Process Evaluation of Implementation Strategies

Hulscher, Marlies; Wensing, Michel

doi:10.1002/9781119488620.ch22

Cited by 6 publications

(3 citation statements)

References 32 publications

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“…To improve understanding of implementations and their possible outcomes, process evaluations should be undertaken [ 5 ]. Process evaluations are needed to improve the understanding of implementations and their possible outcomes [ 6 ]. Exploring key stakeholder perceptions can improve implementation strategies by giving insight into possible barriers and facilitators [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Process evaluations are needed to improve the understanding of implementations and their possible outcomes [ 6 ]. Exploring key stakeholder perceptions can improve implementation strategies by giving insight into possible barriers and facilitators [ 6 ]. Stakeholder evaluations are particularly important in complex multi-component systems-level implementations such as the SICP.…”

Section: Introductionmentioning

confidence: 99%

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Physicians’ perceptions of the implementation of the serious illness care program: a qualitative study

Pusa,

Baxter,

Sandgren

2023

BMC Health Serv Res

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Background Conversations about goals, values and priorities with patients that are seriously ill are associated with improved palliative healthcare. The Serious Illness Care Program is a multi-component program that can facilitate more, better, and earlier conversations between clinicians and seriously ill patients. For successful and sustainable implementation of the Serious Illness Care Program, it is important to consider how stakeholders perceive it. The aim of our study was to explore physicians’ perceptions and experiences of implementing the Serious Illness Care Program. Methods Data were collected through four focus group discussions with physicians (n = 14) working at a hospital where the Serious Illness Care program was in the process of being implemented. Data were analyzed with inductive thematic analysis. Results Physicians’ perceptions of the implementation encompassed three thematic areas: hovering between preparedness and unpreparedness, being impacted and being impactful, and picking pieces or embracing it at all. Conclusions This study identified key aspects related to the individual physician, the care team, the impact on the patient, and the organizational support that were perceived to influence the implementation and sustainable integration of the Serious Illness Care Program. Describing these aspects provides insight into how the Serious Illness Care Program is implemented in practice and indicates areas for future training and development. Trial registration Not applicable.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physicians’ perceptions of the implementation of the serious illness care program: a qualitative study

Pusa,

Baxter,

Sandgren

2023

BMC Health Serv Res

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“…On the other hand, implementation research can be associated with different kinds of evaluation (such as formative or summative (Bauer et al, 2015)), but process evaluation is central, as the evaluation of the implementation process and its interaction with the implementation (and other) outcomes is vital to understand the success (or lack of it) of the implementation of the intervention in the real world (Bauer et al, 2015). While process evaluation has mainly been used to evaluate the implementation of the evidence-based interventions, the implementation strategies (as defined above) can also be evaluated with the same process evaluation methods (Hulscher & Wensing, 2020).…”

Section: Process Evaluation In Implementation Researchmentioning

confidence: 99%

Scaling up alcohol prevention in primary health care

Kokole

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Experiences with a national team-based learning program for advance care planning in pediatric palliative care

Engel,

Fahner,

Hennus

et al. 2024

BMC Palliat Care

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Background Advance Care Planning (ACP) enables patients and relatives to define and share values, goals and preferences for future medical treatment and care. The IMplementing Pediatric Advance Care Planning Toolkit (IMPACT), developed in the Netherlands, is a method for conducting ACP in pediatric palliative care. Healthcare professionals who were trained to use IMPACT, indicated their need for ongoing support to practice ACP communication skills optimally over time. Therefore, we developed a team-based learning program aimed at teaching participants how to transfer knowledge on ACP, continue practicing ACP communication skills and reflect on ACP conversations within their own team context. The aim of this study was to evaluate the program’s transfer of knowledge as well as the professionals’ experience and team reflection on ACP. Methods A one-day IMPACT train-the-trainer course was developed and a selection of healthcare professionals (facilitators) from pediatric palliative care teams (PPCTs) from all seven Dutch university hospitals and the specialized Center for Pediatric Oncology were invited to participate. Hereafter, facilitators were asked to transfer their course-acquired knowledge to their team members (learners) by organizing two coaching-on-the-job sessions. A mixed-methods design, combining questionnaires and field notes, was used to evaluate the level of knowledge transfer and team reflection achieved. Results Eighteen healthcare professionals in the role of facilitator participated in the train-the-trainer course. In seven PPCTs one (n = 3) or two (n = 4) coaching-on-the-job session(s) took place, attended by 29 and 17 learners, respectively. In the questionnaires, 11 facilitators indicated that they had to some extent transferred acquired knowledge to their team members as intended. Sixteen out of 21 learners who participated in at least one coaching-on-the-job session, reported (somewhat) increased self-confidence for conducting ACP conversations. The reported main strength of the program was practicing with/learning from colleagues whereas dealing with workload and variation in existing ACP skills within PPCTs need more attention. Conclusions The newly developed team-based learning program resulted in intended transfer of knowledge and methodical reflection on ACP in coaching-on-the-job sessions in most participating PPCTs. Planning coaching-on-the-job sessions regarding ACP in pediatric palliative care with multiple healthcare professionals is challenging and needs more emphasis in the training.

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Process Evaluation of Implementation Strategies

Cited by 6 publications

References 32 publications

Physicians’ perceptions of the implementation of the serious illness care program: a qualitative study

Physicians’ perceptions of the implementation of the serious illness care program: a qualitative study

Scaling up alcohol prevention in primary health care

Experiences with a national team-based learning program for advance care planning in pediatric palliative care

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