Evidence map›Paper›PMID 35403322›Full record

ReviewJournal of clinical nursing2023

Barriers and facilitators to the implementation and adoption of improvement coaching: A qualitative evidence synthesis.

Sharron Rushton, Allison A Lewinski, Soohyun Hwang, Leah L Zullig, Katharine A Ball Ricks, Katherine Ramos, Adelaide Gordon, Belinda Ear, Lindsay A Ballengee, Mulugu V Brahmajothi and 6 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04587336 (Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT04587336 completednot on this map

Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Survey & Qualitative Interview

TypeobservationalSponsorVA Office of Research and DevelopmentRan2020 to 2025Enrolled225ConditionsDiabetes, Diabetes Distress, Self-Management, VeteranArmsCognitive Interview, Baseline Survey, Qualitative Interviews
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

16 authors.

Sharron RushtonSchool of Nursing, Duke University, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0003-0370-9579
Allison A LewinskiSchool of Nursing, Duke University, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-1356-1857
Soohyun HwangDepartment of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-6542-0565
Leah L ZulligDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-6638-409X
Katharine A Ball RicksCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Katherine RamosDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-7584-3040
Adelaide GordonDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0001-6453-4579
Belinda EarDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.
Lindsay A BallengeeDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-6555-3867
Mulugu V BrahmajothiDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-6438-4854
Thomasena MooreDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.
Dan V BlalockDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.
John W WilliamsDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-5267-5558
Sarah E CantrellSchool of Medicine, Duke University Medical Center Library & Archives, Duke University, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0003-2694-7836
Jennifer M GierischDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.
Karen M GoldsteinDurham Veterans Affairs Health Care System, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, North Carolina, USA.

Funding

Telehealth Treatment of Veterans with Alcohol Misuse at Risk for Cardiovascular DiseaseIK2HX003085 · VA · DURHAM VA MEDICAL CENTER · PI BLALOCK, DANIEL V · 2021 to 2025
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DoD grant W81XWH1810454Durham Center of Innovation to Accelerate Discovery and Practice Transformation CIN13-410HRSA Primary Care Training and Enhancement Program TOBHP29992HSRD VA CIN 13-410HSRD VA ESP 09-010HSRD VA IK2 HX003085VA Evidence Synthesis Program ESP09-010VA HSR&D CDA award 13-263VA HSR&D NRI 18-234
6 · The paper itself

Abstract

backgroundHealthcare organisations and teams perform improvement activities to facilitate high-quality healthcare. The use of an improvement coach who provides support and guidance to the healthcare team may facilitate improvement activities; however, no systematic review exists on the facilitators and barriers to implementing an improvement coach.

aimsWe conducted a qualitative evidence synthesis to examine the facilitators and barriers to the implementation of improvement coaching.

methodsWe searched MEDLINE

resultsNineteen studies with a qualitative component met the inclusion criteria. Four themes of barriers and facilitators crossed multiple CFIR domains: adaptability (e.g. making adjustments to the project; process, or approach); knowledge and skills (e.g. understanding of content and process for the project); engagement (e.g. willingness to be involved in the process) and resources (e.g. assets required to complete the improvement process).

conclusionImprovement coaching is a complex intervention that influences the context, healthcare team being coached and improvement activities. Improvement coaches should understand how to minimise barriers and promote facilitators that are unique to each improvement project across the domains. Limitations of the study are related to the nature of the intervention including potential publication bias given quality improvement focus; the variety of terms similar to improvement coaching or selection of framework.

Indexed as

Delivery of Health CareMentoringHumansPatient Care TeamQualitative Researchevidence-based practicefacilitationhealth services researchimplementationqualitative studyquality improvementsystematic review

Identifiers

PMID35403322
PMCPMC11309122

What OpenQuestion holds

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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.