Interdisciplinary interactions, social systems and technical infrastructure required for successful implementation of mobile stroke units: A qualitative process evaluation.
J Eval Clin Pract
; 29(3): 495-512, 2023 04.
Article
em En
| MEDLINE
| ID: mdl-36648226
ABSTRACT
RATIONALE Mobile stroke units (MSUs) are increasingly being implemented to provide acute stroke care in the prehospital environment, but a comprehensive implementation evaluation has not been undertaken. AIM:
To identify successes and challenges in the pre- and initial operations of the first Australian MSU service from an interdisciplinary perspective.METHODS:
Process evaluation of the Melbourne MSU with a mixed-methods design. Purposive sampling targeted key stakeholder groups. Online surveys (administered June-September 2019) and semistructured interviews (October-November 2019) explored experiences. Directed content analysis (raters' agreement 85%) and thematic analysis results are presented using the Interactive Sociotechnical Analysis framework.RESULTS:
Participants representing executive/program operations, MSU clinicians and hospital-based clinicians completed 135 surveys and 38 interviews. Results converged, with major themes addressing successes and challenges stakeholders, vehicle, knowledge, training/education, communication, work processes and working relationships.CONCLUSIONS:
Successes and challenges of establishing a new MSU service extend beyond technical, to include operational and social aspects across prehospital and hospital environments.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Acidente Vascular Cerebral
Tipo de estudo:
Qualitative_research
Limite:
Humans
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article