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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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
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      dt: Jun2026
      vid: 22
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        194519481
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        10.1016/j.nurpra.2026.105819
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        atl: Postcourse Integration of Point-of-Care Ultrasound: Barriers, Facilitators, and Lessons Learned From an Exploratory Implementation Analysis.
      aug:
        au: Aguilar, Al-Zada
      sug:
        subj:
          Ultrasonography
          Clinical Information Systems
          Advanced Practice Registered Nursing
          Implementation Science
          Clinical Competence
          Human
          Multimethod Studies
          Descriptive Statistics
          Early Diagnosis
          After Care
          Surveys
          Motivation
          Confidence
          Professional Practice
          Organizational Change
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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