Types of internal facilitation activities in hospitals implementing evidence-based interventions

Jure Baloh; Xi Zhu; Marcia M Ward

doi:10.1097/HMR.0000000000000145

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Types of internal facilitation activities in hospitals implementing evidence-based interventions

Journal article

Peer reviewed

Types of internal facilitation activities in hospitals implementing evidence-based interventions

Jure Baloh, Xi Zhu and Marcia M Ward

Health care management review, Vol.43(3), pp.229-237

07/2018

DOI: 10.1097/HMR.0000000000000145

PMCID: PMC6816731

PMID: 28125454

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Abstract

Implementation models, frameworks, and theories recognize the importance of activities that facilitate implementation success. However, little is known about internal facilitation activities that hospital personnel engage in during implementation efforts. The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities. We followed 10 critical access hospitals for 2 years after the onset of implementation, conducting quarterly interviews with key informants. On the basis of the transcripts from the first two quarters, a coding template was developed using inductive analyses. The template was then applied deductively to code all interview transcripts. Using comparative analysis, we examined the characteristics that distinguish between the facilitation types. We identified four types of facilitation activities-Leadership, Buy-in, Customization, and Accountability. Individuals and teams engaged in different types of facilitation activities, both in a planned and an ad hoc manner. These activities targeted at both people and practices and exhibited varying temporal patterns (start and peak time). There are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities. New theoretical and empirical research opportunities are discussed. Understanding the types of facilitation activities and their distinguishing characteristics can assist managers in planning and executing implementations of evidence-based interventions.

Evidence-Based Practice - organization & administration

Health Services Research - organization & administration

Hospitals - standards

Humans

Implementation Science

Interviews as Topic

Leadership

Longitudinal Studies

Patient Safety - standards

Personnel, Hospital - education

Qualitative Research

Details

Title: Subtitle: Types of internal facilitation activities in hospitals implementing evidence-based interventions
Creators: Jure Baloh - Jure Baloh, MHA, is Graduate Research Assistant and PhD Candidate, Department of Health Management and Policy, University of Iowa. E-mail: jure-baloh@uiowa.edu. Xi Zhu, PhD, is Assistant Professor, Department of Health Management and Policy, University of Iowa. Marcia M. Ward, PhD, is Professor, Department of Health Management and Policy, University of Iowa
Xi Zhu
Marcia M Ward
Resource Type: Journal article
Publication Details: Health care management review, Vol.43(3), pp.229-237
DOI: 10.1097/HMR.0000000000000145
PMID: 28125454
PMCID: PMC6816731
NLM abbreviation: Health Care Manage Rev
ISSN: 0361-6274
eISSN: 1550-5030
Grant note: R18 HS018396 / AHRQ HHS R03 HS024112 / AHRQ HHS
Language: English
Date published: 07/2018
Academic Unit: Health Management and Policy; Internal Medicine
Record Identifier: 9984214710402771

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