Facilitators and Barriers to Implementing Standardized Outcome Measurement for Children With Cleft Lip and Palate.
Facilitators and Barriers to Implementing Standardized Outcome Measurement for Children With Cleft Lip and Palate.
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DOI：
10.1177/1055665620940187
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Sitzman TJ
中科院分区：
文献类型：
--
作者：
Weidler EM;Britto MT;Sitzman TJ
确定在唇裂护理中实施标准化结果测量的促进因素和障碍横断面、定性研究参与者包括来自美国西南部一个大型多学科唇裂团队的24名提供者和工作人员，该团队治疗的唇裂儿童（伴或不伴唇裂）的5名护理人员，以及英国参与实施唇裂特定标准化结果测量的3名专家。进行了半结构化的定性访谈，探讨了在唇腭裂护理中实施标准化结果测量的感知促进因素和障碍。采访内容被录音、转录和分析。采用了《实施研究综合框架》来指导访谈和分析。分析的重点是直接影响其采用的标准化结果测量的特征。与会者确定了实施标准化结果测量的促进因素和障碍。促进因素包括支持实施标准化结果测量后腭裂护理提供改善的证据的强度和质量，以及标准化结果测量相对于继续现状的相对优势。障碍包括难以调整标准化结果测量以满足当地情况和患者具体需求，以及实施标准化结果测量的复杂性。参与唇腭裂护理的提供者、工作人员和护理人员认识到标准化结果测量的多重好处，同时也认识到其实施的实质性障碍。本研究的结果可用于指导制定标准化结果测量的实施策略，该策略建立在干预的感知优势和减少感知障碍的基础上。
Identify facilitators and barriers to implementing standardized outcome measurement in cleft care Cross-sectional, qualitative study Participants included 24 providers and staff from a large, multi-disciplinary cleft team in the southwest United States, five caregivers of children with cleft palate (with or without cleft lip) treated by this team, and three experts involved in implementing a cleft-specific standardized outcome measurement in the United Kingdom. Semi-structured, qualitative interviews were conducted exploring perceived facilitators and barriers to implementing standardized outcome measurement in cleft care. Interviews were audio-recorded, transcribed, and analyzed for content. The Consolidated Framework for Implementation Research was used to guide the interviews and analysis. The analysis focused on the characteristics of standardized outcome measurement that directly influence its adoption. Participants identified both facilitators and barriers to implementing standardized outcome measurement. Facilitators included the strength and quality of evidence supporting improvements in cleft care delivery following implementation of standardized outcome measurement and the relative advantage of standardized outcome measurement over continuing the status quo. Barriers included the difficulty adapting standardized outcome measurement to meet local context and patient-specific needs and the complexity of implementing standardized outcome measurement. Providers, staff, and caregivers involved in cleft care perceive multiple benefits from standardized outcome measurement, while also recognizing substantial barriers to its implementation. Results from this study can be used to guide development of an implementation strategy for standardized outcome measurement that builds upon perceived strengths of the intervention and reduces perceived barriers.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
7.2
作者：
Brehaut, Jamie C.;Eva, Kevin W.
通讯作者：
Eva, Kevin W.
DOI：
10.1177/1055665619842730
发表时间：
2019-10-01
期刊：
CLEFT PALATE-CRANIOFACIAL JOURNAL
影响因子：
--
作者：
Myhre, Anita;Agai, Mehri;Feragen, Kristin Billaud
通讯作者：
Feragen, Kristin Billaud
DOI：
10.1097/01.phh.0000311888.06252.bb
发表时间：
2008-03-01
影响因子：
3.3
作者：
Rabin, Borsika A.;Brownson, Ross C.;Weaver, Nancy L.
通讯作者：
Weaver, Nancy L.
影响因子：
1.1
作者：
Allori, Alexander C.;Kelley, Thomas;Wong, Karen W.
通讯作者：
Wong, Karen W.