Identifying Barriers and Facilitators to Veterans Affairs Whole Health Integration Using the Updated Consolidated Framework for Implementation Research.
Background: Veterans Affairs (VA) implemented the Veteran-centered Whole Health System initiative across VA sites with approaches to implementation varying by site. Purpose: Using the Consolidated Framework for Implementation Research (CFIR), we aimed to synthesize systemic barriers and facilitators...
| Publicado en: | Journal for Healthcare Quality: Promoting Excellence in Healthcare Vol. 46; no. 3; pp. 137 - 150 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | glossary research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
May/Jun2024
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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=177618194&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177618194 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10622551 IM0 jtl: Journal for Healthcare Quality: Promoting Excellence in Healthcare issn: 10622551 maglogo: N pubinfo: dt: May/Jun2024 vid: 46 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 177618194 177618194 177618194 10.1097/JHQ.0000000000000419 177618194 ppf: 137 ppct: 13 formats: tig: atl: Identifying Barriers and Facilitators to Veterans Affairs Whole Health Integration Using the Updated Consolidated Framework for Implementation Research. aug: au: Kimpel, Christine C. Myer, Elizabeth Allen Cupples, Anagha Jones, Joanne Roman Seidler, Katie J. Rick, Chelsea K. Brown, Rebecca Rawlins, Caitlin Hadler, Rachel Tsivitse, Emily Lawlor, Mary Ann C. Ratcliff, Amy Holt, Natalie R. Callaway-Lane, Carol Godwin, Kyler Ecker, Anthony H. affil: Predoctoral fellow in the Veterans Affairs Quality Scholars program, Tennessee Valley Healthcare System. She is currently a PROgRESS T32 scholar at the Vanderbilt University Medical Center and a postdoctoral research fellow at the Vanderbilt University School of Nursing located in Nashville, TN sug: subj: Program Implementation Quality Improvement United States Department of Veterans Affairs Health Care Delivery, Integrated Administration Patient Centered Care Implementation Science Conceptual Framework Human Veterans Funding Source Interview Guides Models, Theoretical Quality of Health Care Descriptive Statistics United States Convenience Sample Diffusion of Innovation Health Resource Allocation ab: Background: Veterans Affairs (VA) implemented the Veteran-centered Whole Health System initiative across VA sites with approaches to implementation varying by site. Purpose: Using the Consolidated Framework for Implementation Research (CFIR), we aimed to synthesize systemic barriers and facilitators to Veteran use with the initiative. Relevance to healthcare quality, systematic comparison of implementation procedures across a national healthcare system provides a comprehensive portrait of strengths and opportunities for improvement. Methods: Advanced fellows from 11 VA Quality Scholars sites performed the initial data collection, and the final report includes CFIR-organized results from six sites. Results: Key innovation findings included cost, complexity, offerings, and accessibility. Inner setting barriers and facilitators included relational connections and communication, compatibility, structure and resources, learning centeredness, and information and knowledge access. Finally, results regarding individuals included innovation deliverers, implementation leaders and team, and individual capability, opportunity, and motivation to implement and deliver whole health care. Discussion and implications: Examination of barriers and facilitators suggest that Whole Health coaches are key components of implementation and help to facilitate communication, relationship building, and knowledge access for Veterans and VA employees. Continuous evaluation and improvement of implementation procedures at each site is also recommended. pubtype: Academic Journal doctype: glossary research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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