Evidence map›Paper›PMID 37286987›Full record

ArticleBMC nursing2023

Assessing the implementation of nurse practitioner-led huddles in long-term care using the Consolidated Framework for Implementation Research (CFIR).

Aria Wills, Alexandra Krassikova, Margaret Keatings, Astrid Escrig-Pinol, Jennifer Bethell, Katherine S McGilton

Abstract read
In one paragraph

Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

6 authors.

Aria WillsKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, 500 University Avenue, Toronto, ON, Canada.
Alexandra KrassikovaKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, 500 University Avenue, Toronto, ON, Canada.
Margaret KeatingsKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, 500 University Avenue, Toronto, ON, Canada.
Astrid Escrig-PinolKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, 500 University Avenue, Toronto, ON, Canada.
Jennifer BethellKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, 500 University Avenue, Toronto, ON, Canada.
Katherine S McGiltonKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, 500 University Avenue, Toronto, ON, Canada. Kathy.McGilton@uhn.ca.

Funding

CIHR SPP - 174086
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic created major challenges in long-term care (LTC) homes across Canada and globally. A nurse practitioner-led interdisciplinary huddle intervention was developed to support staff wellbeing in two LTC homes in Ontario, Canada. The objective of this study was to identify the constructs strongly influencing the process of implementation of huddles across both sites, capturing the overall barriers and facilitators and the intervention's intrinsic properties.

methodsNineteen participants were interviewed about their experiences, pre-, post-, and during huddle implementation. The Consolidated Framework for Implementation Research (CFIR) was used to guide data collection and analysis. CFIR rating rules and a cross-comparison analysis was used to identify differentiating factors between sites. A novel extension to the CFIR analysis process was designed to assess commonly influential factors across both sites.

resultsNineteen of twenty selected CFIR constructs were coded in interviews from both sites. Five constructs were determined to be strongly influential across both implementation sites and a detailed description is provided: evidence strength and quality; needs and resources of those served by the organization; leadership engagement; relative priority; and champions. A summary of ratings and an illustrative quote are provided for each construct.

conclusionSuccessful huddles require long-term care leaders to consider their involvement, the inclusion all team members to help build relationships and foster cohesion, and the integration of nurse practitioners as full-time staff members within LTC homes to support staff and facilitate initiatives for wellbeing. This research provides an example of a novel approach using the CFIR methodology, extending its use to identify significant factors for implementation when it is not possible to compare differences in success.

Indexed as

Consolidated framework for implementation researchHuddlesLong-term careNurse practitionerNursing home

Identifiers

PMID37286987
PMCPMC10245368

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.