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Implementation Science

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Open Access 01-12-2018 | Systematic review

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

Authors: Liesbeth Geerligs, Nicole M. Rankin, Heather L. Shepherd, Phyllis Butow

Published in: Implementation Science | Issue 1/2018

Abstract

Background

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.

Methods

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.

Results

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 staff and intervention.

Conclusions

Researchers and health professionals engaged in designing patient-focused interventions need to consider barriers and facilitators across all three identified domains to increase the likelihood of implementation success. The interrelationships between domains are also crucial, as resources in one area can be leveraged to address barriers in others. These findings emphasize the importance of careful intervention design and pre-implementation planning in response to the specific system and staff context in order to increase likelihood of effective and sustainable implementation.

Trial registration

This review was registered on the PROSPERO database: CRD42017057554 in February 2017.

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Title: Hospital-based interventions: a systematic review of staff-reported barriers and facilitators to implementation processes
Authors: Liesbeth Geerligs
Nicole M. Rankin
Heather L. Shepherd
Phyllis Butow
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Implementation Science / Issue 1/2018
Electronic ISSN: 1748-5908
DOI: https://doi.org/10.1186/s13012-018-0726-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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