Implementation Outcomes and Their Determinants for Hospital‐Led Care Coordination Interventions Targeting Patients With Complex Care Needs: A Qualitative Systematic Review.
Aim: To describe the implementation determinants for care coordination interventions in a hospital context. Design: Systematic review. Methods: This review was guided by the Consolidated Framework of Implementation Research (CFIR), assessed for quality using the Mixed Methods Appraisal Tool and repo...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 35; no. 3; pp. 1079 - 1104 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Mar2026
|
| 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=191298480&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191298480 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Mar2026 vid: 35 iid: 3 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 191298480 187939652 191298480 191298480 10.1111/jocn.70102 191298480 ppf: 1079 ppct: 25 formats: tig: atl: Implementation Outcomes and Their Determinants for Hospital‐Led Care Coordination Interventions Targeting Patients With Complex Care Needs: A Qualitative Systematic Review. aug: au: Malakellis, Mary Wong Shee, Anna Wood, Sarah Alston, Laura Beks, Hannah Murray, Margaret Versace, Vincent L. Mc Namara, Kevin affil: Deakin Rural Health, Deakin University, Warrnambool Victoria,, Australia sug: subj: Health Care Delivery, Integrated Health Services Needs and Demand Hospitals Implementation Science Program Evaluation Critically Ill Patients Human Systematic Review Cumulative Index to Nursing & Allied Health Literature Print Index Embase Medline Psycinfo Program Implementation Funding Source ab: Aim: To describe the implementation determinants for care coordination interventions in a hospital context. Design: Systematic review. Methods: This review was guided by the Consolidated Framework of Implementation Research (CFIR), assessed for quality using the Mixed Methods Appraisal Tool and reported with the PRISMA guidelines. Data Sources: CINHAL Complete, EMBASE, MEDLINE Complete, PsychINFO (between January 1, 2013, and December 31, 2022, and updated May 09, 2024) and a manual reference list search of all included studies. Results: The search returned 5614 articles after duplicates were removed. After title and abstract screening, 264 articles underwent full‐text review. Sixteen studies (15 care coordination models) met the inclusion criteria. The CFIR inner setting domain and the implementation process domain were the most prominent domains and 'Partnerships & Connections', 'Work Infrastructure', 'Capability' and 'Reflecting and Evaluating' subdomains emerged as important determinants across the included studies. Conclusion: Inconsistent findings relating to care coordination outcomes are likely to be substantially influenced by the complexity and heterogeneity of the interventions and variations in implementation and contextual factors. Intra‐ and inter‐organisational relationships were important to connect previously disconnected parts of the health system and were facilitated by experienced care coordinators. Continual improvement was also important to increase fit with contextual factors. More high‐quality studies are needed to identify commonalities and provide generalisable principles and characteristics associated with high‐performance implementation. Implications for the Profession and/or Patient Care: Review findings will provide practitioners, policymakers, and researchers with a comprehensive synthesis of evidence underpinning implementation of effective community care coordination from hospital settings. Impact: These review findings will inform the effective implementation of care coordination interventions in a hospital context for patients with complex multimorbidity. Reporting Methods: Preferred Reporting Items for Systematic reviews and Meta‐Analysis. Trial and Registration: PROSPERO Registration: CRD42022376642. Patient or Public Contribution: No patient or public Contribution. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|