Facilitation as a component of evidence implementation: a multinational perspective.
Journal
JBI evidence implementation
ISSN: 2691-3321
Titre abrégé: JBI Evid Implement
Pays: United States
ID NLM: 101772772
Informations de publication
Date de publication:
01 Sep 2022
01 Sep 2022
Historique:
entrez:
14
11
2022
pubmed:
15
11
2022
medline:
16
11
2022
Statut:
epublish
Résumé
Facilitation is a key component of JBI's approach to evidence implementation along with context analysis and evaluation of process and outcomes. Although the role of facilitation is recognized as a critical component of evidence implementation, what constitutes effective facilitation is poorly understood. This article presents a descriptive exploration of facilitation as it occurs in evidence implementation initiatives conducted in various healthcare and geographical contexts. All projects used the JBI approach to evidence implementation. To provide a multinational perspective on how facilitation was operationalized to promote positive changes in clinical practice and health outcomes, five case studies of evidence implementation projects are presented. The cases highlighted that facilitation is a multifaceted process that can be met through a variety of roles that address aspects of education and capacity building, partnerships, action planning, problem solving and evaluation. Facilitation in all cases appeared to be collaborative, with multiple 'players' within and outside of the health organization being involved in the process. Although there are similarities in activities, facilitation involved some level of local contextualization where there were unique or additional activities performed to accommodate the local needs and requirements of the health organization involved in each case. Numerous contextual factors influenced the success of the implementation initiative. The cases emphasized the complex nature of facilitation as a strategy for evidence implementation, indicating that contextual attributes and features define the range of knowledge, skills, and activities that should take place in order for facilitation to be effective. Although there appears to be some core components, tailoring and adaptation of the facilitation process (or roles) is required.
Sections du résumé
BACKGROUND
BACKGROUND
Facilitation is a key component of JBI's approach to evidence implementation along with context analysis and evaluation of process and outcomes. Although the role of facilitation is recognized as a critical component of evidence implementation, what constitutes effective facilitation is poorly understood.
AIM
OBJECTIVE
This article presents a descriptive exploration of facilitation as it occurs in evidence implementation initiatives conducted in various healthcare and geographical contexts. All projects used the JBI approach to evidence implementation.
METHODS
METHODS
To provide a multinational perspective on how facilitation was operationalized to promote positive changes in clinical practice and health outcomes, five case studies of evidence implementation projects are presented.
RESULTS
RESULTS
The cases highlighted that facilitation is a multifaceted process that can be met through a variety of roles that address aspects of education and capacity building, partnerships, action planning, problem solving and evaluation. Facilitation in all cases appeared to be collaborative, with multiple 'players' within and outside of the health organization being involved in the process. Although there are similarities in activities, facilitation involved some level of local contextualization where there were unique or additional activities performed to accommodate the local needs and requirements of the health organization involved in each case. Numerous contextual factors influenced the success of the implementation initiative.
CONCLUSION
CONCLUSIONS
The cases emphasized the complex nature of facilitation as a strategy for evidence implementation, indicating that contextual attributes and features define the range of knowledge, skills, and activities that should take place in order for facilitation to be effective. Although there appears to be some core components, tailoring and adaptation of the facilitation process (or roles) is required.
Identifiants
pubmed: 36373356
doi: 10.1097/XEB.0000000000000321
pii: 02205615-202209000-00004
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
180-188Informations de copyright
Copyright © 2022 JBI. Unauthorized reproduction of this article is prohibited.
Références
Jordan Z, Lockwood C, Munn Z, Aromataris E. The updated JBI model for evidence-based healthcare. The Joanna Briggs Institute. Int J Evidence Based Healthc 2019; 17:58–71.
Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care 1998; 7:149–158.
Berta W, Cranley L, Dearing J, Dogherty E, Squires J, Estabrooks C. Why (we think) facilitation works: insights from organizational learning theory. Implement Sci 2015; 10:141.
Dogherty E, Harrison M, Graham I. Facilitation as a role and process in achieving evidence-based practice in nursing: a focused review of concept and meaning. Worldviews Evid Based Nurs 2010; 7:76–89.
McArthur A, Munn Z, Lizarondo L, et al. The ripple effect of evidence implementation: a descriptive evaluation of JBI's Evidence-based Clinical Fellowship Program. JBI Evid Implement 2021; 19:142–148.
Australian Commission on Safety and Quality in Health Care. Delirium clinical care standard. ACSQHC. Sydney. 2016.
Cody S, Lizarondo L, McArthur A, et al. Improving the quality of delirium practices in a large Australian tertiary hospital: an evidence implementation initiative. Aust J Adv Nurs 2021; 38:3–12.
American Psychiatric Nurses Association (APNA). Violence prevention: APNA 2016 position statement. 2016; Available at: https://www.apna.org/news/violence-prevention/. [Accessed 6 December 2021].
American Psychiatric Nurses Association. (2008). Workplace violence: APNA 2008 position statement.
American Association of Occupational Health Nurses (AAOHN). Preventing workplace violence: the occupational and environmental health nurse role. Workplace Health Saf 2014; 62:48–50.
Badeaux J, Triche T, Bennett M. Reduction of aggressive and violent behavior toward behavioral health unit staff and other patients: a best practice implementation project. JBI Evid Implement 2020; 19:177–189.
Metto D, Kiptoon S, Esiromo M, et al. Improving the capacity of healthcare professionals to stem the spread of Covid-19 in Kenya: final report. Available at: https://bit.ly/3lDETEq. [Accessed 6 December 2021].
Keats E, Macharia W, Singh N, et al. Accelerating Kenya's progress to 2030: understanding the determinants of under-five mortality from 1990 to 2015. BMJ Glob Health 2018; 3:e000655.
Cotogni P, Pittiruti M. Focus on peripherally inserted central catheters in critically ill patients. World J Crit Care Med 2014; 3:80–94.
Leroyer C, Lasheras A, Marie V, et al. Prospective follow up of complications related to peripherally inserted central catheters. Med Mal Infect 2013; 43:350–355.
Parás-Bravo P, Paz-Zulueta M, Sarabia-Lavin R, et al. Complications of peripherally inserted central venous catheters: a retrospective cohort study. PLoS One 2016; 11:e0162479.
Nolan ME, Yadav H, Cawcutt KA, Cartin-Ceba R. Complication rates among peripherally inserted central venous catheters and centrally inserted central catheters in the medical intensive care unit. J Crit Care 2016; 31:238–242.
Gan T. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res 2017; 10:2287–2298.
Gallego JI, Rodríguez de la Torre MR, Vázquez-Guerrero JC, Gil M. Estimation of the prevalence and severity of postoperative pain and relation with patient satisfaction. Rev Soc Esp Dolor 2004; 11:197–202.
Galí J, Puig C, Carrasco G, et al. [Experience in the multidisciplinary management of acute postoperative pain]. Experiencia en el tratamiento multidisciplinar del dolor agudo postoperatorio. Rev Calidad Asistencial 2004; 19:296–303.
García-Monasterio EI, Alvárez-Vázquez JC, Morado-Quiñoá P, et al. Postoperative pain management among surgical trauma patients in an acute ward: a best practice implementation project. JBI Database System Rev Implement Rep 2019; 17:1941–1953.
Pimentel C, Mills W, Palmer J, et al. Blended facilitation as an effective implementation strategy for quality improvement and research in nursing homes. J Nurs Care Qual 2019; 34:201–216.
Smith S, Liebrecht C, Bauer M, Kilbourne A. Comparative effectiveness of external vs blended facilitation on collaborative care model implementation in slow-implementer community practice. Health Serv Res 2020; 55:954–965.
Connolly SL, Sullivan JL, Ritchie MJ, Kim B, Miller CJ, Bauer MS. External facilitators’ perceptions of internal facilitation skills during implementation of collaborative care for mental health teams: a qualitative analysis informed by the i-PARIHS framework. BMC Health Serv Res 2020; 20:165.
Moussa L, Garcia-Cardenas V, Benrimoj S. Change facilitation strategies used in the implementation of innovations in healthcare practice: a systematic review. J Chang Manag 2019; 19:283–301.
Nguyen A, Cuthel A, Padgett D, et al. How practice facilitation strategies differ by practice context. J Gen Intern Med 2020; 35:824–831.
Quinn J, Gephart S, Davis M. External facilitation as an evidence-based practice implementation strategy during an antibiotic stewardship collaborative in neonatal intensive care units. Worldviews Evid-based Nurs 2019; 16:454–461.