Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study
Abstract Background Sustainability of evidence-based interventions (EBIs) is suboptimal in healthcare. Evidence on how knowledge translation (KT) strategies are used for the sustainability of EBIs in practice is lacking. This study examined what and how KT strategies were used to facilitate the sust...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-024-01777-4 |
| _version_ | 1797275318621306880 |
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| author | Christine E. Cassidy Rachel Flynn Alyson Campbell Lauren Dobson Jodi Langley Deborah McNeil Ella Milne Pilar Zanoni Megan Churchill Karen M. Benzies |
| author_facet | Christine E. Cassidy Rachel Flynn Alyson Campbell Lauren Dobson Jodi Langley Deborah McNeil Ella Milne Pilar Zanoni Megan Churchill Karen M. Benzies |
| author_sort | Christine E. Cassidy |
| collection | DOAJ |
| description | Abstract Background Sustainability of evidence-based interventions (EBIs) is suboptimal in healthcare. Evidence on how knowledge translation (KT) strategies are used for the sustainability of EBIs in practice is lacking. This study examined what and how KT strategies were used to facilitate the sustainability of Alberta Family Integrated Care (FICare)™, a psychoeducational model of care scaled and spread across 14 neonatal intensive care units, in Alberta, Canada. Methods First, we conducted an environmental scan of relevant documents to determine the use of KT strategies to support the sustainability of Alberta FICare™. Second, we conducted semi-structured interviews with decision makers and operational leaders to explore what and how KT strategies were used for the sustainability of Alberta FICare™, as well as barriers and facilitators to using the KT strategies for sustainability. We used the Expert Recommendations for Implementation Change (ERIC) taxonomy to code the strategies. Lastly, we facilitated consultation meetings with the Alberta FICare™ leads to share and gain insights and clarification on our findings. Results We identified nine KT strategies to facilitate the sustainability of Alberta FICare™: Conduct ongoing training; Identify and prepare local champions; Research co-production; Remind clinicians; Audit and provide feedback; Change record systems; Promote adaptability; Access new funding; and Involve patients/consumers and family members. A significant barrier to the sustainability of Alberta FICare™ was a lack of clarity on who was responsible for the ongoing maintenance of the intervention. A key facilitator to sustainability of Alberta FICare was its alignment with the Maternal, Newborn, Child & Youth Strategic Clinical Network (MNCY SCN) priorities. Co-production between researchers and health system partners in the design, implementation, and scale and spread of Alberta FICare™ was critical to sustainability. Conclusion This research highlights the importance of clearly articulating who is responsible for continued championing for the sustainability of EBIs. Additionally, our research demonstrates that the adaptation of interventions must be considered from the onset of implementation so interventions can be tailored to align with contextual barriers for sustainability. Clear guidance is needed to continually support researchers and health system leaders in co-producing strategies that facilitate the long-term sustainability of effective EBIs in practice. |
| first_indexed | 2024-03-07T15:12:38Z |
| format | Article |
| id | doaj.art-f3c14b572a6f44a5b8ff2e8272d7a85c |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-07T15:12:38Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-f3c14b572a6f44a5b8ff2e8272d7a85c2024-03-05T18:36:59ZengBMCBMC Nursing1472-69552024-02-0123111210.1186/s12912-024-01777-4Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative studyChristine E. Cassidy0Rachel Flynn1Alyson Campbell2Lauren Dobson3Jodi Langley4Deborah McNeil5Ella Milne6Pilar Zanoni7Megan Churchill8Karen M. Benzies9School of Nursing, Faculty of Health, Dalhousie UniversitySchool of Nursing and Midwifery, Brookfield Health Sciences Complex, University College of CorkFaculty of Nursing, University of Prince Edward IslandFaculty of Nursing, Edmonton Clinic Health Academy, University of AlbertaFaculty of Health, Dalhousie UniversityStrategic Clinical Networks, Alberta Health ServicesFaculty of Nursing, Edmonton Clinic Health Academy, University of AlbertaFaculty of Nursing , University of CalgaryDepartment of Pediatrics, IWK HealthFaculty of Nursing, Departments of Pediatrics and Community Health Science, Cumming School of Medicine, University of CalgaryAbstract Background Sustainability of evidence-based interventions (EBIs) is suboptimal in healthcare. Evidence on how knowledge translation (KT) strategies are used for the sustainability of EBIs in practice is lacking. This study examined what and how KT strategies were used to facilitate the sustainability of Alberta Family Integrated Care (FICare)™, a psychoeducational model of care scaled and spread across 14 neonatal intensive care units, in Alberta, Canada. Methods First, we conducted an environmental scan of relevant documents to determine the use of KT strategies to support the sustainability of Alberta FICare™. Second, we conducted semi-structured interviews with decision makers and operational leaders to explore what and how KT strategies were used for the sustainability of Alberta FICare™, as well as barriers and facilitators to using the KT strategies for sustainability. We used the Expert Recommendations for Implementation Change (ERIC) taxonomy to code the strategies. Lastly, we facilitated consultation meetings with the Alberta FICare™ leads to share and gain insights and clarification on our findings. Results We identified nine KT strategies to facilitate the sustainability of Alberta FICare™: Conduct ongoing training; Identify and prepare local champions; Research co-production; Remind clinicians; Audit and provide feedback; Change record systems; Promote adaptability; Access new funding; and Involve patients/consumers and family members. A significant barrier to the sustainability of Alberta FICare™ was a lack of clarity on who was responsible for the ongoing maintenance of the intervention. A key facilitator to sustainability of Alberta FICare was its alignment with the Maternal, Newborn, Child & Youth Strategic Clinical Network (MNCY SCN) priorities. Co-production between researchers and health system partners in the design, implementation, and scale and spread of Alberta FICare™ was critical to sustainability. Conclusion This research highlights the importance of clearly articulating who is responsible for continued championing for the sustainability of EBIs. Additionally, our research demonstrates that the adaptation of interventions must be considered from the onset of implementation so interventions can be tailored to align with contextual barriers for sustainability. Clear guidance is needed to continually support researchers and health system leaders in co-producing strategies that facilitate the long-term sustainability of effective EBIs in practice.https://doi.org/10.1186/s12912-024-01777-4SustainabilityImplementation scienceKnowledge translationFamily Integrated CarePediatrics |
| spellingShingle | Christine E. Cassidy Rachel Flynn Alyson Campbell Lauren Dobson Jodi Langley Deborah McNeil Ella Milne Pilar Zanoni Megan Churchill Karen M. Benzies Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study BMC Nursing Sustainability Implementation science Knowledge translation Family Integrated Care Pediatrics |
| title | Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study |
| title_full | Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study |
| title_fullStr | Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study |
| title_full_unstemmed | Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study |
| title_short | Knowledge translation strategies used for sustainability of an evidence-based intervention in child health: a multimethod qualitative study |
| title_sort | knowledge translation strategies used for sustainability of an evidence based intervention in child health a multimethod qualitative study |
| topic | Sustainability Implementation science Knowledge translation Family Integrated Care Pediatrics |
| url | https://doi.org/10.1186/s12912-024-01777-4 |
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