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Int J Palliat Nurs. 2005 May;11(5):218-25.

A research study to identify facilitators and barriers to outcome measure implementation.

Author information

1
Interdisciplinary Research Centre in Health, School of Health and Social Sciences, Coventry University, Coventry, UK. M.Dunckley@Coventry.ac.uk

Abstract

AIM:

To identify facilitators and barriers to implementing outcome measures.

METHODS:

An action-research approach within a hospice and nursing home was used. Staff took part in semistructured interviews pre- and post-implementation of the Palliative Care Outcome Scale (POS), completed diaries and participated in monthly meetings.

FINDINGS:

Qualitative content analysis identified barriers to implementation including: a top-down decision-making approach; outcome measures perceived as time-consuming to use; limited resources for data analysis; and a lack of knowledge of the importance of outcome measures. Facilitators to successful implementation include: involving all staff in decisions about implementation; and using a measure that can be adapted to organization needs and clinical practice. The benefits of using the measure are rapidly noticeable.

CONCLUSIONS:

Given the need to evaluate services and the role outcome measures can have within clinical governance, this article indicates methods by which measures may be more successfully implemented.

PMID:
15944495
DOI:
10.12968/ijpn.2005.11.5.218
[Indexed for MEDLINE]

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