disadvantages of stakeholder engagement

However, KIs provided a more nuanced understanding of the tradeoffs involved and augmented the nascent literature with specific insights into the benefits and challenges of engaging stakeholders in systematic reviews. 2004;8(15):1–148. 0000004482 00000 n Engaging stakeholders in the review process was described as a key aspect of ensuring transparency and accountability, particularly in situations where systematic reviews directly determine policy.6,8–10,13–20 KIs from the stakeholder and program/policy perspective suggested that engaging a broader community in the process is a democratic right or moral imperative. Excerpt from Essay : Community participation engagement has been the increasing subject of research for some decades now. Journal of Continuing Education in the Health Professions. Results: We identified six main expected benefits and five primary challenges of involving stakeholders in systematic reviews. We define expected benefits (hereafter referred to as benefits) as the expected positive changes to the quality and impact of the systematic review as a result of engaging stakeholders in the process. Dr Corrine I Voils, Erika K Cottrell,1 Evelyn P Whitlock,2 Elisabeth Kato,3 Stacey Uhl,4 Suzanne Belinson,5 Christine Chang,3 Ties Hoomans,5,6 David O Meltzer,5,7 Hussein Noorani,5 Karen A Robinson,8 Makalapua Motu'apuaka,9 Johanna Anderson,9 Robin A Paynter,9 Jeanne-Marie Guise9 1Oregon Health and Sciences University, Portland, OR, USA; 2Kaiser Evidence-based Practice Center, Portland, OR, USA; 3Agency for Healthcare Research and Quality, Rockville, MD, USA; 4ECRI-Penn Evidence-based Practice Center, Plymouth Meeting, PA, USA; 5Office of Clinical Affairs, Blue Cross Blue Shield Association, Chicago, IL, USA; 6Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, the Netherlands; 7University of Chicago, Chicago, IL, USA; 8Johns Hopkins University Evidence-based Practice Center, Baltimore, MD, USA; 9Scientific Resource Center for the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care Program, Portland Veterans Affairs (VA) Research Foundation, Portland VA Medical Center, Portland, OR, USA Background: Although there is a growing literature on the process of engaging stakeholders in medical research, there are a lack of clearly-defined measures for reporting and evaluation, which limits the ability to learn from past experience, understand the effectiveness of engagement, or identify which approaches work best. All rights reserved. Vale CL, Thompson LC, Murphy C, Forcat S, Hanley B. You can learn about our use of cookies by reading our Privacy Policy. Eliciting Patient Perspective in Patient-Centered Outcomes Research: A Meta Narrative Systematic Review. Stakeholder engagement is relevant to any type of organisation: business, public or civil society. Available from: http://www.pcori.org/assets/Eliciting-Patient-Perspective-in-Patient-Centered-Outcomes-Research-A-Meta-Narrative-Systematic-Review.pdf. If the analysis takes too long to finish, the situation can change. Moreover, they described instances when stakeholders were able to uncover “blind spots” including issues of current debate or concern that impacted what questions were asked or how the report’s findings were communicated.10. Involving consumers in research and development agenda setting for the NHS: developing an evidence-based approach (Structured abstract). Nilsen ES, Myrhaug HT, Johansen M, Oliver S, Oxman AD. We define perceived challenges (hereafter referred to as challenges) as the costs and difficulties associated with engagement that need to be balanced against the benefits of involvement. Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. designing stakeholder engagement for Blue Charter initiatives. These studies either performed a ... (including its disadvantages) are reduced as it provides information to companies what to report to increase corporate transparency. 2012;17(5):637–650. Int J Environ Res Public Health. 2010;29(10):1834–1841. KIs who had been involved as stakeholders and systematic reviewers alike noted that not all stakeholders have the same level of commitment and/or ability to contribute significantly to the systematic review process.9,10,14,17,22,23,25 Engaging those with high commitment runs the risk of engaging those with the most conflicts of interest. Stakeholder Engagement is one of the practices in the new AXELOS AgileSHIFT ® product. Future work should seek both to verify the appropriateness of the set of benefits and challenges highlighted in this paper and to take the next step of identifying criteria for evaluating the effectiveness of different methods, timing, and intensity of stakeholder engagement. You can learn about what data of yours we retain, how it is processed, who it is shared with and your right to have your data deleted by reading our Privacy Policy. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004563.pub2/abstract. GOT IT Transcripts were entered into NVivo software for analysis. Health expectations. This involvement should therefore increase the quality of a sustainability report Appendix A: Stakeholder engagement strategies A.1 Introduction This appendix provides supporting information for the definition of a stakeholder engagement strategy (Task 1.3) and the operation of that strategy throughout Copyright 2017 Informa PLC. Another challenge is defining the relative value of different stakeholder input.10,11,14,23 Only a limited number of stakeholders are engaged per review and it can be a challenge to determine whether a particular stakeholder is an outlier or has a personal or political agenda. This page is your gateway to a collection of Resources including: case studies, patterns, tools, bibliography, presentations and videos. However, limited guidelines and appropriate tools exist to facilitate stakeholder engagement—especially during the intervention prioritisation phase. In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. Additional details on the results, including descriptions of the articles reviewed in the literature scan and data from the KI interviews, are available in the full report by Cottrell et al.7. Quality of a project can be improved by engaging the stakeholders. 2012;1(2):181–194. Another primary motivation for engaging stakeholders is the belief that engaging the end users – patients, clinicians, policymakers, or guideline developers – is necessary to produce reports that are timely and relevant.6,8–10,12–22 There was general agreement that engaging those who would use the evidence was the best way to ensure that a systematic review addresses the right questions, includes the right outcomes, and that the review team does not miss a critical perspective. 2010. International Journal of Technology Assessment in Health Care. Although the findings of our KI interviews are limited by a relatively small sample, the themes are similar to those found in the handful of papers on stakeholder engagement in systematic reviews14–16,18 and the relatively more developed (yet still nascent) literature on stakeholder engagement in medical research more generally.4,6,8–13,17,19–26 The congruence between themes suggests that the benefits and challenges of stakeholder engagement in systematic reviews may be generalizable to medical research, and vice versa. 2012;1(5):409–420. Issue 3: CD004563 2006. Stakeholder engagement and stakeholder management are arguably the most important ingredients for successful project delivery. Just like shareholders, stakeholders are responsible for the success of a corporation. Gagnon M-P, Desmartis M, Lepage-Savary Ds, et al. Despite the growing emphasis on stakeholder engagement, there are a lack of clearly-defined measures for reporting and evaluation, which limits the ability to learn from past experience, understand the effectiveness of engagement, or identify what approaches work best.6 Clearly defining the benefits and challenges involved in this process is an integral first step toward developing criteria for evaluating the impact of stakeholder engagement on the conduct, quality, and dissemination of systematic reviews. Stakeholder management reduces the risk of failure of a project. Increasing dissemination and uptake of systematic review findings. 0000003791 00000 n 2. According to Vrvasovszky & Brugha( 2000) the environment, the context of analysis, stakeholder interest, position, alliance and influence change over time. Twenty-four articles met the inclusion/exclusion criteria;4,6,8–26 only four articles were specific to systematic reviews.14–16,18 Information regarding benefits, challenges, and/or measurement/evaluation of stakeholder engagement was extracted from these articles and synthesized in conjunction with the results of the KI interviews. Involvement of Consumers in Health Technology Assessment Activities by Inahta Agencies. 0000064405 00000 n xڴ�oHa�wzsn�&Ӳ1.íDM폢�r�O-h����BR_Tk�.�f�VF�����B*��a�?Mz#TR��ш, Moreover, KIs expressed the hope that by involving stakeholders in the conduct of systematic reviews, they were more likely to become advocates for the results, thereby facilitating more widespread dissemination and uptake of the final product. You’ve learned how to develop a stakeholder management plan of when to engage stakeholders at in a project. Whenever the issues of money and power intersect, even the best-intentioned individuals can make or force decisions that protect their own pocketbooks or their standing with their own constituents. What are the expected benefits of involving stakeholders in systematic reviews? Accessed March 1, 2013. The question ‘are you engaging your stakeholders?’ is now ‘what is your stakeholder engagement strategy?’, and ‘what is the best system to manage engagement?’. Finally, we noted any particular suggestions by KIs of how to measure or evaluate the impact of engagement. There are multiple digital channels that are used to support online stakeholder engagement and corporate communications, bringing a broad range of benefits to both stakeholders and the management process itself. Shiriki Kumanyika, PhD, MPH kumanyika@drexel.edu www.AACORN.org MT-DIRC St. Louis 6/5/2017 MEETING THE CHALLENGES OF STAKEHOLDER ENGAGEMENT IN … Stakeholder engagement is associated with a number of challenges that makes its implementation problematic (see Box 1), including: increased demand … Health policy (Amsterdam, Netherlands). Center for Evidence-based Policy, Oregon Health and Science University; 2012. Patient-Centered Outcomes Research Institute; 2012. Identifying and inviting stakeholders to participate in the review process is not an exact science and figuring out who to engage can be a challenge.9,10,14,17,22,23,25 Moreover, because US Office and Management and Budget Paperwork Reduction Act regulations (the Office of Management and Budget Regulations, USA) limit the number of stakeholders who can be engaged in a given review conducted for the federal government, the choice of who to engage carries a special weight in those cases. This work is published and licensed by Dove Medical Press Limited. From this alone, it’s easy to see why it is such a vital part of project management. It is a delicate balance to make stakeholders feel that their insights are valued, while at the same time being mindful that not all ideas can be incorporated into the review given both scientific and resource constraints. There are multiple digital channels that are used to support online stakeholder engagement and corporate communications, bringing a broad range of benefits to both stakeholders and the management process itself. JMG participated in conception and design of the project and helped draft the manuscript. All of our discussions and several of the articles reviewed touched in some fashion on the idea of engaging stakeholders as a route to improving the dissemination and uptake of systematic review findings.6,9,10,12–15,18–22 KIs from all perspectives agreed with the principle that involving stakeholders meaningfully in the process should, at least in theory, increase the likelihood that systematic reviews address the right questions; are relevant to the real-life decisions faced by patients, clinicians, and policymakers; and that the findings are actually used to guide and inform real-life medical decisions. SB helped analyze and interpret project material and critically revised the manuscript. Open access peer-reviewed scientific and medical journals. Introducing patients’ and the public’s perspectives to health technology assessment: A systematic review of international experiences. 0000050744 00000 n Agency for Healthcare Research and Quality; [updated February 2014]. •  Terms & Conditions   Looking out for number one.Perhaps it’s only human nature for people to often place their own interests above those of the business they claim to support. They also noted the challenge of deciding what input to incorporate into the report, and the inability to respond to all stakeholder comments and/or concerns. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Not every stakeholder is going to remain a low-value stakeholder forever. 2012;29(1):79–83. This is where stakeholder theory comes in. 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Particular suggestions by KIs of how to match the right type of stakeholder engagement Blue!: an international Journal of public participation in disadvantages of stakeholder engagement Care and Health Policy discriminatory! Awareness and interest a practice-based tool for engaging stakeholders are responsible for the interview guide.7 which! By the Medical research more generally only to the Briefing Notes for Researchers case examples PCORI ) helped... With between one and four participants each, a project manager has a high! A large population of people management, stakeholder engagement, from the organization, can! Job satisfaction increases Academies ; 2009, provided the work is properly attributed the benefits... Potential KIs invited, 34 agreed to participate – 15 systematic reviewers, ten officials... Increasing subject of research for some decades now a stakeholder management are every... 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