Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden
Abstract Background The Serious Illness Care Program (SICP) is a model developed for structured communication, identifying patients, and training physicians to use a structured guide for conversations with patients and family members. However, there is a lack of knowledge regarding the sustainable i...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-04-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-07923-5 |
| _version_ | 1818127847630307328 |
|---|---|
| author | Sofia Andersson Anna Sandgren |
| author_facet | Sofia Andersson Anna Sandgren |
| author_sort | Sofia Andersson |
| collection | DOAJ |
| description | Abstract Background The Serious Illness Care Program (SICP) is a model developed for structured communication, identifying patients, and training physicians to use a structured guide for conversations with patients and family members. However, there is a lack of knowledge regarding the sustainable implementation of this conversation model. Therefore, the aim of this study was to identify barriers and enablers during the implementation of the SICP in hospital settings. Methods The SICP was implemented at 20 units in two hospitals in Sweden. During the implementation process, seven individual interviews and two group interviews were conducted with seven facilitators (five physicians, one behavioral therapist, and one administrator). Data were analyzed using qualitative content analysis, first inductively, and then deductively using the organizational readiness for change as a theoretical framework. Result The analysis resulted in three factors acting as enablers and eight factors acting as enablers and/or barriers during the implementation of the SICP. The three factors considered as enablers were preliminaries, identifying patients, and facilitator’s role. The eight factors considered as enablers and/or barriers were broad implementation, leadership, time, confidence, building foundation, motivation to work change, motivation for training in serious illness conversations, and attitudes. Conclusion This study indicates limited readiness to implement the SICP in hospital settings due to considerable variation in organizational contextual factors, change efficacy, and change commitment. The identified enablers and barriers for implementation of the SICP could guide and support future implementations to be sustainable over time. |
| first_indexed | 2024-12-11T07:23:52Z |
| format | Article |
| id | doaj.art-ebc43efd7bb241aba472ef779e97d4c3 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-11T07:23:52Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-ebc43efd7bb241aba472ef779e97d4c32022-12-22T01:16:01ZengBMCBMC Health Services Research1472-69632022-04-0122111010.1186/s12913-022-07923-5Organizational readiness to implement the Serious Illness Care Program in hospital settings in SwedenSofia Andersson0Anna Sandgren1Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus UniversityCenter for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus UniversityAbstract Background The Serious Illness Care Program (SICP) is a model developed for structured communication, identifying patients, and training physicians to use a structured guide for conversations with patients and family members. However, there is a lack of knowledge regarding the sustainable implementation of this conversation model. Therefore, the aim of this study was to identify barriers and enablers during the implementation of the SICP in hospital settings. Methods The SICP was implemented at 20 units in two hospitals in Sweden. During the implementation process, seven individual interviews and two group interviews were conducted with seven facilitators (five physicians, one behavioral therapist, and one administrator). Data were analyzed using qualitative content analysis, first inductively, and then deductively using the organizational readiness for change as a theoretical framework. Result The analysis resulted in three factors acting as enablers and eight factors acting as enablers and/or barriers during the implementation of the SICP. The three factors considered as enablers were preliminaries, identifying patients, and facilitator’s role. The eight factors considered as enablers and/or barriers were broad implementation, leadership, time, confidence, building foundation, motivation to work change, motivation for training in serious illness conversations, and attitudes. Conclusion This study indicates limited readiness to implement the SICP in hospital settings due to considerable variation in organizational contextual factors, change efficacy, and change commitment. The identified enablers and barriers for implementation of the SICP could guide and support future implementations to be sustainable over time.https://doi.org/10.1186/s12913-022-07923-5ConversationImplementationOrganization readiness for changePalliative careQualitativeSerious illness |
| spellingShingle | Sofia Andersson Anna Sandgren Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden BMC Health Services Research Conversation Implementation Organization readiness for change Palliative care Qualitative Serious illness |
| title | Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden |
| title_full | Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden |
| title_fullStr | Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden |
| title_full_unstemmed | Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden |
| title_short | Organizational readiness to implement the Serious Illness Care Program in hospital settings in Sweden |
| title_sort | organizational readiness to implement the serious illness care program in hospital settings in sweden |
| topic | Conversation Implementation Organization readiness for change Palliative care Qualitative Serious illness |
| url | https://doi.org/10.1186/s12913-022-07923-5 |
| work_keys_str_mv | AT sofiaandersson organizationalreadinesstoimplementtheseriousillnesscareprograminhospitalsettingsinsweden AT annasandgren organizationalreadinesstoimplementtheseriousillnesscareprograminhospitalsettingsinsweden |