Journal article
Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals
Health care management review, Vol.42(1), pp.2-13
01/2017
DOI: 10.1097/HMR.0000000000000086
PMCID: PMC6893845
PMID: 26415078
Abstract
A particularly useful model for examining implementation of quality improvement interventions in health care settings is the PARIHS (Promoting Action on Research Implementation in Health Services) framework developed by Kitson and colleagues. The PARIHS framework proposes three elements (evidence, context, and facilitation) that are related to successful implementation.
An evidence-based program focused on quality enhancement in health care, termed TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), has been widely promoted by the Agency for Healthcare Research and Quality, but research is needed to better understand its implementation. We apply the PARIHS framework in studying TeamSTEPPS implementation to identify elements that are most closely related to successful implementation.
Quarterly interviews were conducted over a 9-month period in 13 small rural hospitals that implemented TeamSTEPPS. Interview quotes that were related to each of the PARIHS elements were identified using directed content analysis. Transcripts were also scored quantitatively, and bivariate regression analysis was employed to explore relationships between PARIHS elements and successful implementation related to planning activities.
The current findings provide support for the PARIHS framework and identified two of the three PARIHS elements (context and facilitation) as important contributors to successful implementation.
This study applies the PARIHS framework to TeamSTEPPS, a widely used quality initiative focused on improving health care quality and patient safety. By focusing on small rural hospitals that undertook this quality improvement activity of their own accord, our findings represent effectiveness research in an understudied segment of the health care delivery system. By identifying context and facilitation as the most important contributors to successful implementation, these analyses provide a focus for efficient and effective sustainment of TeamSTEPPS efforts.
Details
- Title: Subtitle
- Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals
- Creators
- Marcia M Ward - University of Iowa, Health Management and PolicyJure Baloh - University of Iowa, Internal MedicineXi Zhu - University of Iowa, Health Management and PolicyGreg L Stewart - University of Iowa, Management and Entrepreneurship
- Resource Type
- Journal article
- Publication Details
- Health care management review, Vol.42(1), pp.2-13
- DOI
- 10.1097/HMR.0000000000000086
- PMID
- 26415078
- PMCID
- PMC6893845
- NLM abbreviation
- Health Care Manage Rev
- ISSN
- 0361-6274
- eISSN
- 1550-5030
- Language
- English
- Date published
- 01/2017
- Academic Unit
- Health Management and Policy; Management and Entrepreneurship ; Internal Medicine
- Record Identifier
- 9984214950602771
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