Barriers and Facilitators of Reverse Innovation: An Integrative Review

Author(s):  
Tatiana Tombini Wittmann ◽  
Daniela de Oliveira Massad ◽  
Gertrudes Aparecida Dandolini ◽  
João Arthur de Souza
2016 ◽  
Vol 73 (5) ◽  
pp. 1051-1065 ◽  
Author(s):  
Rachel Nicholls ◽  
Lin Perry ◽  
Christine Duffield ◽  
Robyn Gallagher ◽  
Heather Pierce

2021 ◽  
Author(s):  
Erica Busca ◽  
Alessia Savatteri ◽  
Tania Lorenza Calafato ◽  
Beatrice Mazzoleni ◽  
Michela Barisone ◽  
...  

Abstract Background The rapid evolution of the epidemiological picture and the recent SARS-COV-2 pandemic has expressed the vulnerabilities of health systems and focuses attention on the population's needs.The nurse's figure in the care teams is universally identified; however, the implementation of the role within some care settings turns out to be complex and challenging. This integrative review aims to identify the barriers and facilitators in implementing the role of the nurse in primary care settings.MethodsAn integrative review was conducted on the Medline and Cinahl databases until 9 June 2020. Qualitative, quantitative, and Mixed-method research studies were selected to identify studies related to the barriers and facilitators of the nurse's role in nursing facilities' primary care. For the extraction of the results, the Consolidating Framework for Research Implementation (CFIR) was used to identify the factors that influence implementation in health care.ResultsFollowing the duplicates' removal, the search identified 18257 articles, of which 56 were relevant to the inclusion criteria; therefore, they were included in the summary.The selected studies were conducted in thirteen countries, most from Oceania, Europe, North America, Latin America, and the Caribbean.The barriers reported most frequently concern the nursing profession's regulatory and regulatory aspects within the contexts of care, cultural and organizational aspects, training, and the transfer of specific skills, which were previously designated to doctors.The facilitators are mainly linked to the nurse's adaptability to the various contexts of care, recognizing the patient's role, and the desire to develop multidisciplinary and effective working groups to respond to the health needs of the population in primary care contexts.ConclusionThis review highlighted the main barriers and facilitators in implementing the nurse's role in primary care settings. These results offer useful elements for stakeholders to identify effective strategies in preparing programs and activities for implementing the nurse's role, acting on the elements identified as barriers and favouring the aspects that emerge as facilitators.


BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101030 ◽  
Author(s):  
Alison Jayne Doherty ◽  
Helen Atherton ◽  
Paul Boland ◽  
Richard Hastings ◽  
Lucy Hives ◽  
...  

BackgroundGlobally, people with intellectual disabilities and/or autism experience health inequalities. Death occurs at a younger age and the prevalence of long-term morbidities is higher than in the general population. Despite this, their primary healthcare access rates are lower than the general population, their health needs are often unmet, and their views and experiences are frequently overlooked in research, policy, and practice.AimTo investigate the barriers and facilitators reported by individuals with intellectual disabilities, autism, or both, and/or their carers, to accessing and utilising primary health care for their physical and mental health needs.Design & settingAn integrative review was undertaken, which used systematic review methodology.MethodElectronic databases MEDLINE, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Cochrane were searched for relevant studies (all languages) using a search strategy. Two researchers independently screened the results and assessed the quality of the studies.ResultsSixty-three international studies were identified. Six main themes relating to barriers and facilitators emerged from an analysis of these studies. The main themes were: training; knowledge and awareness; communication; fear and embarrassment; involvement in healthcare decision-making; and time. All the themes were underpinned by the need for greater care, dignity, respect, collaborative relationships, and reasonable adjustments. Opposing barriers and facilitators were identified within each of the main themes.ConclusionAdolescents and adults with intellectual disabilities and/or autism experience several barriers to accessing and utilising primary health care. The findings highlight the reasonable adjustments and facilitators that can be implemented to ensure that these individuals are not excluded from primary health care.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Catherine C. Alexander ◽  
Dana Tschannen ◽  
Deana Hays ◽  
Morgan Clouse ◽  
Cindy Zellefrow ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (6) ◽  
pp. e0198535 ◽  
Author(s):  
Bram Tilburgs ◽  
Myrra Vernooij-Dassen ◽  
Raymond Koopmans ◽  
Hans van Gennip ◽  
Yvonne Engels ◽  
...  

Midwifery ◽  
2019 ◽  
Vol 73 ◽  
pp. 49-61 ◽  
Author(s):  
Belinda M. Harris ◽  
Melissa L. Harris ◽  
Kym Rae ◽  
Catherine Chojenta

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