Using the consolidated framework for implementation research to evaluate clinical trials: An example from multisite nursing research.
• Consolidated Framework for Implementation Research is a guide for designing and evaluating fidelity of study implementation. • Intervention and structural characteristics distinguish low and high fidelity sites. • Nurse executive and site PI engagement were factors promoting high study fidelity. •...
| Publicado en: | Nursing Outlook Vol. 68; no. 6; pp. 769 - 784 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | • Consolidated Framework for Implementation Research is a guide for designing and evaluating fidelity of study implementation. • Intervention and structural characteristics distinguish low and high fidelity sites. • Nurse executive and site PI engagement were factors promoting high study fidelity. • Implementation fidelity can inform the quality of care. The Consolidated Framework for Implementation Research (CFIR) is a comprehensive guide for determining the factors that affect successful implementation of complex interventions embedded in real-time clinical practice. The study aim was to understand implementation constructs in a multi-site translational research study on readiness for hospital discharge that distinguished study sites with low versus high implementation fidelity. In this descriptive study, site Principal Investigator interviews (from 8 highest and 8 lowest fidelity sites) were framed with questions from 20 relevant CFIR constructs. Analysis used CFIR rules and rating scale (+2 to −2 per site) and memos created in NVivo 11. From a bimodal distribution of differences (1.5 and 5), 7 constructs distinguished high and low fidelity sites with ≥5-point difference. CFIR provided a determinant framework for identifying elements of a study site's context that impact implementation fidelity and clinical research outcomes. |
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