Exploring the Implementation of a New Nursing Role Using the CFIR–ERIC Approach: A Qualitative Study.
Aim: This study aimed to retrospectively describe the implementation barriers and facilitators when introducing a new nursing role (RPN) using the Consolidated Framework for Implementation Research (CFIR) and to map implementation strategies onto the Expert Recommendations for Implementing Change (E...
| Publicado en: | Journal of Nursing Management Vol. 2026; pp. 1 - 13 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
5/16/2026
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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=193814624&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193814624 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660429 81U jtl: Journal of Nursing Management issn: 09660429 maglogo: Y pubinfo: dt: 5/16/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 193814624 193814624 193814624 10.1155/jonm/8513187 193814624 ppf: 1 ppct: 12 formats: tig: atl: Exploring the Implementation of a New Nursing Role Using the CFIR–ERIC Approach: A Qualitative Study. aug: au: Saragosa, Marianne Shing, Paula Hirji, Zahra A. Ronald, Kara Jeffs, Lianne Fontenot, Justin affil: Science of Care Institute,, Toronto, Canada sug: subj: Nursing Models, Theoretical Evaluation Nursing Role Implementation Science Acute Care Funding Source Canada Human Female Retrospective Design Qualitative Studies Descriptive Research Semi-Structured Interview Leaders Nurses Thematic Analysis Diffusion of Innovation Organizational Culture Professional Knowledge Access to Information Staff Development Professional Role Academic Medical Centers Practical Nurses Registered Nurses Conceptual Framework Descriptive Statistics Content Analysis Female ab: Aim: This study aimed to retrospectively describe the implementation barriers and facilitators when introducing a new nursing role (RPN) using the Consolidated Framework for Implementation Research (CFIR) and to map implementation strategies onto the Expert Recommendations for Implementing Change (ERIC) factors to identify relevant strategies supporting new role implementation in the acute care setting. Design: A qualitative descriptive study embedded in a multiphase implementation evaluation study. Methods: Semistructured interviews with organizational leaders, implementation leaders, and nurses, combined with document analysis, were analyzed using the CFIR deductively to identify barriers and enablers mapped to the ERIC tool for strategies guiding implementation. Results: Participants (N = 25) represented organizational leaders (n = 3), implementation leaders (n = 11), RNs (n = 4), and RPNs (n = 7) from October 2024 to January 2025. Seventeen CFIR constructs across five domains were identified. Common themes of enablers include factors in the inner setting, such as a tension for change, mission alignment, and innovation compatibility. Many enablers were also found in the implementation process, which involved teaming, assessing context and needs, engaging, tailoring strategies, and reflecting and evaluating. Barriers to implementation were found in the inner setting, including culture and limited access to knowledge and information about the role. Eleven implementation strategies were identified to address or amplify the barriers or enablers, including involving and preparing staff for the introduction, developing education material, and identifying champions. Conclusion: The introduction of the RPN role in acute care was shaped by organizational readiness, leadership support, and workforce needs, while challenges related to role clarity and team integration remained. Implementation science approaches may help guide strategies to support the successful integration of new nursing roles within hospital care delivery models. Reporting Method: This study adhered to COREQ guidelines. Patient or Public Contribution: No patient or public contribution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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