Facilitators of palliative care quality improvement team cohesion: Lessons from a seven-site implementation project in India.
Background: The Palliative Care: Promoting Access and Improvement of the Cancer Experience (PC-PAICE) initiative is a team-based, palliative care (PC) quality improvement (QI) project working to promote high-quality PC in India. As a PC QI initiative, PC-PAICE implementation relied upon building int...
| Publicado en: | Health Care Management Review Vol. 48; no. 3; pp. 219 - 229 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul-Sep2023
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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=163864047&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163864047 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03616274 HCM jtl: Health Care Management Review issn: 03616274 maglogo: N pubinfo: dt: Jul-Sep2023 vid: 48 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 163864047 163864047 163864047 10.1097/HMR.0000000000000368 163864047 ppf: 219 ppct: 10 formats: tig: atl: Facilitators of palliative care quality improvement team cohesion: Lessons from a seven-site implementation project in India. aug: au: Connell, Natalie B. Zupanc, Sophia N. Lorenz, Karl A. Bhatnagar, Sushma Fereydooni, Soraya Gamboa, Raziel C. Ganesh, Archana Satija, Aanchal Singh, Nainwant Spruijt, Odette Giannitrapani, Karleen F. affil: Natalie B. Connell, BS, is Research Assistant, Emory University School of Medicine, Atlanta, Georgia. sug: subj: Quality Improvement Palliative Care India Multidisciplinary Care Team Implementation Science Organizational Theory Funding Source Human India Quota Sample Semi-Structured Interview Interview Guides Organizational Culture Secondary Analysis Audiorecording Data Analysis Software Communication Interprofessional Relations Male Female Professional Role Male Female ab: Background: The Palliative Care: Promoting Access and Improvement of the Cancer Experience (PC-PAICE) initiative is a team-based, palliative care (PC) quality improvement (QI) project working to promote high-quality PC in India. As a PC QI initiative, PC-PAICE implementation relied upon building interdisciplinary teams, providing the ideal context for understanding facilitators of team cohesion that compelled clinical, organizational, and administrative team members to work together. There is an opportunity to leverage the intersection between QI implementation and organizational theory to inform and improve implementation science. Purpose: As a subaim of a larger implementation evaluation, we aimed to identify facilitators of team cohesion within QI implementation context. Methodology: A quota sampling approach captured the perspectives of 44 stakeholders across three strata (organizational leaders, clinical leaders, and clinical team members) from all seven sites through a semistructured interview guide informed by the Consolidated Framework for Implementation Research (CFIR). We used a combination of inductive and deductive approaches informed by organizational theory to identify facilitators. Result: We identified three facilitators of PC team cohesion: (a) balancing formalization and flexibility around team roles, (b) establishing widespread awareness of the QI project, and (c) prioritizing a nonhierarchical organizational culture. Practice Implications: Leveraging CFIR to analyze PC-PAICE stakeholder interviews created a data set conducive to understanding complex multisite implementation. Layering role and team theory to our implementation analysis helped us identify facilitators of team cohesion across levels within the team (bounded team), beyond the team (teaming), and surrounding the team (culture). These insights demonstrate the value of team and role theories in implementation evaluation efforts. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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