What Influences Sustainment and Nonsustainment of Facilitation Activities in Implementation? Analysis of Organizational Factors in Hospitals Implementing TeamSTEPPS

Jure Baloh; Xi Zhu; Marcia M Ward

doi:10.1177/1077558719848267

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What Influences Sustainment and Nonsustainment of Facilitation Activities in Implementation? Analysis of Organizational Factors in Hospitals Implementing TeamSTEPPS

Journal article

Peer reviewed

What Influences Sustainment and Nonsustainment of Facilitation Activities in Implementation? Analysis of Organizational Factors in Hospitals Implementing TeamSTEPPS

Jure Baloh, Xi Zhu and Marcia M Ward

Medical care research and review, Vol.78(2), pp.146-156

04/2021

DOI: 10.1177/1077558719848267

PMCID: PMC6858507

PMID: 31092101

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https://www.ncbi.nlm.nih.gov/pmc/articles/6858507View

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Abstract

Implementation processes are often long and complex, requiring sustained facilitation efforts. Drawing on organizational and implementation literature, we examined the influence of senior management support (SMS), middle management support (MMS), facilitator team time availability (TIME) and team continuity (CONTINUITY) on sustainment of internal facilitation activities. For 2 years, we followed 10 small rural hospitals implementing TeamSTEPPS, a patient safety program, and conducted quarterly interviews with key informants. We coded, calibrated, and analyzed the data using the fuzzy-set qualitative comparative analysis. We found that five hospitals sustained facilitation activities and the combination of SMS, MMS, and CONTINUITY (i.e., presence of all three factors) was a sufficient condition for sustainment. Five other hospitals did not sustain facilitation activities and they either lacked MMS or lacked both TIME and CONTINUITY. In follow-up analyses, we found that team leadership continuity also influenced sustainment patterns. We discussed the implications for research and practice.

Details

Title: Subtitle: What Influences Sustainment and Nonsustainment of Facilitation Activities in Implementation? Analysis of Organizational Factors in Hospitals Implementing TeamSTEPPS
Creators: Jure Baloh - University of Arkansas for Medical Sciences, Little Rock, AR, USA
Xi Zhu - University of Iowa, Iowa City, Iowa, USA
Marcia M Ward - University of Iowa, Iowa City, Iowa, USA
Resource Type: Journal article
Publication Details: Medical care research and review, Vol.78(2), pp.146-156
DOI: 10.1177/1077558719848267
PMID: 31092101
PMCID: PMC6858507
NLM abbreviation: Med Care Res Rev
ISSN: 1077-5587
eISSN: 1552-6801
Grant note: DOI: 10.13039/100000133, name: Agency for Healthcare Research and Quality, award: R18HS018396 & R03HS024112
Language: English
Date published: 04/2021
Academic Unit: Health Management and Policy; Internal Medicine
Record Identifier: 9984221636802771

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