Barriers and facilitators to replicating an evidence-based palliative care model.
Home Health Care Serv Q
; 25(1-2): 149-65, 2006.
Article
em En
| MEDLINE
| ID: mdl-16803742
ABSTRACT
Recognition of the difficulties involved in replicating evidence- based interventions is well documented in the literature within the medical field. Promising research findings are often not translated into practice, and if they are, there is a significant time gap between study conclusion and practice adoption. The purpose of this article is to describe the barriers and facilitators encountered by two managed care organizations while replicating an evidence-based end of life in-home palliative care model. Using Diffusion of Innovation Theory as a theoretical framework, results from focus groups and interviews with the project's clinical, administrative and research teams are presented and recommendations made for improving translational efforts. The process of replicating the end of life in-home palliative care model clearly illustrated the key elements required for successfully diffusing innovation. These key elements include marketing and communication, leadership, organizational support and training and mentorship. This qualitative process study provides clear, real world perspectives of the myriad of challenges encountered in replicating an evidence-based project.
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Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Medicina Baseada em Evidências
/
Difusão de Inovações
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Home Health Care Serv Q
Ano de publicação:
2006
Tipo de documento:
Article