ArticleQuality management in health care
Measuring sustainability within the Veterans Administration Mental Health System Redesign initiative.
Article in Quality management in health care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Built to last? Barriers and facilitators of healthcare program sustainability: a systematic integrative review.Implementation science : IS · 2023Pooled it
- Built to last? The sustainability of healthcare system improvements, programmes and interventions: a systematic integrative review.BMJ open · 2020Pooled it
- Identifying relevant concepts and factors for the sustainability of evidence-based practices within acute care contexts: a systematic review and theory analysis of selected sustainability frameworks.Implementation science : IS · 2019Pooled it
- Outcomes of the ROSE Sustainment (ROSES) Study, a sequential multiple assignment randomized implementation trial to determine the minimum necessary intervention to sustain a postpartum depression prevention program in agencies serving low-income pregnant people.Implementation science : IS · 2025Trial
- Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women.Implementation science : IS · 2018Trial
- A clinical trial evaluating pharmacist-guided self-management of hypertension among veterans with CKD, rationale and study design.Contemporary clinical trials · 2025Article
- Organizational transformation elements for evidence-based practice by hospital nursing staff: a qualitative study using 7-S framework.BMC nursing · 2025Article
- Organizational mediators of sustainability in a randomized controlled trial.Evidence-based practice in child and adolescent mental health · 2024Article
- Implementing Trauma-Informed Care Through a Learning Collaborative: A Theory-Driven Analysis of Sustainability.Community mental health journal · 2023Article
- Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review.Systematic reviews · 2022Review
- Sustaining a nursing best practice guideline in an acute care setting over 10 years: A mixed methods case study.Frontiers in health services · 2022Article
- The relationship between first-level leadership and inner-context and implementation outcomes in behavioral health: a scoping review.Implementation science : IS · 2021Article
- Dissemination of a telehealth cardiovascular risk service: The CVRS live protocol.Contemporary clinical trials · 2021Article
- Influence of participation in a quality improvement collaborative on staff perceptions of organizational sustainability.BMC health services research · 2021Article
- Staff perspectives of a model of access and triage for reducing waiting time in ambulatory services: a qualitative study.BMC health services research · 2019Article
- Team-Based Care with Pharmacists to Improve Blood Pressure: a Review of Recent Literature.Current hypertension reports · 2018Review
- Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration.Administration and policy in mental health · 2017Article
- Towards the implementation of large scale innovations in complex health care systems: views of managers and frontline personnel.BMC research notes · 2016Article
- Successful Organizational Strategies to Sustain Use of A-CHESS: A Mobile Intervention for Individuals With Alcohol Use Disorders.Journal of medical Internet research · 2015Article
- Family care map: Sustaining family-centered care in Polytrauma Rehabilitation Centers.Journal of rehabilitation research and development · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine how attributes affecting sustainability differ across Veterans Health Administration organizational components and by staff characteristics. SUBJECTS: Surveys of 870 change team members and 50 staff interviews within the Veterans Affairs' Mental Health System Redesign initiative.
methodsA 1-way ANOVA with a Tukey post hoc test examined differences in sustainability by Veteran Integrated Service Networks, job classification, and tenure from staff survey data of the Sustainability Index. Qualitative interviews used an iterative process to identify "a priori" and "in vivo" themes. A simple stepwise linear regression explored predictors of sustainability.
resultsSustainability differed across Veteran Integrated Service Networks and staff tenure. Job classification differences existed for the following: (1) benefits and credibility of the change and (2) staff involvement and attitudes toward change. Sustainability barriers were staff and institutional resistance and nonsupportive leadership. Facilitators were commitment to veterans, strong leadership, and use of quality improvement tools. Sustainability predictors were outcomes tracking, regular reporting, and use of Plan, Do, Study, Adjust cycles.
conclusionsCreating homogeneous implementation and sustainability processes across a national health system is difficult. Despite the Veterans Affairs' best evidence-based implementation efforts, there was significant variance. Locally tailored interventions might better support sustainability than "one-size-fits-all" approaches. Further research is needed to understand how participation in a quality improvement collaborative affects sustainability.
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