Prospective application of an implementation framework to improve postoperative nutrition care processes: Evaluation of a mixed methods implementation study

Byrnes, Angela; Young, Adrienne; Mudge, Alison; Banks, Merrilyn; Clark, David; Bauer, Judy

doi:10.1111/1747-0080.12464

Cited by 24 publications

(25 citation statements)

References 38 publications

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“…On the formal end of the spectrum, ISPs conducted, for example, an “ onsite 6-hour experiential workshop ” (Carson et al, 2014, p. S14), “ a series of six learning sessions ” (Anaby et al, 2015, p. 3), a “ two-day initial training ” (Bradshaw et al, 2012, p. 181), or “ study days ” (Gerrish et al, 2011, p. 2010). The use of less formal gatherings aimed at educating stakeholders included, for example, “ addressing the subject informally during lunch breaks ” (Aasekjær et al, 2016, p. 35), offering one-to-one tutoring (Bice-Urbach & Kratochwill, 2016; Kaasalainen et al, 2015), integrating educational elements into an agency’s routine staff meeting (Byrnes et al, 2018; Graaf et al, 2017), or initiating ad hoc informal training sessions upon request by those supported (Tierney et al, 2014). Study reports that presented the techniques used to educate stakeholders in these meetings reflected a consistent combination of didactic and dynamic, interactive teaching elements (Becker et al, 2013; Beidas et al, 2012; Brownson et al, 2007; Chaffin et al, 2016; Dobbins et al, 2018; Ryba et al, 2017; Tierney et al, 2014; Yano et al, 2008), the latter of which typically aimed at integrating the concrete and individual/local work experience of those supported.…”

Section: Resultsmentioning

confidence: 99%

“…The second strategy falling outside the ERIC compilation was “contribute to intervention design” and refers to situations in which ISPs were involved in developing clinical protocols (Aasekjær et al, 2016; Holtrop et al, 2008), behavior support plans (Bice-Urbach & Kratochwill, 2016; Sanetti et al, 2018), guidelines (Byrnes et al, 2018; Gerrish et al, 2011), practice policies (Lemelin et al, 2001), best practice models (Franks & Bory, 2015), or evidenced interventions to be integrated into clinical practice (Dobbins et al, 2018; Hurtubise et al, 2016; Waterman et al, 2015). Few studies provided further detail on the look and feel of this activity.…”

Section: Resultsmentioning

confidence: 99%

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Implementation Support Skills: Findings From a Systematic Integrative Review

Albers

Metz

Burke

et al. 2020

Research on Social Work Practice

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Purpose: Skills in selecting and designing strategies for implementing research-supported interventions (RSIs) within specific local contexts are important for progressing a wider RSI adoption and application in human and social services. This also applies to a particular role in implementation, the implementation support practitioner (ISP). This study examines which strategies have been reported as being used by ISPs across multiple bodies of research on implementation support and how these strategies were applied in concrete practice settings. Methods: A systematic integrative review was conducted. Data analysis utilized the Expert Recommendations for Implementing Change compilation of implementation strategies. Results: Studies reported on 18 implementation strategies commonly used by different ISPs, who require mastery in selecting, operationalizing, and detailing these. Two further strategies not included in the ERIC compilation could be identified. Discussion: Given the use of primarily more feasible implementation support strategies among ISPs, their potential as agents of change may be underutilized.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Implementation Support Skills: Findings From a Systematic Integrative Review

Albers

Metz

Burke

et al. 2020

Research on Social Work Practice

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“…Formal or active roles, including researchers in residence and knowledge brokers, who work in a strategic and purposeful way to share knowledge across organisations [ 67 – 70 ], typically involve individuals with facilitatory skills (novice or expert) [ 33 , 40 , 71 , 72 ]. Our findings suggest that instinctive facilitation may involve individuals who do not adopt formal brokering roles or fully recognise their role.…”

Section: Discussionmentioning

confidence: 99%

Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework

et al. 2020

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Background Osteoarthritis is a leading cause of pain and disability worldwide. Despite research supporting best practice, evidence-based guidelines are often not followed. Little is known about the implementation of non-surgical models of care in routine primary care practice. From a knowledge mobilisation perspective, the aim of this study was to understand the uptake of a clinical innovation for osteoarthritis and explore the journey from a clinical trial to implementation. Methods This study used two methods: secondary analysis of focus groups undertaken with general practice staff from the Managing OSteoArthritis in ConsultationS research trial, which investigated the effectiveness of an enhanced osteoarthritis consultation, and interviews with stakeholders from an implementation project which started post-trial following demand from general practices. Data from three focus groups with 21 multi-disciplinary clinical professionals (5–8 participants per group), and 13 interviews with clinical and non-clinical stakeholders, were thematically analysed utilising the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, in a theoretically informative approach. Public contributors were involved in topic guide design and interpretation of results. Results In operationalising implementation of an innovation for osteoarthritis following a trial, the importance of a whole practice approach, including the opportunity for reflection and planning, were identified. The end of a clinical trial provided opportune timing for facilitating implementation planning. In the context of osteoarthritis in primary care, facilitation by an inter-disciplinary knowledge brokering service, nested within an academic institution, was instrumental in supporting ongoing implementation by providing facilitation, infrastructure and resource to support the workload burden. ‘Instinctive facilitation’ may involve individuals who do not adopt formal brokering roles or fully recognise their role in mobilising knowledge for implementation. Public contributors and lay communities were not only recipients of healthcare innovations but also potential powerful facilitators of implementation. Conclusion This theoretically informed knowledge mobilisation study into the uptake of a clinical innovation for osteoarthritis in primary care has enabled further characterisation of the facilitation and recipient constructs of i-PARIHS by describing optimum timing for facilitation and roles and characteristics of facilitators.

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“…Twenty-one articles were categorized as multicomponent, 11,16,17,61,87,[98][99][100][101][102][103][104][105][106][107][108][109][110][111][112][113] including a systematic review, 87 an RCT, 98 and 10 non-RCT intervention studies. 61,[99][100][101][102][103][104][105][106][107] Multicomponent interventions included combinations of food service, ONS, dietitian counseling, and other interventions to improve food intake and nutritional status of patients. A systematic review found that interventions of counseling, meal enrichment, offering snacks between meals, and/or provision of ONS improved quality of life but did not impact mortality or readmission.…”

Section: Multicomponent Interventionsmentioning

confidence: 99%

Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

Keller¹,

Laur

Dhaliwal

et al. 2020

J Parenter Enteral Nutr

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Hospital malnutrition is a longstanding problem that continues to be underrecognized and undertreated. The aim of this narrative review is to summarize novel, solution-focused, recent research or commentary to update providers on the prevention of iatrogenic malnutrition as well as the detection and treatment of hospital malnutrition. A narrative review was completed using the top 11 clinically relevant nutrition journals. Of the 13,850 articles and editorials published in these journals between 2013 and 2019, 511 were related to hospital malnutrition. A duplicate review was used to select (n = 108) and extract key findings from articles and editorials. Key criteria for selection were population of interest (adult hospital patients, no specific diagnostic group), solutionfocused, and novel perspectives. Articles were categorized (6 classified in >1 category) as Screening and Assessment (n = 17), Standard (n = 25), Advanced (n = 12) and Specialized Nutrition Care (n = 8), Transitions (n = 15), Multicomponent (n = 21), Education and Empowerment (n = 9), Economic Impact (n = 3), and Guidelines (n = 4) for summarizing. Research advances in screening implementation, standard nutrition care, transitions, and multicomponent interventions provide new strategies to consider for malnutrition prevention (iatrogenic), detection, and care. However, several areas requiring further research were identified. Specifically, larger and more rigorous studies that examine health outcomes and economic analyses are urgently needed.

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Prospective application of an implementation framework to improve postoperative nutrition care processes: Evaluation of a mixed methods implementation study

Cited by 24 publications

References 38 publications

Implementation Support Skills: Findings From a Systematic Integrative Review

Implementation Support Skills: Findings From a Systematic Integrative Review

Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework

Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

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