Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR)
Abstract Background With global aging on the rise, the number of older adults with disabilities was also increasing exponentially. There has been growing international interest in home rehabilitation care as a new method for older adults with disabilities. Method The current study is a descriptive q...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-03976-1 |
| _version_ | 1797827389650108416 |
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| author | Haixia Wang Yanyan Zhang Shouwei Yue |
| author_facet | Haixia Wang Yanyan Zhang Shouwei Yue |
| author_sort | Haixia Wang |
| collection | DOAJ |
| description | Abstract Background With global aging on the rise, the number of older adults with disabilities was also increasing exponentially. There has been growing international interest in home rehabilitation care as a new method for older adults with disabilities. Method The current study is a descriptive qualitative study. Guided by the Consolidated Framework for Implementation Research (CFIR), semistructured face-to-face interviews were performed to collect data. The interview data were analyzed using a qualitative content analysis method. Result Sixteen nurses with different characteristics from 16 cities participated in the interviews. The findings highlighted 29 implementation determinants of home-based rehabilitation care for older adults with disabilities, including 16 barriers, and 13 facilitators. These influencing factors aligned with all four CFIR domains that were used to guide the analysis and 15 of the 26 CFIR constructs. More barriers were identified in the CFIR domain of characteristics of individuals, intervention characteristics, and the outer setting, while fewer barriers were identified in the inner setting. Conclusion Nurses from the rehabilitation department reported many barriers related to the implementation of home rehabilitation care. They reported facilitators to the implementation of home rehabilitation care despite the barriers, which provided practical recommendations for directions to be explored by researchers in China and elsewhere. |
| first_indexed | 2024-04-09T12:47:29Z |
| format | Article |
| id | doaj.art-9f2742915d9f49729df1cc19335d9bda |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-09T12:47:29Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-9f2742915d9f49729df1cc19335d9bda2023-05-14T11:26:59ZengBMCBMC Geriatrics1471-23182023-05-012311910.1186/s12877-023-03976-1Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR)Haixia Wang0Yanyan Zhang1Shouwei Yue2School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong UniversityRehabilitation Center, Qilu Hospital of Shandong UniversitySchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong UniversityAbstract Background With global aging on the rise, the number of older adults with disabilities was also increasing exponentially. There has been growing international interest in home rehabilitation care as a new method for older adults with disabilities. Method The current study is a descriptive qualitative study. Guided by the Consolidated Framework for Implementation Research (CFIR), semistructured face-to-face interviews were performed to collect data. The interview data were analyzed using a qualitative content analysis method. Result Sixteen nurses with different characteristics from 16 cities participated in the interviews. The findings highlighted 29 implementation determinants of home-based rehabilitation care for older adults with disabilities, including 16 barriers, and 13 facilitators. These influencing factors aligned with all four CFIR domains that were used to guide the analysis and 15 of the 26 CFIR constructs. More barriers were identified in the CFIR domain of characteristics of individuals, intervention characteristics, and the outer setting, while fewer barriers were identified in the inner setting. Conclusion Nurses from the rehabilitation department reported many barriers related to the implementation of home rehabilitation care. They reported facilitators to the implementation of home rehabilitation care despite the barriers, which provided practical recommendations for directions to be explored by researchers in China and elsewhere.https://doi.org/10.1186/s12877-023-03976-1BarriersFacilitatorsHome rehabilitation careOlder adultsQualitative study |
| spellingShingle | Haixia Wang Yanyan Zhang Shouwei Yue Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR) BMC Geriatrics Barriers Facilitators Home rehabilitation care Older adults Qualitative study |
| title | Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR) |
| title_full | Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR) |
| title_fullStr | Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR) |
| title_full_unstemmed | Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR) |
| title_short | Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR) |
| title_sort | exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the consolidated framework for implementation research cfir |
| topic | Barriers Facilitators Home rehabilitation care Older adults Qualitative study |
| url | https://doi.org/10.1186/s12877-023-03976-1 |
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