دورية أكاديمية
أعرض في EDS

Facilitators and barriers to implementation of a patient and staff reported measure for screening of palliative concerns of patients with heart failure: a qualitative analysis using the Consolidated Framework for Implementation Research.

التفاصيل البيبلوغرافية
العنوان: Facilitators and barriers to implementation of a patient and staff reported measure for screening of palliative concerns of patients with heart failure: a qualitative analysis using the Consolidated Framework for Implementation Research.
المؤلفون: Neo SH; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Level 4, 11 Hospital Crescent, Singapore 169610, Singapore.; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore., Tan JY; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore., Ng ES; Nursing Specialty Care Unit, National Heart Centre Singapore, Singapore, Singapore., Yoon S; Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
المصدر: Palliative care and social practice [Palliat Care Soc Pract] 2023 Dec 01; Vol. 17, pp. 26323524231214814. Date of Electronic Publication: 2023 Dec 01 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: United States NLM ID: 101754997 Publication Model: eCollection Cited Medium: Internet ISSN: 2632-3524 (Electronic) Linking ISSN: 26323524 NLM ISO Abbreviation: Palliat Care Soc Pract Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Thousand Oaks, CA] : SAGE Publications, [2019]-
مستخلص: Background: Screening patients with patient-reported outcome measures allows identification of palliative care concerns. The Integrated Palliative Care Outcome Scale (IPOS) was developed in the United Kingdom for this purpose. Tools developed in another setting might not be readily usable locally. We previously evaluated the validity and reliability of the IPOS in our cardiology setting. However, it remains uncertain what factors would influence the subsequent implementation of IPOS for routine screening of patients with advanced heart failure in future practice.
Objectives: This study aimed to identify the factors that could affect the IPOS implementation for patients with advanced heart failure.
Design: This was a qualitative study conducted at the National Heart Centre Singapore.
Methods: Patients with advanced heart failure who participated in our previous IPOS validation study were purposively recruited for semi-structured interviews. Healthcare workers caring for these patients and involved in the testing of the IPOS tool were also invited for interviews. The interviews were analyzed thematically and mapped to the Consolidated Framework for Implementation Research (CFIR).
Results: Our analysis identified six potential facilitators and six potential barriers to implementation across five major domains of the CFIR (intervention characteristics, inner setting, outer setting, individual characteristics, and process). Facilitators include: (i) perception of utility, (ii) perception of minimal complexity, (iii) perception of relatability, (iv) conducive culture, (v) dedicated resources, and (vi) advocates for implementation. Barriers include: (i) need for adaptation, (ii) mindsets/role strains, (iii) resource constraints, (iv) cultural concerns, (v) individual needs, and (vi) change process.
Conclusion: Institutions could focus on cultivating appropriate perceptions and conducive cultures, providing dedicated resources for implementation and introducing facilitators to advocate for implementation. Adaptation of IPOS to suit workflows and individual needs, consideration of change processes, and systemic changes to alleviate cultural, resource, and staff role strains would improve IPOS uptake during actual implementation in clinical services.
Trial Registration: Not applicable.
Competing Interests: The authors declare that there is no conflict of interest.
(© The Author(s), 2023.)
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فهرسة مساهمة: Keywords: Integrated Palliative Care Outcome Scale; heart failure; palliative care
تواريخ الأحداث: Date Created: 20231204 Latest Revision: 20231205
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10693212
DOI: 10.1177/26323524231214814
PMID: 38044934
قاعدة البيانات: MEDLINE
الوصف
تدمد:2632-3524
DOI:10.1177/26323524231214814