Evidence map›Paper›PMID 38184522›Full record

ArticleBMC health services research2024

Navigation programs to support community-dwelling individuals with life-limiting illness: determinants of implementation.

Sarah Scruton, Grace Warner, Cynthia Kendell, Kathryn Pfaff, Kelli Stajduhar, Linda Patrick, Carren Dujela, Faith Fauteux, Robin Urquhart

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. 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. Review
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

9 authors.

Sarah ScrutonDepartment of Community Health and Epidemiology, Centre for Clinical Research, Dalhousie University, Room 413, 5790 University Avenue, Halifax, NS, B3H 1V7, Canada.
Grace WarnerSchool of Occupational Therapy, Dalhousie University, Halifax, NS, Canada.
Cynthia KendellDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.
Kathryn PfaffFaculty of Nursing, University of Windsor, Windsor, ON, Canada.
Kelli StajduharSchool of Nursing, University of Victoria, Victoria, BC, Canada.
Linda PatrickFaculty of Nursing, University of Windsor, Windsor, ON, Canada.
Carren DujelaSchool of Nursing, University of Victoria, Victoria, BC, Canada.
Faith FauteuxFaculty of Nursing, University of Windsor, Windsor, ON, Canada.
Robin UrquhartDepartment of Community Health and Epidemiology, Centre for Clinical Research, Dalhousie University, Room 413, 5790 University Avenue, Halifax, NS, B3H 1V7, Canada. robin.urquhart@nshealth.ca.

Funding

CIHR HCI-160002
6 · The paper itself

Abstract

backgroundAs the Canadian population ages and the prevalence of chronic illnesses increases, delivering high-quality care to individuals with advanced life limiting illnesses becomes more challenging. Community-based navigation programs are a promising approach to address these challenges, but little is known about how these programs are successfully implemented to meet the needs of this population. This study sought to identify the key determinants that contribute to the successful implementation of these programs within Canada.

methodsA qualitative study was undertaken to understand the implementation of eleven innovative, community-based navigation programs that aim to address the needs of individuals with life-limiting illnesses as they approach the end of life. The Consolidated Framework for Implementation Research (CFIR) guided the study design. Key informants (n = 23) within these programs took part in semi-structured interviews where they were asked to discuss how these programs are implemented. Data were analyzed using techniques employed in qualitative description.

resultsWe identified key determinants of successful implementation within each CFIR domain. In the outer setting domain, participants emphasized the importance of filling gaps in care to meet client needs, developing strong relationships with clients and community-based organizations, and navigating relationships with healthcare providers. At the inner setting level, leadership support, staff compatibility, and available resources were identified as important factors. In terms of intervention characteristics, the ability to adapt was cited as a facilitator, whereas costs were identified as a barrier. For the characteristics of individuals, participants described the importance of having staff whose values align with the program, and who have the experience and skills necessary to work with complex clients. Finally, having strong champions and evaluation processes were highlighted as important process-oriented determinants of successful implementation.

conclusionThis study provides valuable insights into the determinants of successful implementation of community-based navigation programs in Canada. Understanding these determinants can guide the future development and integration of navigation programs to successfully meet the needs of those with life-limiting illnesses.

Indexed as

DeathIndependent LivingCanadaHealth PersonnelHumansLeadershipChronic diseaseCommunity careEnd-of-life careImplementation scienceNavigation programs

Identifiers

PMID38184522
PMCPMC10770879

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