Evidence map›Paper›PMID 28173749›Full record

ArticleBMC medical research methodology2017

Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention.

Louise E Craig, Leonid Churilov, Liudmyla Olenko, Dominique A Cadilhac, Rohan Grimley, Simeon Dale, Cintia Martinez-Garduno, Elizabeth McInnes, Julie Considine, Jeremy M Grimshaw and 1 more

Abstract read
In one paragraph

Article in BMC medical research methodology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Clinician and family perspectives on the use of single maintenance and reliever therapy for children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
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  7. How should we measure physical activity after stroke? An international consensus.International journal of stroke : official journal of the International Stroke Society · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Louise E CraigNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5, deLacy Building, St Vincent's Hospital, Victoria Street, Darlinghurst, NSW, 2010, Australia. Louise.Craig@acu.edu.au.
Leonid ChurilovFlorey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Australia.
Liudmyla OlenkoFlorey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Australia.
Dominique A CadilhacFlorey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0001-8162-682X
Rohan GrimleySunshine Coast Hospital and Health Service/Sunshine Coast Clinical School, The University of Queensland, Nambour, QLD, Australia.ORCID 0000-0002-7006-6908
Simeon DaleNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5, deLacy Building, St Vincent's Hospital, Victoria Street, Darlinghurst, NSW, 2010, Australia.
Cintia Martinez-GardunoNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5, deLacy Building, St Vincent's Hospital, Victoria Street, Darlinghurst, NSW, 2010, Australia.
Elizabeth McInnesNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5, deLacy Building, St Vincent's Hospital, Victoria Street, Darlinghurst, NSW, 2010, Australia.
Julie ConsidineDepartment of Nursing, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0003-3801-2456
Jeremy M GrimshawClinical Epidemiology Program, Ottawa Health Research Institute, 1053 Carling Avenue, Administration Building, Room 2-017, Ottawa, Ontario, K1Y 4E9, Canada.
Sandy MiddletonNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5, deLacy Building, St Vincent's Hospital, Victoria Street, Darlinghurst, NSW, 2010, Australia.ORCID 0000-0002-7201-4394

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple barriers may inhibit the adoption of clinical interventions and impede successful implementation. Use of standardised methods to prioritise barriers to target when selecting implementation interventions is an understudied area of implementation research. The aim of this study was to describe a method to identify and prioritise barriers to the implementation of clinical practice elements which were used to inform the development of the T

methodsA survey was developed based on a literature review and data from a complementary trial to identify the commonly reported barriers for the nine T

resultsAll invited participants completed the survey; (n = 17; 35% medical, 35% nursing, 18% speech pathology, 12% bed managers). The barriers classified as most desirable to target and overcome were a 'lack of protocols for the management of fever' and 'not enough blood glucose monitoring machines'.

conclusionsA structured decision-support procedure has been illustrated and successfully applied to identify and prioritise barriers to target within an implementation intervention. This approach may prove to be a useful in other studies and as an adjunct to undertaking barrier assessments within individual sites when planning implementation interventions.

Indexed as

Surveys and QuestionnairesAcetaminophenAdultAnalgesics, Non-NarcoticAustraliaEmergency Medical ServicesEmergency Service, HospitalFemaleHumansHypoglycemic AgentsInsulinMaleMiddle AgedPatient DischargeStrokeTransportation of PatientsAcetaminophenAnalgesics, Non-NarcoticHypoglycemic AgentsInsulinAcute stroke careBarriersImplementationPrioritisation

Identifiers

PMID28173749
PMCPMC5297164

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.