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.
| Original language | English |
|---|---|
| Pages (from-to) | 150-156 |
| Number of pages | 7 |
| Journal | Journal of Perinatology |
| Volume | 37 |
| Issue number | 2 |
| DOIs | |
| State | Published - 1 Feb 2017 |
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Contextual factors influencing the implementation of the obstetrics hemorrhage initiative in Florida. / Vamos, C. A.; Thompson, Erika Lynne; Cantor, A.; Detman, L.; Bronson, E.; Phelps, A.; Louis, J. M.; Gregg, A. R.; Curran, J. S.; Sappenfield, W.
In: Journal of Perinatology, Vol. 37, No. 2, 01.02.2017, p. 150-156.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Contextual factors influencing the implementation of the obstetrics hemorrhage initiative in Florida
AU - Vamos, C. A.
AU - Thompson, Erika Lynne
AU - Cantor, A.
AU - Detman, L.
AU - Bronson, E.
AU - Phelps, A.
AU - Louis, J. M.
AU - Gregg, A. R.
AU - Curran, J. S.
AU - Sappenfield, W.
PY - 2017/2/1
Y1 - 2017/2/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84995804538&partnerID=8YFLogxK
U2 - 10.1038/jp.2016.199
DO - 10.1038/jp.2016.199
M3 - Article
VL - 37
SP - 150
EP - 156
JO - Journal of Perinatology
JF - Journal of Perinatology
SN - 0743-8346
IS - 2
ER -