Understanding clinical implementation coordinators' experiences in deploying evidence-based interventions.
Purpose The fluoroquinolone restriction for the prevention of Clostridioides difficile infection (FIRST) trial is a multisite clinical study in which sites carry out a preauthorization process via electronic health record–based best-practice alert (BPA) to optimize the use of fluoroquinolone antibio...
| Published in: | American Journal of Health-System Pharmacy Vol. 81; no. 4; pp. 120 - 129 |
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| Main Authors: | , , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
2/15/2024
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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=175366324&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175366324 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 2/15/2024 vid: 81 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 175366324 175366324 175366324 10.1093/ajhp/zxad272 175366324 ppf: 120 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Understanding clinical implementation coordinators' experiences in deploying evidence-based interventions. aug: au: Hernandez, Sara E Solomon, Demetrius Moon, Jukrin Parmasad, Vishala Wiegmann, Douglas Bennett, Nick T Ferren, Ryan S Fitzsimmons, Alec J Lepak, Alexander J O'Horo, John C Pop-Vicas, Aurora E Schulz, Lucas T Safdar, Nasia affil: School of Pharmacy, University of Wisconsin–Madison , Madison, WI , USA sug: subj: Clostridium Infections Prevention and Control Antiinfective Agents, Fluoroquinolone Therapeutic Use Antimicrobial Stewardship Attitude of Health Personnel Evaluation Work Experiences Evaluation Professional Role Evaluation Health Services Accessibility Evaluation Implementation Science Medical Practice, Evidence-Based Human Content Analysis Semi-Structured Interview Diaries Conceptual Framework Personnel Staffing and Scheduling Empowerment Decision Support Systems, Clinical Funding Source Diffusion of Innovation Descriptive Statistics ab: Purpose The fluoroquinolone restriction for the prevention of Clostridioides difficile infection (FIRST) trial is a multisite clinical study in which sites carry out a preauthorization process via electronic health record–based best-practice alert (BPA) to optimize the use of fluoroquinolone antibiotics in acute care settings. Our research team worked closely with clinical implementation coordinators to facilitate the dissemination and implementation of this evidence-based intervention. Clinical implementation coordinators within the antibiotic stewardship team (AST) played a pivotal role in the implementation process; however, considerable research is needed to further understand their role. In this study, we aimed to (1) describe the roles and responsibilities of clinical implementation coordinators within ASTs and (2) identify facilitators and barriers coordinators experienced within the implementation process. Methods We conducted a directed content analysis of semistructured interviews, implementation diaries, and check-in meetings utilizing the conceptual framework of middle managers' roles in innovation implementation in healthcare from Urquhart et al. Results Clinical implementation coordinators performed a variety of roles vital to the implementation's success, including gathering and compiling information for BPA design, preparing staff, organizing meetings, connecting relevant stakeholders, evaluating clinical efficacy, and participating in the innovation as clinicians. Coordinators identified organizational staffing models and COVID-19 interruptions as the main barriers. Facilitators included AST empowerment, positive relationships with staff and oversight/governance committees, and using diverse implementation strategies. Conclusion When implementing healthcare innovations, clinical implementation coordinators facilitated the implementation process through their roles and responsibilities and acted as strategic partners in improving the adoption and sustainability of a fluoroquinolone preauthorization protocol. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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