Implementation of delirium screening in the emergency department: A qualitative study with early adopters DOI
Anita Chary,

Annika R. Bhananker,

Elise Brickhouse

et al.

Journal of the American Geriatrics Society, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 12, 2024

Abstract Introduction Delirium affects 15% of older adults presenting to emergency departments (EDs) but is detected in only one‐third cases. Evidence‐based guidelines for ED delirium screening exist, are underutilized. Frontline staff perceptions about and time resource constraints known barriers uptake. Early adopters can offer valuable lessons successful implementation. Methods We conducted semi‐structured interviews with clinician‐administrators leading initiatives from 20 EDs the United States Canada. Interviews focused on experiences planning implementing screening. lasted 15 50 minutes were digitally recorded transcribed. To identify factors that commonly impacted implementation screening, we used constructs Consolidated Framework Implementation Research (CFIR), an Science framework widely evaluate healthcare improvement initiatives. Results Overall, notable facilitators having institutional leadership support designated clinical champions longitudinally engage educate frontline staff. found specific examples affecting drawn following seven CFIR constructs: (1) intervention complexity, (2) adaptability, (3) external policies incentives, (4) peer pressure other institutions, (5) climate ED, (6) knowledge beliefs, (7) engaging deliverers intervention, is, Conclusion Implementing complex requires resources as well a sustained fashion.

Language: Английский

Implementation of delirium screening in the emergency department: A qualitative study with early adopters DOI
Anita Chary,

Annika R. Bhananker,

Elise Brickhouse

et al.

Journal of the American Geriatrics Society, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 12, 2024

Abstract Introduction Delirium affects 15% of older adults presenting to emergency departments (EDs) but is detected in only one‐third cases. Evidence‐based guidelines for ED delirium screening exist, are underutilized. Frontline staff perceptions about and time resource constraints known barriers uptake. Early adopters can offer valuable lessons successful implementation. Methods We conducted semi‐structured interviews with clinician‐administrators leading initiatives from 20 EDs the United States Canada. Interviews focused on experiences planning implementing screening. lasted 15 50 minutes were digitally recorded transcribed. To identify factors that commonly impacted implementation screening, we used constructs Consolidated Framework Implementation Research (CFIR), an Science framework widely evaluate healthcare improvement initiatives. Results Overall, notable facilitators having institutional leadership support designated clinical champions longitudinally engage educate frontline staff. found specific examples affecting drawn following seven CFIR constructs: (1) intervention complexity, (2) adaptability, (3) external policies incentives, (4) peer pressure other institutions, (5) climate ED, (6) knowledge beliefs, (7) engaging deliverers intervention, is, Conclusion Implementing complex requires resources as well a sustained fashion.

Language: Английский

Citations

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