Title:
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The diffusion and dissemination of a suicide prevention training programme across three sites in the North West of England
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Aim: The purpose of this study was to explore the processes involved in
the dissemination of a suicide prevention training programme (STORM)
and, to add context to these processes in terms of its Workability, its
ability to become Normalized (sustained) into practice. In addition, this
study was interested in the part policy played in the dissemination of
suicide prevention training.
Background: The National Health Service needs to build capacity and
capability to deliver high quality equitable care. Learning and
professional development are key to this endeavour and yet there is a
lack of apparent support within healthcare organizations to facilitate
this. Programme evaluation is also needed to ensure that the training
delivered is of good quality, applicable to practice and is sustainable.
Whilst dissemination studies tell us that certain processes are important
to the successful adoption of innovations, what is less clear is how these
innovations are then sustained and routinized into practice.
Method: Facilitators within three study sites were trained by the
researcher to deliver the STORM programme. Participants directly
involved in the dissemination of the STORM programme, or with policy
implementation, were recruited to a multiple case study. Semistructured
telephone interviews were conducted over a 12-month
penoo.
Findings: A culture of training was found that understood the processes
needed to support a training programme. Suicide prevention policy was
found to influence suicide prevention training to some degree. The
Normalization Process Theory was found to have practical utility when
applied to the work of training. Reflexive evaluation informed decisions
to continue, adapt or cease the work of training. The work was fluid and
dynamic with the ability to project itself into future work; it was
normalized into practice.
Conclusions: A culture of training can be identified that supports
training. The Normalization Process Theory can identify the processes
involved that help normalize (sustain) training into practice, and it can
provide an evaluative tool. However, if organizations are to benefit from
this research they must integrate sustainability and programme
evaluation into their systems as continuing processes and not as
outcomes. Further research is needed to explore how well organizations
can benefit from this work.
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