Table 1 (abstract O11). Barriers and facilitators to achieving co-production in care homes
From: Proceedings of the 5th UK Implementation Science Research Conference
NIHR INVOLVE principle | Barriers | Facilitators |
|---|---|---|
Sharing power | • Burden of supporting resident involvement on care staff • Gatekeeping • Ethical procedures • Delineating roles in the research process | • Creating opportunities to challenge dominant views • Reflexivity of project leads and researchers |
Including all perspectives and skills | • Not enough involvement of key stakeholders • Pressures on care home staff and healthcare professionals • Care home resident characteristics • Limited depth of discussion • Difficulties with stretching perspectives | • Care home staff’s willingness to participate • Stimulating experiences • Flexible approach |
Respecting and valuing knowledge | • Lack of self-confidence • Balancing different forms of knowledge | • Involvement across design stages • Recognising and utilising different forms of knowledge |
Reciprocity | • Potential harms of participation | • Providing learning opportunities • Providing support • Clarifying expectations |
Building and maintaining relationships | • Relationships with management • Differences between stakeholders • Optimising links with wider stakeholders • Practical challenges | • Project leaders and knowledge brokers • Building and utilising existing collaborative partnerships • Connection through creative approaches • Regular meetings and dialogue • Establishing ways of working • Sustaining relationship through participatory approach |
Other: Practical considerations | • Feasibility of scaling co-production | • Logistical arrangements |