Leveraging Implementation Science to Achieve Empirical Outcomes

Kaiser, Jennifer

doi:10.1097/nna.0000000000001108

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…The Consolidated Framework for Implementation Research (CFIR) is a conceptual framework in IS developed based on multiple theories that guide implementors to systematically map various contextual factors that may impact the intervention implementation [ 6 ]. The Framework consists of five domains (Intervention Characteristics, Outer Setting, Inner Setting, Characteristics of Individuals, and Process) (see Table 1 for the descriptions of the CFIR domains) and 37 constructs [ 6 , 15 , 16 ]. CFIR is a practical guide for implementors to systematically assess multi-level potential barriers and facilitators for interventions’ implementation (planning, executing, and evaluating) [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Beyond Plan-Do-Study-Act cycle – staff perceptions on facilitators and barriers to the implementation of telepresence robots in long-term care

Wong

Young

Hung

et al. 2023

BMC Health Serv Res

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Background Quality improvement (QI) programs with technology implementations have been introduced to long-term care (LTC) to improve residents’ quality of life. Plan-Do-Study-Act (PDSA) cycle is commonly adopted in QI projects. There should be an appropriate investment of resources to enhance learning from iterative PDSA cycles. Recently, scholars explored possibilities of implementation science (IS) with QI methods to increase QI projects’ generalisability and make them more widely applicable in other healthcare contexts. To date, scant examples demonstrate the complementary use of the two methods in QI projects involving technology implementation. This qualitative study explores staff and leadership teams’ perspectives on facilitators and barriers of a QI project to implement telepresence robots in LTC guided by the Consolidated Framework for Implementation Research (CFIR). Methods We employed purposive and snowballing methods to recruit 22 participants from two LTC in British Columbia, Canada: operational and unit leaders and interdisciplinary staff, including nursing staff, care aides, and allied health practitioners. CFIR was used to guide data collection and analysis. Semi-structured interviews and focus groups were conducted through in-person and virtual meetings. Thematic analysis was employed to generate insights into participants’ perspectives. Results Our analysis identified three themes: (a) The essential needs for family-resident connections, (b) Meaningful engagement builds partnership, and (c) Training and timely support gives confidence. Based on the findings and CFIR guidance, we demonstrate how to plan strategies in upcoming PDSA cycles and offer an easy-to-use tool ‘START’ to encourage the practical application of evidence-based strategies in technology implementation: Share benefits and failures; Tailor planning with staff partners; Acknowledge staff concerns; Recruit opinion leaders early; and Target residents’ needs. Conclusions Our study offers pragmatic insights into the complementary application of CFIR with PDSA methods in QI projects on implementing technologies in LTC. Healthcare leaders should consider evidence-based strategies in implementing innovations beyond PDSA cycles.

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Section: Introductionmentioning

confidence: 99%

Beyond Plan-Do-Study-Act cycle – staff perceptions on facilitators and barriers to the implementation of telepresence robots in long-term care

Wong

Young

Hung

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The Consolidated Framework for Implementation Research (CFIR) is a conceptual framework developed based on multiple theories that guide implementors to systematically map various contextual factors that may impact the intervention implementation with its ve domains (Intervention Characteristics, Outer Setting, Inner Setting, Characteristics of Individuals, and Process) (Table 1) and 37 constructs (8,11,12). This framework is a practical guide for implementors to systematically assess multi-level potential barriers and facilitators for innovation implementation (planning, executing, and evaluating) supplementary to the PDSA cycle (13).…”

Section: Consolidated Framework For Implementation Research As a Supp...mentioning

confidence: 99%

Beyond Plan-Do-Study-Act cycle – Staff perceptions on facilitators and barriers to implementation of telepresence robots in long-term care

Wong

Young

Hung

et al. 2022

Preprint

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Background: COVID-19’s physical distancing mandates have increased the likelihood of experiencing social isolation and loneliness for residents in long-term care, especially those living with dementia. Social isolation correlates with health risks, including depression and cognitive decline. Telepresence robots can be remotely driven and facilitate social interaction through videoconferencing. Researchers have begun to explore opportunities for using these robots in the healthcare field. However, the perspectives of key stakeholders have not been fully explored. This qualitative descriptive study focuses on exploring staff and leadership teams’ perspectives on facilitators and barriers to implementing telepresence robots in long-term care. Methods: We employed purposive and snowballing methods to recruit 22 participants from two LTC in British Columbia, Canada: operational and unit leaders, and interdisciplinary staff including nursing staff, care aides, and allied health practitioners. The Consolidated Framework for Implementation Research guided data collection and analysis. Semi-structured interviews and focus groups were conducted through in-person and virtual meetings. Thematic analysis was employed to generate insights into participants’ perspectives. Results: Our analysis identified three themes: (a) ‘The robots are now more urgently needed.’ - the essential needs for family-resident connections, (b) ‘Listen to the voice of frontline staff’- meaningful engagement builds partnership, and (c) ‘I need to practice and practice’ - training and timely support gives confidence. Based on the findings and the Consolidated Framework for Implementation Research guidance, we offer an easy-to-use tool ‘START’ to encourage the practical application of evidence-based strategies in technology implementation: Share benefits and successes; Tailor planning with staff partners; Acknowledge staff concerns; Repeat training; and Timely technical support. Conclusions: Our study offers pragmatic insights into the complexity of implementing telepresence robots in LTC. Healthcare leaders should consider evidence-based strategies in implementing innovations beyond the Plan-Do-Study-Act cycle.

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Implementing care-related services in care units - an interview study

Reichert,

Gummesson,

Wallin

et al. 2024

BMC Health Serv Res

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Background The growing concern about a dwindling healthcare workforce, exacerbated by demographic changes, calls for innovative solutions. One viable approach involves implementing new professional roles and restructuring existing healthcare teams within hospital care units. Objectives To evaluate the implementation of an innovative task-shifting concept, care-related services (CRS), from the managers’ perspective in somatic care units across the hospitals in a region in Sweden. Methods The qualitative study was conducted in 2022, after the implementation of CRS. Individual interviews were conducted with 24 key stakeholders, including 14 care unit managers, six CRS managers, and four process managers. A qualitative content analysis was performed, utilizing the Consolidated Framework of Implementation Research (CFIR). Results The implementation of CRS involved collaboration between care unit managers, CRS managers, and project managers, alongside CRS staff, registered nurses (RNs), and licensed vocational nurses (LVNs). In particular, their roles encompassed defining boundaries, establishing routines, and managing personnel. Throughout the implementation process, challenges emerged, stemming from undefined goals, difficulties in recruiting qualified CRS staff, and issues associated with seamlessly integrating CRS into existing work routines. These challenges arose due to a constrained timeframe, widespread team apprehension, shortcomings in the training of CRS staff, unclear task allocation, and an increased workload for care unit managers. Factors associated with successful CRS implementation included effective cooperation among managers and an open-minded approach. Conclusions Our findings highlight the crucial role of clear communication, effective recruitment, integration of CRS staff, clarification of roles, responsibilities, and defined goals for successful CRS implementation.

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Leveraging Implementation Science to Achieve Empirical Outcomes

Cited by 3 publications

References 25 publications

Beyond Plan-Do-Study-Act cycle – staff perceptions on facilitators and barriers to the implementation of telepresence robots in long-term care

Beyond Plan-Do-Study-Act cycle – staff perceptions on facilitators and barriers to the implementation of telepresence robots in long-term care

Beyond Plan-Do-Study-Act cycle – Staff perceptions on facilitators and barriers to implementation of telepresence robots in long-term care

Implementing care-related services in care units - an interview study

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