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Contextual factors influencing the implementation of the obstetrics hemorrhage initiative in Florida.
Vamos, C A; Thompson, E L; Cantor, A; Detman, L; Bronson, E; Phelps, A; Louis, J M; Gregg, A R; Curran, J S; Sappenfield, W.
Afiliação
  • Vamos CA; Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Thompson EL; Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Cantor A; Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Detman L; The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Bronson E; Florida Perinatal Quality Collaborative, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Phelps A; Florida Perinatal Quality Collaborative, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Louis JM; Florida Perinatal Quality Collaborative, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
  • Gregg AR; Department of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
  • Curran JS; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Florida, Gainesville, FL, USA.
  • Sappenfield W; University of South Florida Health, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
J Perinatol ; 37(2): 150-156, 2017 02.
Article em En | MEDLINE | ID: mdl-27853321
ABSTRACT

OBJECTIVE:

The purpose of this study was to explore the multilevel contextual factors that influenced the implementation of the Obstetric Hemorrhage Initiative (OHI) among hospitals in Florida. STUDY

DESIGN:

A qualitative evaluation was conducted via in-depth interviews with multidisciplinary hospital staff (n=50) across 12 hospitals. Interviews were guided by the Consolidated Framework for Implementation Research and analyzed in Atlas.ti using rigorous qualitative analysis procedures.

RESULT:

Factors influencing OHI implementation were present across process (leadership engagement; engaging people; planning; reflecting), inner setting (for example, knowledge/beliefs; resources; communication; culture) and outer setting (for example, cosmopolitanism) levels. Moreover, factors interacted across levels and were not mutually exclusive. Leadership and staff buy-in emerged as important components influencing OHI implementation across disciplines.

CONCLUSION:

Key contextual factors found to influence OHI implementation experiences can be useful in informing future quality improvement interventions given the institutional and provider-level behavioral changes needed to account for evolving the best practices in perinatology.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Comunicação Interdisciplinar / Melhoria de Qualidade / Hemorragia Pós-Parto Idioma: En Ano de publicação: 2017 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Comunicação Interdisciplinar / Melhoria de Qualidade / Hemorragia Pós-Parto Idioma: En Ano de publicação: 2017 Tipo de documento: Article