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 |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147153209&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147153209 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00296554 22Y jtl: Nursing Outlook issn: 00296554 maglogo: N pubinfo: dt: Nov2020 vid: 68 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 147153209 147153209 147153209 10.1016/j.outlook.2020.07.005 147153209 ppf: 769 ppct: 15 formats: tig: atl: Using the consolidated framework for implementation research to evaluate clinical trials: An example from multisite nursing research. aug: au: Costa, Linda L Bobay, Kathleen Hughes, Ronda Bahr, Sarah J. Siclovan, Danielle Nuccio, Susan Weiss, Marianne affil: University of Maryland School of Nursing, Organizational Systems and Adult Health, Baltimore, MD sug: subj: Conceptual Framework Program Implementation Implementation Science Research, Nursing Human Descriptive Research Data Analysis Software Semi-Structured Interview Interview Guides Secondary Analysis Discharge Planning Clinical Trials ab: • 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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