Facilitators, barriers and considerations for the implementation of healthcare innovation: A qualitative rapid systematic review

Abstract

Family caregiving scholars recommend that health providers receive competencybased education to partner with and support family caregivers to care and to maintain their own health. While it may be relatively easy to develop competency-based education for healthcare providers, ensuring widespread uptake and spread and scale of healthcare education is critical to ensuring consistent person-centered support for all family caregivers (FCGs) throughout the care trajectory. The development of novel healthcare innovations requires implementation strategies for uptake and spread, with implementation involving the use of strategies to integrate a novel innovation into healthcare. Research suggests that there are many factors involved in successful implementation and a synthesis of potential factors is warranted. The purpose of this review is to provide an in-depth examination of facilitators, barriers and considerations for implementation of a novel healthcare innovation that will be used to develop an implementation plan for spread and scale of our competencybased education for health providers to learn about person-centered care for FCGs.A systematic review of published and grey literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA [Moher et al., 2015]) guidelines. The systematic review involved searching four databases for original research articles that described barriers, facilitators and/or other considerations when implementing innovations. Twenty-eight articles were included in the qualitative thematic analyses and described three areas of implementation research: barriers, facilitators and recommendations. There were major and parallel themes that emerged under facilitators and barriers. There were a wide variety of strategies that were identified as recommendations. The findings were synthesised into five considerations for implementation: Research and information sharing, intentional implementation planning, organisational underpinnings, creating the clinical context and facilitative training. This review provides an integrative overview of identified facilitators, barriers and recommendations for implementation that may aid in developing implementation strategies that can be tailored to the local context or innovation being implemented.

Family caregiver inclusion is not a level playing field: toward equity for the chosen families of sexual and gender minority patients

“… 24 The facilitators, barriers, and considerations for the implementation of competency-based education to enhance person-centered chosen family caregiver support among SGM groups must be assessed within a given health and social care setting and adapted as needed. 25 Incorporating such trainings as foundational or mandatory where possible for health professionals and staff, as well as performing longitudinal assessment of health care provider sustainment of these communication competencies, are tangible steps toward equity. Although communication training is often absent in many health professional curricula, it is time to re-examine and reprioritize communication capacity building as central to advancing person-centered care, particularly for patients from historically excluded groups.…”

Practice of Supporting Family Caregivers of Patients with Life-Threatening Diseases: A Two-phase Study Among Healthcare Professionals

“…Structured use of needs assessment tools may help to achieve this. 6,23,24 To facilitate implementation of enhanced support for family caregivers, Parmar et al 25 recommend, among others, composing a multidisciplinary implementation team, ensuring support from senior management, and the availability of a toolkit that contains intervention strategies. The mapping of barriers and facilitators to the COM-B system enabled us to use the Behavior Change Wheel 15 to formulate possible intervention strategies.…”

The All-Wales Academy for Innovation in Health and Social Care

“…The importance of skills within health systems to support innovation has been well-established (Länsisalmi et al, 2006) (Bevan, 2010) (Parmar et al, 2021), including the role of managers (Bevan, 2010), with focus on senior managers (Birken et al, 2012). Within this context, the role of business and management schools to deliver leadership and enterprise training has been an emerging theme (Bell 2017).…”