Postcourse Integration of Point-of-Care Ultrasound: Barriers, Facilitators, and Lessons Learned From an Exploratory Implementation Analysis.

Point-of-care ultrasound (POCUS) informs timely diagnosis and clinical management; however, inconsistent use among Advanced Practice Providers (APPs) limits competency development and retention. This exploratory implementation analysis evaluated an APP-led POCUS educational initiative using mixed-me...

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Detalles Bibliográficos
Publicado en:Journal for Nurse Practitioners Vol. 22; no. 6
Autor principal: Aguilar, Al-Zada
Formato: research Journal Article
Publicado: Elsevier B.V. Jun2026
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Point-of-care ultrasound (POCUS) informs timely diagnosis and clinical management; however, inconsistent use among Advanced Practice Providers (APPs) limits competency development and retention. This exploratory implementation analysis evaluated an APP-led POCUS educational initiative using mixed-methods postcourse and follow-up surveys. Guided by the updated Consolidated Framework for Implementation Research, relational, motivational, and environmental facilitators and barriers to sustained POCUS use were identified. Findings were synthesized to inform insights and considerations necessary to support sustained POCUS use beyond initial training. • An APP-led POCUS education course improved perceived confidence and early uptake. • Updated CFIR-guided and literature-informed analyses identified determinants of adoption. • Sustained POCUS use and adoption require institutional alignment beyond education.