“Optimal surfactant delivery protocol using the bovine lipid extract surfactant: a quality improvement study”

Germain, Alexandra; Nouraeyan, Nina; Claveau, Martine; Leone, Marisa; Sant’Anna, Guilherme M.

doi:10.1038/s41372-020-00846-1

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…We identified four examples in the literature in which re-implementation was primarily necessitated by deficiencies in the initial implementation process [ 25 – 29 ]. We termed this subset as re-implementation after failed implementation.…”

Section: Methodsmentioning

confidence: 99%

“…The first two cases describe the re-implementation of a surfactant administration protocol and imaging guidelines after discovering low adoption and adherence [ 25 , 26 ]. In both cases, an evaluation found the main cause of implementation failure was a lack of staff awareness and difficulty accessing the protocol and guidelines.…”

Section: Methodsmentioning

confidence: 99%

“…They improved awareness through educational meetings and training sessions and moved the guidelines and protocol to a location that increased accessibility. This dual approach was effective in both case examples and improved adoption and adherence [ 25 , 30 ].…”

Section: Methodsmentioning

confidence: 99%

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Defining re-implementation

Moyal‐Smith

Etheridge

Karlage

et al. 2023

Implement Sci Commun

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Background The first attempt to implement a new tool or practice does not always lead to the desired outcome. Re-implementation, which we define as the systematic process of reintroducing an intervention in the same environment, often with some degree of modification, offers another chance at implementation with the opportunity to address failures, modify, and ultimately achieve the desired outcomes. This article proposes a definition and taxonomy for re-implementation informed by case examples in the literature. Main body We conducted a scoping review of the literature for cases that describe re-implementation in concept or practice. We used an iterative process to identify our search terms, pilot testing synonyms or phrases related to re-implementation. We searched PubMed and CINAHL, including articles that described implementing an intervention in the same environment where it had already been implemented. We excluded articles that were policy-focused or described incremental changes as part of a rapid learning cycle, efforts to spread, or a stalled implementation. We assessed for commonalities among cases and conducted a thematic analysis on the circumstance in which re-implementation occurred. A total of 15 articles representing 11 distinct cases met our inclusion criteria. We identified three types of circumstances where re-implementation occurs: (1) failed implementation, where the intervention is appropriate, but the implementation process is ineffective, failing to result in the intended changes; (2) flawed intervention, where modifications to the intervention itself are required either because the tool or process is ineffective or requires tailoring to the needs and/or context of the setting where it is used; and (3) unsustained intervention, where the initially successful implementation of an intervention fails to be sustained. These three circumstances often co-exist; however, there are unique considerations and strategies for each type that can be applied to re-implementation. Conclusions Re-implementation occurs in implementation practice but has not been consistently labeled or described in the literature. Defining and describing re-implementation offers a framework for implementation practitioners embarking on a re-implementation effort and a starting point for further research to bridge the gap between practice and science into this unexplored part of implementation.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%