A qualitative study to identify barriers and facilitators to implementation of pilot interventions in the Veterans Health Administration (VHA) Northwest Network.
Objective: To identify barriers and facilitators to implementation of pilot interventions designed to improve measurement and management of low-density lipoprotein cholesterol (LDL-c) levels in coronary heart disease patients using the evidence/context/facilitation model of implementation of evidenc...
| Published in: | Worldviews on Evidence-Based Nursing (Wiley-Blackwell) Vol. 1; no. 2; pp. 129 - 140 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
2004 2nd Quarter
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106606383&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106606383 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1545102X 0PW jtl: Worldviews on Evidence-Based Nursing (Wiley-Blackwell) issn: 1545102X maglogo: Y pubinfo: dt: 2004 2nd Quarter vid: 1 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106606383 18353330 2005064313 10.1111/j.1741-6787.2004.04023.x NLM17129326 106606383 ppf: 129 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A qualitative study to identify barriers and facilitators to implementation of pilot interventions in the Veterans Health Administration (VHA) Northwest Network. aug: au: Sharp ND Pineros SL Hsu C Starks H Sales AE affil: Va Puget Sound Health Care System (152), Seattle, WA 98108; Nancy.Sharp@med.va.gov sug: subj: Hypercholesterolemia Therapy Lipoproteins, LDL Blood Myocardial Ischemia Program Implementation Evaluation Content Analysis Health Personnel Professional Practice, Evidence-Based Qualitative Studies Structured Interview United States United States Department of Veterans Affairs Human ab: Objective: To identify barriers and facilitators to implementation of pilot interventions designed to improve measurement and management of low-density lipoprotein cholesterol (LDL-c) levels in coronary heart disease patients using the evidence/context/facilitation model of implementation of evidence-based practice.Design: Theory-based conceptual content analysis of structured interviews conducted between January and April 2001.Setting: Six medical centers in the United States Veterans Health Administration Northwest Network.Participants: Fifty-one of 64 individuals (physicians, nurses, pharmacists, dieticians, quality managers, and other clinical and nonclinical staff) who participated in planning and/or implementing pilot interventions.Main Findings: Barriers to successful implementation related primarily to the intervention process and secondarily to characteristics of the intervention context. Interview responses indicated that planning, including identification of resources and assessment of potential barriers and facilitators, was a critical and universally underutilized step in the intervention process.Conclusions: Organized team process, documented plans for intervention activities, and ongoing evaluation are essential for sustaining intervention activities. A top priority for facilitating interventions should be the development of educational materials, such as 'how to' guides, that teach intervention teams how to anticipate barriers and make plans to address them, as well as identifying and fostering local experts in planning and implementing interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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