Cristin-resultat-ID: 1301415
Sist endret: 23. februar 2016 16:47
NVI-rapporteringsår: 2015
Resultat
Vitenskapelig artikkel
2015

Using the consolidated framework for implementation research to identify barriers and facilitators for the implementation of an internet-based patient-provider communication service in five settings: A qualitative study

Bidragsytere:
  • Cecilie Varsi
  • Mirjam Ekstedt
  • Barbara Deede Gammon og
  • Cornelia Ruland

Tidsskrift

Journal of Medical Internet Research
ISSN 1438-8871
e-ISSN 1438-8871
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2015
Publisert online: 2015
Volum: 17
Hefte: 11
Open Access

Importkilder

Scopus-ID: 2-s2.0-84948952085

Beskrivelse Beskrivelse

Tittel

Using the consolidated framework for implementation research to identify barriers and facilitators for the implementation of an internet-based patient-provider communication service in five settings: A qualitative study

Sammendrag

Background: Although there is growing evidence of the positive effects of Internet-based patient-provider communication (IPPC) services for both patients and health care providers, their implementation into clinical practice continues to be a challenge. Objective: The 3 aims of this study were to (1) identify and compare barriers and facilitators influencing the implementation of an IPPC service in 5 hospital units using the Consolidated Framework for Implementation Research (CFIR), (2) assess the ability of the different constructs of CFIR to distinguish between high and low implementation success, and (3) compare our findings with those from other studies that used the CFIR to discriminate between high and low implementation success. Methods: This study was based on individual interviews with 10 nurses, 6 physicians, and 1 nutritionist who had used the IPPC to answer messages from patients. Results: Of the 36 CFIR constructs, 28 were addressed in the interviews, of which 12 distinguished between high and low implementation units. Most of the distinguishing constructs were related to the inner setting domain of CFIR, indicating that institutional factors were particularly important for successful implementation. Health care providers’ beliefs in the intervention as useful for themselves and their patients as well as the implementation process itself were also important. A comparison of constructs across ours and 2 other studies that also used the CFIR to discriminate between high and low implementation success showed that 24 CFIR constructs distinguished between high and low implementation units in at least 1 study; 11 constructs distinguished in 2 studies. However, only 2 constructs (patient need and resources and available resources) distinguished consistently between high and low implementation units in all 3 studies. Conclusions: The CFIR is a helpful framework for illuminating barriers and facilitators influencing IPPC implementation. However, CFIR’s strength of being broad and comprehensive also limits its usefulness as an implementation framework because it does not discriminate between the relative importance of its many constructs for implementation success. This is the first study to identify which CFIR constructs are the most promising to distinguish between high and low implementation success across settings and interventions. Findings from this study can contribute to the refinement of CFIR toward a more succinct and parsimonious framework for planning and evaluation of the implementation of clinical interventions.

Bidragsytere

Aktiv cristin-person

Cecilie Varsi

  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkn. og samhandlingsforskn. ved Oslo universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkning og samhandlingsforskning ved Universitetet i Oslo

Mirjam Ekstedt

  • Tilknyttet:
    Forfatter
    ved Kungliga Tekniska högskolan
  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkn. og samhandlingsforskn. ved Oslo universitetssykehus HF

Barbara Deede Gammon

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for e-helseforskning ved Universitetssykehuset Nord-Norge HF
  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkn. og samhandlingsforskn. ved Oslo universitetssykehus HF

Cornelia Ruland

  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkning og samhandlingsforskning ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkn. og samhandlingsforskn. ved Oslo universitetssykehus HF
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