ArticleSAGE open medicine2018
A qualitative study of clinical champions in context: Clinical champions across three levels of acute care.
Article in SAGE open medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Facilitators and Barriers of the Use of Prognostic Models for Clinical Decision Making in Acute Neurologic Care: A Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Pooled it
- Implementation facilitators and barriers of stress first aid to protect mental health of frontline health care workers during the COVID-19 pandemic: a qualitative study.BMC health services research · 2024Trial
- Implementation Evaluation of a Complex Intervention to Improve Timeliness of Care for Veterans with Transient Ischemic Attack.Journal of general internal medicine · 2021Trial
- Building capacity for change: developing an evidence-based competencies framework to power champions.BMJ quality & safety · 2026Article
- Prospective cohort study identifies barriers and facilitators to point-of-care ultrasound use in an academic emergency department.BMJ open quality · 2026Article
- Impact Evaluation of a Clinical Point-of-care Ultrasound Intervention in an Academic Emergency Department.The western journal of emergency medicine · 2026Article
- Successful adoption of an advance care planning evidence-based practice: impact of clinical champion and site factors.Implementation science : IS · 2026Article
- Failing to succeed: advancing mechanistic understanding of implementation strategies through retrospective and prospective use of causal pathway diagrams.Implementation science communications · 2025Article
- Implementing collaborative practices in healthcare settings using champions: a scoping review.Implementation science : IS · 2025Article
- Conceptualizing vaccine champions from an implementation science perspective: Findings from a national survey of primary care health professionals.Preventive medicine · 2024Article
- The Importance of a Champion in Leading Major Improvements in Residency Programs.Family medicine · 2024Article
- The Rapid Implementation Feedback (RIF) report: real-time synthesis of qualitative data for proactive implementation planning and tailoring.Implementation science communications · 2024Article
- Article
- Changing hearts and minds: theorizing how, when, and under what conditions three social influence implementation strategies work.Frontiers in health services · 2024Article
- Healthcare Workers' Perceptions on the "SaferBirths Bundle of Care": A Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- Moving towards patient-reported outcomes in routine clinical practice: implementation lessons from the BREAST-Q.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Healthcare provider experiences of deploying a continuous remote patient monitoring pilot program during the COVID-19 pandemic: a structured qualitative analysis.Frontiers in digital health · 2023Article
- Editorial: The theory and pragmatics of power and relationships in implementation.Frontiers in health services · 2023Article
- The role of emergent champions in policy implementation for decentralised drug-resistant tuberculosis care in South Africa.BMJ global health · 2022Article
- An exploratory case study investigating the implementation of a novel knowledge translation strategy in a pandemic: the Pandemic Practice Champion.Implementation science communications · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare activities and field descriptions of clinical champions across three levels of stroke centers.
methodsA cross-sectional qualitative study using quota sampling was conducted. The setting for this study was 38 acute stroke centers based in US Veterans Affairs Medical Centers with 8 designated as Primary, 24 as Limited Hours, and 6 as Stroke Support Centers. Key informants involved in stroke care were interviewed using a semi-structured approach. A cross-case synthesis approach was used to conduct a qualitative analysis of clinical champions' behaviors and characteristics. Clinical champion behaviors were described and categorized across three dimensions: enthusiasm, persistence, and involving the right people.
resultsClinical champions at Primary Stroke Centers represented diverse medical disciplines and departments (education, quality management); directed implementation of acute stroke care processes; coordinated processes across service lines; and benefited from supportive contexts for implementation. Clinical champions at Limited Hours Stroke Centers varied in steering implementation efforts, building collaboration across disciplines, and engaging in other clinical champion activities. Clinical champions at Stroke Support Centers were implementing limited changes to stroke care and exhibited few behaviors fitting the three clinical champion dimensions. Other clinical champion behaviors included educating colleagues, problem-solving, implementing new care pathways, monitoring progress, and standardizing processes.
conclusionThese data demonstrate clinical champion behaviors for implementing changes to complex care processes such as acute stroke care. Changes to complex care processes involved coordination among clinicians from multiple services lines, persistence facing obstacles to change, and enthusiasm for targeted practice changes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.