Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR)
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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-023-01354-1 |
| _version_ | 1797806768053551104 |
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| author | Aria Wills Alexandra Krassikova Margaret Keatings Astrid Escrig-Pinol Jennifer Bethell Katherine S. McGilton |
| author_facet | Aria Wills Alexandra Krassikova Margaret Keatings Astrid Escrig-Pinol Jennifer Bethell Katherine S. McGilton |
| author_sort | Aria Wills |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-13T06:12:21Z |
| format | Article |
| id | doaj.art-4081ef4b3a2c4e7db753497b1b612e7b |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-13T06:12:21Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-4081ef4b3a2c4e7db753497b1b612e7b2023-06-11T11:09:54ZengBMCBMC Nursing1472-69552023-06-0122111510.1186/s12912-023-01354-1Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR)Aria Wills0Alexandra Krassikova1Margaret Keatings2Astrid Escrig-Pinol3Jennifer Bethell4Katherine S. McGilton5KITE Research Institute, Toronto Rehabilitation Institute – University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute – University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute – University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute – University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute – University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute – University Health NetworkAbstract 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.https://doi.org/10.1186/s12912-023-01354-1Long-term careNursing homeNurse practitionerHuddlesConsolidated framework for implementation research |
| spellingShingle | Aria Wills Alexandra Krassikova Margaret Keatings Astrid Escrig-Pinol Jennifer Bethell Katherine S. McGilton Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR) BMC Nursing Long-term care Nursing home Nurse practitioner Huddles Consolidated framework for implementation research |
| title | Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR) |
| title_full | Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR) |
| title_fullStr | Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR) |
| title_full_unstemmed | Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR) |
| title_short | Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR) |
| title_sort | assessing the implementation of nurse practitioner led huddles in long term care using the consolidated framework for implementation research cfir |
| topic | Long-term care Nursing home Nurse practitioner Huddles Consolidated framework for implementation research |
| url | https://doi.org/10.1186/s12912-023-01354-1 |
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