Identifying factors influencing sustainability of innovations in cancer survivorship care: a qualitative study.
Identifying factors influencing sustainability of innovations in cancer survivorship care: a qualitative study.
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DOI：
10.1136/bmjopen-2020-042503
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发表时间：
2021-02-05
期刊：
影响因子：
2.9
通讯作者：
Bender JL
中科院分区：
文献类型：
--
作者：
Urquhart R;Kendell C;Cornelissen E;Powell BJ;Madden LL;Kissmann G;Richmond SA;Bender JL
将创新引入医疗保健组织以增加积极的健康结果仍然是一个重大挑战。即使采用了知识和工具，它们也常常无法融入组织的长期常规。本研究的目的是确定影响癌症生存护理创新可持续性的因素和过程。定性研究采用半结构化，深入的访谈，由接地理论通知。数据的收集和分析同时使用恒定的比较分析。来自加拿大六个省的25项癌症生存创新。来自加拿大各地的27名实施领导和相关工作人员参与了癌症幸存者创新的实施。调查结果根据决定因素、过程和实施结果，以及一个因素对可持续性是必要的，还是重要但不是必要的进行分类。7个决定因素、6个过程和3个执行结果被认为影响可持续性。必要的决定因素是：(1)管理支持；(2)组织和系统层面的优先事项；(3)关键人才和专业知识。必要的过程是(4)创新适应；(5)利益相关者参与；(6)持续的教育和培训。唯一必要的实施结果是(7)广泛的员工和组织对创新的支持。影响癌症生存创新可持续性的因素存在于卫生系统的多个层面，并且往往是相互依存的。研究结果可以被实施团队用于从创新采用计划开始的可持续性计划。
Moving innovations into healthcare organisations to increase positive health outcomes remains a significant challenge. Even when knowledge and tools are adopted, they often fail to become integrated into the long-term routines of organisations. The objective of this study was to identify factors and processes influencing the sustainability of innovations in cancer survivorship care. Qualitative study using semistructured, in-depth interviews, informed by grounded theory. Data were collected and analysed concurrently using constant comparative analysis. 25 cancer survivorship innovations based in six Canadian provinces. Twenty-seven implementation leaders and relevant staff from across Canada involved in the implementation of innovations in cancer survivorship. The findings were categorised according to determinants, processes and implementation outcomes, and whether a factor was necessary to sustainability, or important but not necessary. Seven determinants, six processes and three implementation outcomes were perceived to influence sustainability. The necessary determinants were (1) management support; (2) organisational and system-level priorities; and (3) key people and expertise. Necessary processes were (4) innovation adaptation; (5) stakeholder engagement; and (6) ongoing education and training. The only necessary implementation outcome was (7) widespread staff and organisational buy-in for the innovation. Factors influencing the sustainability of cancer survivorship innovations exist across multiple levels of the health system and are often interdependent. Study findings may be used by implementation teams to plan for sustainability from the beginning of innovation adoption initiatives.
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DOI：
10.1186/s13012-015-0242-0
发表时间：
2015-04-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Nilsen P
通讯作者：
Nilsen P
影响因子：
3.8
作者：
Porter GA;Urquhart R;Bu J;Johnson P;Grunfeld E
通讯作者：
Grunfeld E
影响因子：
105.7
作者：
Hawe, P;Shiell, A;Riley, T
通讯作者：
Riley, T
影响因子：
2.6
作者：
Corkum, M.;Urquhart, R.;Porter, G.
通讯作者：
Porter, G.
影响因子：
--
作者：
Rayson, Daniel;Urquhart, Robin;Porter, Geoff
通讯作者：
Porter, Geoff