"Although valuable, evaluation is often complicated by tensions and friction between evaluators, implementers and other stakeholders. Drawing on the literature, we suggest that these tensions can arise from a lack of shared understanding of the goals of the evaluation; confusion about roles, relationships and responsibilities; data burdens; issues of data flows and confidentiality; the discomforts of being studied and the impact of disappointing or otherwise unwelcome results. We present a possible approach to managing these tensions "
What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities
L Brewster, EL Aveling, G Martin, C Tarrant, M Dixon-Woods
BMJ Quality and Safety 2015;24:318-324 doi:10.1136/bmjqs-2014-003732
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