Development of a qualitative data analysis codebook informed by the i-PARIHS framework

Ritchie, Mona J.; Drummond, Karen L.; Smith, Brandy N.; Sullivan, Jennifer L.; Landes, Sara J.

doi:10.1186/s43058-022-00344-9

Cited by 18 publications

(12 citation statements)

References 56 publications

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“…We coded all data by means of the initial main categories. Afterwards, we developed subcategories following the the i-PARIHS subconstructs and their de nitions [25]. We revised the main categories in order to ensure that they are content-speci c, unambiguous and expressive.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Adlbrecht

Karrer

Helfenberger

et al. 2023

Preprint

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Background: Implementing dementia care interventions in an acute hospital poses multiple challenges. To understand factors influencing the implementation, in-depth knowledge about specific facilitators and barriers is necessary. The aim of this study was to identify facilitators and barriers to implementing a multicomponent, interprofessional concept of a specialized unit for persons with cognitive impairment in an acute geriatric hospital. Methods:We conducted a process evaluation as part of a participatory action research study. For data collection, semi-structured individual interviews with fifteen professionals involved in the implementation of the specialized unit. We further conducted two focus groups with twelve professionals working on other units of the geriatric hospital. We performed a qualitative content analysis following Kuckartz’s content-structuring analysis scheme. Results: We identified the following barriers to implementing the concept: uncontrollable contextual changes (e.g., COVID-19 pandemic), staff turnover in key functions, high fluctuation in the nursing team, traditional work culture, entrenched structures, inflexible and efficiency-oriented processes, monoprofessional attitude, neglect of project-related communication, and fragmentation of interprofessional cooperation. An established culture of interprofessionalism, an interprofessionally composed project group, cooperation with a research partner, as well as the project groups’ motivation and competence of managing change facilitated the implementation. Conclusions: The implementation faced numerous barriers that can be described using the key constructs of the i-PARIHS framework: context, recipients, innovation, and facilitation. Overcoming these barriers requires an organizational development approach, extended project duration and increased process orientation. Furthermore, strategically planned, precise and ongoing communication towards all persons involved seems crucial. Differences between the work cultures of the professions involved deserve particular attention with regard to project-related roles and processes.

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Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Adlbrecht

Karrer

Helfenberger

et al. 2023

Preprint

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“…JLS has extensive experience providing implementation facilitation to healthcare systems and in training and mentoring IF researchers and practitioners. Both MJR and JLS have led and contributed to development of multiple tools and resources that support IF research and practice ( 19 , 26 , 27 ). In the fourth phase (see below), additional VA Behavioral Health QUERI investigators, including JEK, BK, and ENW, provided consultation on preparing the collection for dissemination.…”

Section: Methodsmentioning

confidence: 99%

Building a sharable literature collection to advance the science and practice of implementation facilitation

Ritchie,

Smith,

Kim

et al. 2024

Front. Health Serv.

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BackgroundImplementation science seeks to produce generalizable knowledge on strategies that promote the adoption and sustained use of evidence-based innovations. Literature reviews on specific implementation strategies can help us understand how they are conceptualized and applied, synthesize findings, and identify knowledge gaps. Although rigorous literature reviews can advance scientific knowledge and facilitate theory development, they are time-consuming and costly to produce. Improving the efficiency of literature review processes and reducing redundancy of effort is especially important for this rapidly developing field. We sought to amass relevant literature on one increasingly used evidence-based strategy, implementation facilitation (IF), as a publicly available resource.MethodsWe conducted a rigorous systematic search of PubMed, CINAHL, and Web of Science citation databases for peer-reviewed, English-language articles with “facilitation” and a combination of other terms published from January 1996 to December 2021. We searched bibliographies of articles published from 1996 to 2015 and identified articles during the full text review that reported on the same study. Two authors screened 3,168 abstracts. After establishing inter-rater reliability, they individually conducted full-text review of 786 relevant articles. A multidisciplinary team of investigators provided recommendations for preparing and disseminating the literature collection.FindingsThe literature collection is comprised of 510 articles. It includes 277 empirical studies of IF and 77 other articles, including conceptual/theoretical articles, literature reviews, debate papers and descriptions of large-scale clinical initiatives. Over half of the articles were published between 2017 and 2021. The collection is publicly available as an Excel file and as an xml file that can be imported into reference management software.ConclusionWe created a publicly accessible collection of literature about the application of IF to implement evidence-based innovations in healthcare. The comprehensiveness of this collection has the potential to maximize efficiency and minimize redundancy in scientific inquiry about this strategy. Scientists and practitioners can use the collection to more rapidly identify developments in the application of IF and to investigate a wide range of compelling questions on its use within and across different healthcare disciplines/settings, countries, and payer systems. We offer several examples of how this collection has already been used.

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“…Interview data were coded using a directed content analysis approach [ 16 ], utilizing an i-PARIHS-informed codebook [ 17 ]. We selected and refined codes from the codebook to group and eliminate sub-constructs that were difficult to distinguish from one another in this context and less directly relevant, respectively, regarding our specific CCM implementation effort.…”

Section: Methodsmentioning

confidence: 99%

Interdisciplinary behavioral health provider perceptions of implementing the Collaborative Chronic Care Model: an i-PARIHS-guided qualitative study

Kim

Sullivan

Drummond

et al. 2023

Implement Sci Commun

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Background The evidence-based Collaborative Chronic Care Model (CCM), developed to help structure care for chronic health conditions, comprises six elements: work role redesign, patient self-management support, provider decision support, clinical information systems, linkages to community resources, and organizational/leadership support. As the CCM is increasingly implemented in real-world settings, there is heightened interest in understanding specific influences upon implementation. Therefore, guided by the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, we (i) identified innovation-, recipient-, context-, and facilitation-related influences on CCM implementation and (ii) assessed the influences’ relationship to each CCM element’s implementation. Methods Using semi-structured interviews, we examined interdisciplinary behavioral health providers’ experiences at nine VA medical centers that implemented the CCM. We used i-PARIHS constructs as a priori codes for directed content analysis, then analyzed the data for cross-coding by CCM element and i-PARIHS construct. Results Participants (31 providers) perceived the CCM innovation as enabling comprehensive care but challenging to coordinate with existing structures/procedures. As recipients, participants recounted not always having the authority to design CCM-consistent care processes. They perceived local leadership support to be indispensable to implementation success and difficult to garner when CCM implementation distracted from other organizational priorities. They found implementation facilitation helpful for keeping implementation on track. We identified key themes at the intersection of i-PARIHS constructs and core CCM elements, including (i) the CCM being an innovation that offers a formal structure to stepping down care intensity for patients to encourage their self-management, (ii) recipients accessing their multidisciplinary colleagues’ expertise for provider decision support, (iii) relationships with external services in the community (e.g., homelessness programs) being a helpful context for providing comprehensive care, and (iv) facilitators helping to redesign specific interdisciplinary team member roles. Conclusions Future CCM implementation would benefit from (i) facilitating strategic development of supportive maintenance plans for patients’ self-management, (ii) collocating multidisciplinary staff (on-site or virtually) to enhance provider decision support, (iii) keeping information on available community resources up to date, and (iv) making clearer the explicit CCM-consistent care processes that work roles can be designed around. This work can inform concrete tailoring of implementation efforts to focus on the more challenging CCM elements, which is crucial to better account for multiple influences that vary across diverse care settings in which the CCM is being implemented.

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Development of a qualitative data analysis codebook informed by the i-PARIHS framework

Cited by 18 publications

References 56 publications

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Building a sharable literature collection to advance the science and practice of implementation facilitation

Interdisciplinary behavioral health provider perceptions of implementing the Collaborative Chronic Care Model: an i-PARIHS-guided qualitative study

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