Planning for implementation success: insights from conducting an implementation needs assessment.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-08-27 DOI:10.1097/XEB.0000000000000458
Nicole D Graham, Ian D Graham, Brandi Vanderspank-Wright, Letitia Nadalin-Penno, Dean A Fergusson, Janet E Squires
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Abstract

Aim: The aim of this paper is to provide insights into conducting an implementation needs assessment using a case example in a less-research-intensive setting.

Design and methods: In the case example, an implementation needs assessment was conducted, including1 an environmental scan of the organization's website and preliminary discussions with key informants to learn about the implementation context, and2 a formal analysis of the evidence-practice gap (use of sedation interruptions) deploying a chart audit methodology using legal electronic reports.

Results: Our needs assessment was conducted over 5 months and demonstrated how environmental scans reveal valuable information that can inform the evidence-practice gap analysis. A well-designed gap analysis, using suitable indicators of best practice, can reveal compliance rates with local protocol recommendations, even with a small sample size. In our case, compliance with the prescribed practices for sedation interruptions ranged from 65% (n=53) to as high as 84% (n=69).

Conclusions: Implementation needs assessments provide valuable information that can inform implementation planning. Such assessments should include an environmental scan to understand the local context and identify both current recommended best practices and local best practices for the intervention of interest. When addressing an evidence-practice gap, analyses should quantify the difference between local practice and desired best practice.

Impact: The insights gained from the case example presented in this paper are likely transferrable to implementation research or studies conducted in similar, less-research-intensive settings.

Spanish abstract: http://links.lww.com/IJEBH/A257.

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成功实施规划:实施需求评估的启示。
目的:本文旨在通过一个研究不那么密集的案例,为开展实施需求评估提供见解:在该案例中,我们进行了一次实施需求评估,包括:1 对该组织的网站进行环境扫描,并与关键信息提供者进行初步讨论,以了解实施背景;2 利用法律电子报告,采用图表审计方法,对证据与实践之间的差距(镇静中断的使用)进行正式分析:我们的需求评估历时 5 个月,展示了环境扫描如何揭示有价值的信息,为证据与实践差距分析提供依据。精心设计的差距分析采用了合适的最佳实践指标,即使样本量较小,也能揭示当地规程建议的符合率。在我们的病例中,镇静中断的规定实践符合率从65%(n=53)到高达84%(n=69)不等:实施需求评估可为实施规划提供有价值的信息。此类评估应包括环境扫描,以了解当地情况,并确定当前推荐的最佳实践和当地相关干预措施的最佳实践。在解决证据与实践之间的差距时,分析应量化当地实践与理想最佳实践之间的差距:从本文介绍的案例中获得的启示很可能会被应用到在类似的、研究密集度较低的环境中开展的实施研究或研究中。西班牙文摘要:http://links.lww.com/IJEBH/A257。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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