluation of Effect- and Implementation Process (AcTi)
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.
- Participation in the digital transformation of healthcare: a review of qualitative studies.International journal of health care quality assurance · 2024Pooled it
- Sustainability of implementation of health-promotion practice in primary healthcare: a non-randomized parallel group study.BMC health services research · 2026Trial
- Organisational and social work-environment experiences after care manager implementation: a repeated cross-sectional study in Swedish primary care.Scandinavian journal of primary health care · 2026Article
- Spaced learning versus traditional learning for pharmacists implementing β-lactam therapeutic drug monitoring.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026Article
- Article
- Evaluation of the implementation process of a new emergency triage system: West coast system for triage (WEST).PloS one · 2026Article
- Evaluating the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study.Journal of advanced nursing · 2026Article
- Does the Surgical Safety Checklist need a co-pilot? Comparing adherence in gynecological surgery through electronic medical records and OR Black Box video observations.Surgical endoscopy · 2025Observational
- Healthcare worker perceptions of the FAST TB infection control strategy.Public health action · 2025Article
- Strategies for enhancing home-based cardiac rehabilitation self-management for patients with coronary heart disease: a qualitative study.BMC nursing · 2025Article
- From Challenge to Change: The Journey of Millennial Nurse Unit Managers in a Shifting Healthcare Landscape.Journal of nursing management · 2025Article
- When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality.BMJ leader · 2024Article
- A Cross-Sectional Survey of Swedish Primary Healthcare Nurses' Discontent With Their Current Job.Journal of nursing management · 2024Article
- Leading Quality and Safety on the Frontline - A Case Study of Department Leaders in Nursing Homes.Journal of healthcare leadership · 2024Article
- The effect of regional transmural agreements on the information transfer of frail older patients.BMC geriatrics · 2023Article
- Facilitators and Barriers to a Hospital-Based Communication Skills Training Programme: An Interview Study.International journal of environmental research and public health · 2023Article
- Attitudes toward organizational change and their association with exhaustion in a sample of Italian police workers.Frontiers in psychology · 2023Article
- The processes involved in the establishment of user-provider partnerships in severe psychiatric illnesses: a scoping review.BMC psychiatry · 2022Article
- Implementation of a Health Promotion Practice Using Individually Targeted Lifestyle Interventions in Primary Health Care: Protocol for the "Act in Time" Mixed Methods Process Evaluation Study.JMIR research protocols · 2022Article
- Challenges to implementing artificial intelligence in healthcare: a qualitative interview study with healthcare leaders in Sweden.BMC health services research · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplementation of evidence-based practices in health care implies change. Understanding health care professionals' change responses may be critical for facilitating implementation to achieve an evidence-based practice in the rapidly changing health care environment. The aim of this study was to investigate health care professionals' responses to organizational and workplace changes that have affected their work.
methodsWe conducted interviews with 30 health care professionals (physicians, registered nurses and assistant nurses) employed in the Swedish health care system. An inductive approach was applied, using a semi-structured interview guide developed by the authors. We used an analytical framework first published in 1999 to analyze the informants' change responses in which change responses are perceived as a continuum ranging from a strong acceptance of change to strong resistance to change, describing seven forms of change responses along this continuum. Change response is conceptualized as a tridimensional attitude composed of three components: cognitive, affective and intentional/behavioral.
resultsAnalysis of the data yielded 10 types of change responses, which could be mapped onto 5 of the 7 change response categories in the framework. Participants did not report change responses that corresponded with the two most extreme forms of responses in the framework, i.e., commitment and aggressive resistance. Most of the change responses were classified as either indifference or passive resistance to changes. Involvement in or support for changes occurred when the health care professionals initiated the changes themselves or when the changes featured their active input and when changes were seen as well founded and well communicated. We did not identify any change responses that could not be fitted into the framework.
conclusionsWe found the framework to be useful for a nuanced understanding of how people respond to changes. This knowledge of change responses is useful for the management of changes and for efforts to achieve more successful implementation of evidence-based practices in health care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.