Hospital-based interventions: a systematic review of staff-reported barriers and facilitators to implementation processes

Implementation Science : IS
Liesbeth GeerligsPhyllis Butow

Abstract

Translation of evidence-based interventions into hospital systems can provide immediate and substantial benefits to patient care and outcomes, but successful implementation is often not achieved. Existing literature describes a range of barriers and facilitators to the implementation process. This systematic review identifies and explores relationships between these barriers and facilitators to highlight key domains that need to be addressed by researchers and clinicians seeking to implement hospital-based, patient-focused interventions. We searched MEDLINE, PsychInfo, Embase, Web of Science, and CINAHL using search terms focused specifically on barriers and facilitators to the implementation of patient-focused interventions in hospital settings. To be eligible, papers needed to have collected formal data (qualitative or quantitative) that specifically assessed the implementation process, as experienced by the staff involved. Of 4239 papers initially retrieved, 43 papers met inclusion criteria. Staff-identified barriers and facilitators to implementation were grouped into three main domains: system, staff, and intervention. Bi-directional associations were evident between these domains, with the strongest links evident between ...Continue Reading

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May 1, 2019·Journal of Evaluation in Clinical Practice·Aaron SpauldingShehzad Niazi
Oct 2, 2019·The Journal of Spinal Cord Medicine·JoAnne SavoieColleen O'Connell
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Software Mentioned

Critical Appraisal Skills Program ( CASP )
Mixed Methods Appraisal Tool ( MMAT )
Alberta Context Tool ( ACT )
Mixed Method Assessment tool ( MMAT )
PROSPERO
Mixed Methods Appraisal Tool ( MMAT

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