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Implementation science approaches to enhance uptake of complex interventions in surgical settings.

Achieving practice change in the complex healthcare environment is difficult. Effective surgical care requires coordination of services across the continuum of care, involving interdisciplinary collaboration across multiple units, with systems and processes that may not connect effectively. Principl...

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Published in:Australian Health Review Vol. 44; no. 2; pp. 310 - 313
Main Authors: Byrnes, Angela, Mudge, Alison, Clark, David
Format: Journal Article
Published: CSIRO Publishing 2020
Online Access:View this record in EBSCOhost
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      dt: 2020
      vid: 44
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      pub: CSIRO Publishing
      place: Canberra ACT, <Blank>
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        10.1071/AH18193
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        atl: Implementation science approaches to enhance uptake of complex interventions in surgical settings.
      aug:
        au:
          Byrnes, Angela
          Mudge, Alison
          Clark, David
        affil: School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Qld 4067, Australia.
      sug:
        subj:
          Implementation Science Methods
          Nursing Interventions
          Surgicenters
          Stakeholder Participation
      ab: Achieving practice change in the complex healthcare environment is difficult. Effective surgical care requires coordination of services across the continuum of care, involving interdisciplinary collaboration across multiple units, with systems and processes that may not connect effectively. Principles of enhanced recovery after surgery (ERAS) are increasingly being incorporated into facility policies and practice, but the literature reports challenges with both initial adherence and mid- to long-term sustainability. Greatest adherence is typically observed for the intraoperative elements, which are within the control of a single discipline, with poorest adherence reported for postoperative processes occurring in the complex ward environment. Using ERAS as an example, this perspective piece describes the challenges associated with implementation of complex interventions in the surgical setting, highlighting the value that implementation science approaches can bring to practice change initiatives and providing recommendations as to suggested course of action for effective implementation.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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