Photo of Ann Catrine Eldh

Ann Catrine Eldh

Associate Professor

Implementation science is about e.g. barriers and facilitators to knowledge implementation, in short and long term perspectives. My research is about the engagement of leaders, staff and patients in implementation processes in healthcare.


Two central research areas for safe health care of good quality.

Securing quality in health care – what can be more important? In my research, this is about identifying barriers and facilitators to evidence-based practice and collaboration between stakeholders – as well as investigating interventions to secure that the health care provided is based on the best available knowledge. As a consequence, my research corresponds to two related fields within caring science: knowledge implementation and patient participation.

Knowledge implementation and patient participation – partners for the future

Patient participation and knowledge implementation highlights are: what is evidence, and which interventions works in what context, in order to overcome the lack of correspondence between what may be established practice and what is recognised to be best practice in health care. These are important questions to secure evidence-based practice, during and following a change, where staff, managers and patients and their next of kin ought to have opportunities to participate.

PublicationsShow/Hide content

Ann Catrine Eldh, Marie Holmefur, Kristina Luhr, Marika Wenemark (2020)

BMC Health Services Research , Vol.20 Continue to DOI

Ann Catrine Eldh (2019)

Journal of Evaluation In Clinical Practice , Vol.25 , s.1070-1073 Continue to DOI

Jo Rycroft-Malone, Kate Seers, Ann Catrine Eldh, Karen Cox, Nicola Crichton, Gill Harvey, Claire Hawkes, Alison Kitson, Brendan McCormack, Christel McMullan, Carole Mockford, Theo Niessen, Paul Slater, Angie Titchen, Teatske van der Zijpp, Lars Wallin (2018)

Implementation Science , Vol.13 Continue to DOI



Ann Catrine Eldh, Kate Seers, Joanne Rycroft-Malone (2020) Realist evaluation Handbook on implementation science , s. 505-511

ResearchShow/Hide content

Knowledge implementation

A central aspect of evidence-based practice.

Knowledge implementation is receiving increasing attention as a scientific area; the potential difficulties in securing that knowledge is implemented in daily practice in health care are well known. Lately, studies of conditions for change have increased the comprehension in knowledge implementation. Today, there are theories and frameworks to guide initiatives on aspects such as leadership, attitudes, behaviours and behaviour change. In addition, knowledge is by and large available with regards to implementation interventions to facilitate evidence-based practice. However, further research is vital, to inform and facilitate improvement processes and secure that progression, promoting evidence-based practice, is sustained.

Knowledge implementation is an concern throughout most health care; the research I focus emphasise leadership, both informal and formal, the latter known as management, and its impact on innovations, that is, new knowledge, being implemented in daily practice. The purpose is to secure that for example older people are not to face a risk for UI onset in acute care, that primary care is in accordance with national guidelines on stroke rehabilitation, that oral care for frail older people corresponds with national guidelines, whether or not national quality registries facilitate clinical quality improvement, the evidence in and implementation of guidelines on ventilator management in intensive care and what promotes safe routines for peripheral venous catheters management in paediatric care. 

Patient participation

My research has shown that patient participation can include aspects such as sharing knowledge and experience, but also securing the knowledge one needs to perform and manage self-care and to partake in decision-making regarding ones care and treatment. To participate as a patient requires that any health care interaction is characterised by a mutual respect for the knowledge and experience that the patient as well as the health professional provide. To secure communication, innovative interventions and tools may be needed; I have developed and tested a clinical tool for patient participation – The 4Ps (acronym for Patient Preferences for Patient Participation).

4P is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)

The next phase is to trial the implementation of the 4Ps, in order to secure a strategy to support conditions for patient participation in both patients and health professionals.

OrganisationShow/Hide content