Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research
Context: To mitigate the risk of spread of COVID-19 in long-term care (LTC), the Public Health Agency of Canada instituted several rapid redesign and resource redeployment practices, including single-site policies. Objective: This study aims to understand factors that influence implementation of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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LSE Press
2023-08-01
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| Series: | Journal of Long-Term Care |
| Subjects: | |
| Online Access: | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/145 |
| _version_ | 1797745540187815936 |
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| author | Joanie Sims Gould Thea Franke Sabina Staempfli Lillian Hung Farinaz Havaei |
| author_facet | Joanie Sims Gould Thea Franke Sabina Staempfli Lillian Hung Farinaz Havaei |
| author_sort | Joanie Sims Gould |
| collection | DOAJ |
| description |
Context: To mitigate the risk of spread of COVID-19 in long-term care (LTC), the Public Health Agency of Canada instituted several rapid redesign and resource redeployment practices, including single-site policies.
Objective: This study aims to understand factors that influence implementation of the Single Site Order (SSO).
Methods: Consolidated Framework for Implementation Research (CFIR) guided data collection and analysis. Ten leadership team members and 18 staff were interviewed across 4 LTC homes in British Columbia (BC), Canada. In NVivo 12, a deductive framework analysis was used.
Findings: Seven notable CFIR constructs (intervention source, evidence strength and quality, costs, culture, networks and communication, readiness for implementation, and patient needs and resources) were found to be most influential in the implementation of the SSO. We present these constructs and the factors within.
Limitations: Our study was limited to the BC context. However, we believe that the findings offer useful insights into the complexity of policy implementation in LTC.
Implications: In a system already facing staffing concerns and a highly dependent and increasingly frail resident population, implementation of the SSO further taxed already stretched resources.
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| first_indexed | 2024-03-12T15:24:45Z |
| format | Article |
| id | doaj.art-728e7d321c194f72b3c251a24e9c2ed4 |
| institution | Directory Open Access Journal |
| issn | 2516-9122 |
| language | English |
| last_indexed | 2024-03-12T15:24:45Z |
| publishDate | 2023-08-01 |
| publisher | LSE Press |
| record_format | Article |
| series | Journal of Long-Term Care |
| spelling | doaj.art-728e7d321c194f72b3c251a24e9c2ed42023-08-10T13:47:48ZengLSE PressJournal of Long-Term Care2516-91222023-08-0110.31389/jltc.145Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation ResearchJoanie Sims Gould0Thea Franke1Sabina Staempfli2Lillian Hung3Farinaz Havaei4University of British ColumbiaUniversity of British ColumbiaUniversity of British ColumbiaUniversity of British ColumbiaUniversity of British Columbia Context: To mitigate the risk of spread of COVID-19 in long-term care (LTC), the Public Health Agency of Canada instituted several rapid redesign and resource redeployment practices, including single-site policies. Objective: This study aims to understand factors that influence implementation of the Single Site Order (SSO). Methods: Consolidated Framework for Implementation Research (CFIR) guided data collection and analysis. Ten leadership team members and 18 staff were interviewed across 4 LTC homes in British Columbia (BC), Canada. In NVivo 12, a deductive framework analysis was used. Findings: Seven notable CFIR constructs (intervention source, evidence strength and quality, costs, culture, networks and communication, readiness for implementation, and patient needs and resources) were found to be most influential in the implementation of the SSO. We present these constructs and the factors within. Limitations: Our study was limited to the BC context. However, we believe that the findings offer useful insights into the complexity of policy implementation in LTC. Implications: In a system already facing staffing concerns and a highly dependent and increasingly frail resident population, implementation of the SSO further taxed already stretched resources. https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/145single site policyimplementationCOVID-19human resourcesConsolidation Framework for Implementation Research (CFIR) |
| spellingShingle | Joanie Sims Gould Thea Franke Sabina Staempfli Lillian Hung Farinaz Havaei Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research Journal of Long-Term Care single site policy implementation COVID-19 human resources Consolidation Framework for Implementation Research (CFIR) |
| title | Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research |
| title_full | Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research |
| title_fullStr | Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research |
| title_full_unstemmed | Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research |
| title_short | Implementation of the Single Site Order in Long-Term Care: What We Can Learn from Using the Consolidated Framework for Implementation Research |
| title_sort | implementation of the single site order in long term care what we can learn from using the consolidated framework for implementation research |
| topic | single site policy implementation COVID-19 human resources Consolidation Framework for Implementation Research (CFIR) |
| url | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/145 |
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