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Worldviews Evid Based Nurs. 2015 Aug;12(4):208-16. doi: 10.1111/wvn.12098. Epub 2015 Jul 28.

Implementation of Safe Patient Handling in the U.S. Veterans Health System: A Qualitative Study of Internal Facilitators' Perceptions.

Author information

1
Associate Professor, The University of North Carolina at Charlotte, Charlotte, NC.
2
Research Associate, Health Services Research and Development Center of Innovation for Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans Hospital, Tampa, FL.
3
Co-Director, Health Services Research and Development Center of Innovation for Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans Hospital, Tampa, FL.
4
Qualitative Researcher, Health Services Research and Development Center of Innovation for Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans Hospital, Tampa, FL.
5
Health Science Specialist, Health Services Research and Development Center of Innovation for Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans Hospital, Tampa, FL.
6
Health Science Specialist, Department of Veterans Affairs, Spinal Cord Injury and Disorders Services, VA Puget Sound Healthcare System, and Department of Rehabilitation Medicine, University of Washington, Seattle, WA.

Abstract

BACKGROUND:

Although the literature has noted the positive effects of facilitation in implementation research, little is known about what facilitators do or how they increase adoption of a program. The purpose of this study was to understand internal facilitation activities in implementing a national safe patient handling program from the perspective of facility coordinators who implemented the program.

METHODS:

Using a qualitative descriptive design, data were collected in five focus groups at two international Safe Patient Handling and Mobility Conferences. Participants were 38 facility coordinators implementing a safe patient handling program in the Department of Veterans Affairs medical centers throughout the United States. Data were analyzed using direct content analysis to gather descriptions of internal facilitation.

RESULTS:

The internal facilitation process involved engaging multiple disciplines and levels of leadership for implementation. Fifty-four facilitation activities were identified, including five activities not currently listed in an existing taxonomy. Key characteristics and skills of facilitators included persistence, credibility and clinical experience, and leadership and project management experience. Themes were mapped onto an existing framework and taxonomy of facilitation activities.

LINKING EVIDENCE TO ACTION:

Internal facilitation is both an implementation intervention and a process involving a wide range of activities. The findings provide an understanding of what internal facilitators are doing to support practice changes and the characteristics and skills of internal facilitators that are likely to result in long-term organizational change. Five recommendations for action address organizations, senior leaders, and internal facilitators.

KEYWORDS:

care delivery system; evidence-based practice; facilitation; facilitator; focus group; implementation; nursing practice; qualitative methodology

PMID:
26220147
DOI:
10.1111/wvn.12098
[Indexed for MEDLINE]

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