Cristin-resultat-ID: 1878048
Sist endret: 25. januar 2021 08:41
Resultat
Vitenskapelig artikkel
2021

Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability

Bidragsytere:
  • Thomas Westergren
  • Eirin Mølland
  • Kristin Haraldstad
  • Åshild Tellefsen Håland
  • Unni Mette Køpp
  • Liv Fegran
  • mfl.

Tidsskrift

BMC Health Services Research
ISSN 1472-6963
e-ISSN 1472-6963
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Open Access

Importkilder

Scopus-ID: 2-s2.0-85099767011

Beskrivelse Beskrivelse

Tittel

Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability

Sammendrag

Background: An increased and/or stable proportion of the child and adolescent population reports symptoms ofimpaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reportedoutcome measures need to be implemented in child and school health services for decision support andidentification of children at risk. We aimed to (a) qualitatively examine adjustments of active implementation fromthe pilot implementation of the Norwegian‘Starting Right’health service innovation including an online childhealth assessment tool and practical routines, and (b) measure practitioners ́ adoption and parental acceptability. Methods: We used a mixed-methods design to qualitatively examine adjustments from working notes andmeeting memoranda, and quantitatively assess adoption and acceptability from user rates provided by the systemslog. Twenty-one child and school health nurses (CSHNs) from two child health centers participated in theimplementation pilot of online health assessments in children aged 2-, 4- and 6-year. We used a deductive andnarrative analysis approach using Fixsen et al. ́s core implementation components to code and sort adjustments. Results: Core implementation components were adjusted throughout the pilot implementation. Researchers ́increased their availability in reciprocity with staff evaluation to integrate active implementation adjustments. Welaunched a project for improved data systems integration. The overall CSHNs adoption rate was satisfactory andhigher in center A, where a medical secretary supported the nurses through the entire pilot phase, than in center B(96 vs. 55 %). Parental acceptability rate was overall high (77 %) with increased rates among parents of 6-year-oldchildren (98 %) compared with younger ones (78–85 %), and in cases where both parents received thequestionnaires. Conclusions: The ‘Starting Right’ health service innovation implementation was actively adjusted by integration of core implementation components mainly based on staff evaluation. The CSHNs adopted the innovation which was also acceptable to parents.

Bidragsytere

Thomas Westergren

  • Tilknyttet:
    Forfatter
    ved NORCE Samfunn ved NORCE Norwegian Research Centre AS
  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Universitetet i Agder

Eirin Mølland

  • Tilknyttet:
    Forfatter
    ved Institutt for økonomi ved Universitetet i Agder
  • Tilknyttet:
    Forfatter
    ved NORCE Samfunn ved NORCE Norwegian Research Centre AS

Kristin Haraldstad

  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Universitetet i Agder

Åshild Tellefsen Håland

  • Tilknyttet:
    Forfatter
    ved Institutt for psykososial helse ved Universitetet i Agder
  • Tilknyttet:
    Forfatter
    ved Klinikk for psykisk helse ved Sørlandet sykehus HF

Unni Mette Køpp

  • Tilknyttet:
    Forfatter
    ved Medisinsk klinikk ved Sørlandet sykehus HF
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