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Integrative review; identifying the evidence base for policymaking and analysis in health care

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posted on 2020-01-07, 16:20 authored by Catriona Kennedy, Pauline O'ReillyPauline O'Reilly, Rhona O'Connell, Denise O'Leary, Gerard M. Fealy, Josephine-Mary Hegarty, Anne-Marie Brady, Emma Nicholson, Martin McNamara, Mary Casey
Aim The aim of this was to identify and synthesize the evidence underpinning the health policymaking process to inform the development of a health‐related policy analysis framework. Design A mixed methods review using “Best Fit” Framework synthesis. Data Sources PUBMED and CINAHL+ databases for English language papers published between March 2013 – March 2017. Review Methods Titles were screened, data abstracted and analysed by two authors at each stage. Findings from included studies were coded against six a priori categories which had been constructed through a preliminary literature review, consultation and consensus. Results Sixty‐eight papers were included. There exists empirical support for six key domains which require to be addressed in the policymaking and analysis process: (1) Context; (2) Process; (3) Content; (4) Stakeholder Consultation; (5) Implementation; and (6) Evaluation. Failure to contextualize and integrate these six domains in problem identification, policy analysis, strategy and policy development, policy enactment and policy implementation is problematic. Conclusion There is a need to test and refine the constructs linked to the policymaking cycle taking cognizance of the context where these are developed, implemented and evaluated. Impact This review makes a novel contribution to the synthesis of evidence to inform the policymaking and analysis process. Findings illuminate the complexity of policymaking, the competing pressures involved and the importance of the local, national and international context. These findings have international relevance and provide empirical support for key criteria to guide those involved in context specific policymaking and/or the analysis of existing policy.

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Publication

Journal of Advanced Nursing;75 (12), pp. 3231-3245

Publisher

Wiley and Sons Ltd

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peer-reviewed

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"This is the author accepted peer reviewed version of the following article:Integrative review; identifying the evidence base for policymaking and analysis in health care, Journal of Advanced Nursing, 2019, 75 (12), pp. 3231-3245 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/jan.14121 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms

Language

English

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