Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR)

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• dc.contributor.author Wills, Aria
• dc.contributor.author Krassikova, Alexandra
• dc.contributor.author Keatings, Margaret
• dc.contributor.author Escrig-Piñol, Astrid
• dc.contributor.author Bethell, Jennifer
• dc.contributor.author McGilton, Katherine S.
• dc.date.accessioned 2023-09-12T06:16:46Z
• dc.date.available 2023-09-12T06:16:46Z
• dc.date.issued 2023
• dc.description.abstract Background: The COVID-19 pandemic created major challenges in long-term care (LTC) homes across Canada and globally. A nurse practitioner-led interdisciplinary huddle intervention was developed to support staff wellbeing in two LTC homes in Ontario, Canada. The objective of this study was to identify the constructs strongly influencing the process of implementation of huddles across both sites, capturing the overall barriers and facilitators and the intervention's intrinsic properties. Methods: Nineteen participants were interviewed about their experiences, pre-, post-, and during huddle implementation. The Consolidated Framework for Implementation Research (CFIR) was used to guide data collection and analysis. CFIR rating rules and a cross-comparison analysis was used to identify differentiating factors between sites. A novel extension to the CFIR analysis process was designed to assess commonly influential factors across both sites. Results: Nineteen of twenty selected CFIR constructs were coded in interviews from both sites. Five constructs were determined to be strongly influential across both implementation sites and a detailed description is provided: evidence strength and quality; needs and resources of those served by the organization; leadership engagement; relative priority; and champions. A summary of ratings and an illustrative quote are provided for each construct. Conclusion: Successful huddles require long-term care leaders to consider their involvement, the inclusion all team members to help build relationships and foster cohesion, and the integration of nurse practitioners as full-time staff members within LTC homes to support staff and facilitate initiatives for wellbeing. This research provides an example of a novel approach using the CFIR methodology, extending its use to identify significant factors for implementation when it is not possible to compare differences in success.
• dc.format.mimetype application/pdf
• dc.identifier.citation Wills A, Krassikova A, Keatings M, Escrig‑Pinol A, Bethell J, McGilton KS. Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR). BMC Nurs. 2023;22:193. DOI: 10.1186/s12912-023-01354-1
• dc.identifier.doi http://dx.doi.org/10.1186/s12912-023-01354-1
• dc.identifier.issn 1472-6955
• dc.identifier.uri http://hdl.handle.net/10230/57847
• dc.language.iso eng
• dc.publisher Springer
• dc.relation.ispartof BMC Nurs. 2023;22:193
• dc.rights © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Consolidated framework for implementation research
• dc.subject.keyword Huddles
• dc.subject.keyword Long-term care
• dc.subject.keyword Nurse practitioner
• dc.subject.keyword Nursing home
• dc.title Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR)
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion