scholarly journals Facilitators and Barriers to Implementation of the EIT-4-BPSD Intervention

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 155-156
Author(s):  
Kiernan Riley ◽  
Marie Boltz ◽  
Ann Kolanowski ◽  
Kimberly Van Haitsma ◽  
Liza Behrens
Keyword(s):  
Social Service ◽  
Qualitative Data ◽  
Barriers And Facilitators ◽  
Front Line ◽  
Future Planning ◽  
Barriers To Implementation ◽  
Conventional Content Analysis ◽  
Multi Level ◽  
Facilitators And Barriers ◽  
Multi Stakeholder

Abstract This study aimed to explore the perceptions of stakeholders (site champions, administrators, and front-line, social service, and activity staff) regarding the EIT-4-BPSD implementation strategy, including its utility, and the barriers and facilitators to implementation in real-world settings. A process evaluation included qualitative data from focus groups conducted with 93 stakeholders of 21 nursing homes (NHs) that implemented the EIT-4-BPSD strategy. Data were analyzed using a conventional content analysis. Emerging codes were sorted into categories then organized in meaningful clusters based on the domains of the RE-AIM framework. Challenges, facilitators, and contextual factors explain variability in implementation of EIT-4-BPSD strategy among NHs in six key categories: multi-stakeholder engagement, multi-level outcomes, process adaptations, uptake and utility of EIT resources, adoption barriers and facilitators, and future planning. Overall, stakeholders reported that the EIT-4-BPSD strategy can be successfully implemented in NHs and is helpful in improving staffs’ approach to BPSD.

scholarly journals We Want to Go, but There Are No Options: Facilitators and Barriers of Transportation Among Diverse Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 702-702
Author(s):  
Quichang Cao ◽  
Arati Maleku ◽  
Katie White ◽  
Basar Ozbilen ◽  
Holly Dabelko-Schoeny
Keyword(s):  
Older Adults ◽  
Social Connectedness ◽  
Qualitative Data ◽  
Older Volunteers ◽  
Lack Of Information ◽  
Individual Determinants ◽  
Multi Level ◽  
Facilitators And Barriers ◽  
Ability To Drive

Abstract Transportation plays an important role in social connectedness and quality of life among older adults. Despite the increasing number of diverse older adults in the U.S., few studies have explored the barriers and facilitators of transportation among this group. We conducted eight 90-minute focus groups in six languages (English, Nepali, Khmer, Somali, Russian and Mandarin) with older volunteers (N=70) in a large Midwestern metropolitan city. Using the Rapid and Rigorous Qualitative Data Analysis (RADaR) technique, four transportation determinants emerged: (1) Service: affordability, accessibility, availability, and reliability, lack of options, and service coordination (2) Built environment: safety and walkability; (3) Social environment: language barriers and lack of information, neighborhood cohesion; and (4) Individual determinants: ability to drive, walk, and family support system. Results reveal the interconnectedness of multi-level determinants and the need for a systematic approach to improve transportation access among diverse older adults.

scholarly journals Higher Education and Employability Skills: Barriers and Facilitators of Employer Engagement at Local Level

2021 ◽  
Vol 11 (2) ◽  
pp. 51
Author(s):  
Fátima Suleman ◽  
Pedro Videira ◽  
Emília Araújo
Keyword(s):  
Higher Education ◽  
Local Level ◽  
Northern Region ◽  
Barriers And Facilitators ◽  
Employability Skills ◽  
Active Engagement ◽  
Organizational Goals ◽  
Skill Gaps ◽  
Employer Engagement ◽  
Multi Stakeholder

This research examines the barriers and facilitators to employers’ engagement with higher education institutions. The data were collected through interviews with a set of employers (n = 19) in the Northern region of Portugal, V.N.de Famalicão, in 2019. We begin by exploring employers’ engagement activities as a potential solution to address local-level skill problems. Empirical evidence suggests that the engagement activities are mostly passive as firms use higher education largely as a recruitment channel. The differences in organizational goals and culture are the most cited barriers to the lack of more active engagement. Some efforts have recently been made to strengthen the ties between higher education and employers, notably through a local multi-stakeholder partnership as a potential broker. However, it will take time for this to bear fruit and contribute to reducing skill gaps and shortages. The data show that despite employers’ apparent willingness, more effort must be made to encourage active engagement.

Facilitators and Barriers to Implementation of School-Based Telehealth Asthma Care: Program Champion Perspectives

2021 ◽  
Author(s):  
Emily E Johnson ◽  
Claire MacGeorge ◽  
Kathryn L. King ◽  
Annie L. Andrews ◽  
Ronald J Teufel ◽  
...  
Keyword(s):  
Care Program ◽  
Asthma Care ◽  
School Based ◽  
Barriers To Implementation ◽  
Facilitators And Barriers

Exploration of Barriers and Facilitators to Implementing Best Practice in Exercise Medicine in Primary Pediatric Care—Pediatrician Perspectives

2021 ◽  
pp. 1-8
Author(s):  
Kim D. Lu ◽  
Dan Cooper ◽  
Raluca Dubrowski ◽  
Melanie Barwick ◽  
Shlomit Radom-Aizik
Keyword(s):  
Primary Care ◽  
Best Practice ◽  
Barriers And Facilitators ◽  
Pediatric Care ◽  
Team Approach ◽  
Implementation Barriers ◽  
Primary Care Clinics ◽  
Exercise Medicine ◽  
Practice Variability ◽  
Facilitators And Barriers

Purpose: Despite the known health benefits of physical activity (PA), few primary care pediatricians discuss, evaluate, or prescribe PA for children. The goal of this study was to examine pediatricians’ thoughts and practices related to child PA and the perceived facilitators and barriers to implementing PA evaluation and prescription in pediatric primary care clinics. Methods: The Consolidated Framework for Implementation Research was used to explore implementation barriers and facilitators. A mixed-method design combined questionnaires and focus groups with 27 pediatricians. Results: Despite the pediatricians’ beliefs that PA is important for patients, there was wide practice variability in their approaches to discussing PA. Several perceived barriers to implementing PA evaluation and prescription were identified, including lack of knowledge and training, managing time for PA with multiple demands, the need for a team approach and simple PA tools and resources, support for patient tailoring of PA messaging, and a need for PA best practice champions. Conclusion: The identified barriers to implementing evidence in PA suggest several directions for improvement, including a care-team approach; quick, inexpensive, and simple PA tools; community PA partnerships; PA training in medical education; evidence-based strategies; and PA directories for families. These efforts could facilitate the implementation of PA best practices in pediatrics.

scholarly journals MANIPULATIVE COOPERATION POLITICS OF MLM COMPANIES IN SURABAYA CITY

2016 ◽  
Vol 27 (2) ◽  
pp. 243
Author(s):  
Retno Andriati
Keyword(s):  
Corporate Culture ◽  
Qualitative Data ◽  
National Association ◽  
Marketing Plan ◽  
International Level ◽  
Direct Selling ◽  
Multi Level ◽  
Cooperation Policy

Many studies on multi-level marketing business from law, management, marketing economic and anthropology perspectives have been focused on its legality which is victims of MLM companies/fake MLM companies. Studies on market phenomenon and entrepreneurship of MLM large industry fromeconomy anthropology perspective are still rare especially in Indonesia. The study is intended to identify the underlying cooperation policy as well as manipulative conduct of MLM business in Surabaya.The study employs qualitative and ethnographic approaches. Qualitative data wereanalyzed using ethnographic approaches. The result of research suggests that MLM businesses have undertaken manipulative cooperation politics by establishing both international level direct selling association (WFDSA) and national association (APLI) in response to the MLM business controversy. APLI exploits andmanipulates non-member of APLI. Exploiting and manipulating MLM members through ideology doctrine and marketing plan of MLM business/corporate culture

Successes and Challenges of Implementing a Lung Cancer Screening Program in Federally Qualified Health Centers: A Qualitative Analysis Using the Consolidated Framework for Implementation Research

2020 ◽  
Author(s):  
Caitlin G. Allen ◽  
Megan M. Cotter ◽  
Robert A. Smith ◽  
Lesley Watson
Keyword(s):  
Lung Cancer ◽  
Cancer Screening ◽  
Screening Program ◽  
Lung Cancer Screening ◽  
Pilot Project ◽  
Health Centers ◽  
Implementation Barriers ◽  
Successful Program ◽  
Barriers To Implementation ◽  
Facilitators And Barriers

Abstract Background: The American Cancer Society (ACS) partnered with two federally qualified health centers (FQHCs) and American College of Radiology designated lung cancer screening facilities on a two-year pilot project to implement lung cancer screening. The project aimed to develop a referral program and care coordination practices to move patients through the screening continuum and identify critical facilitators and barriers to implementation. Methods: Evaluators conducted key informant interviews (N=46) with navigators, clinical staff, administrators from both sites, and ACS staff during annual site visits in 2017 and 2018 to capture data on implementation barriers and facilitators. Three evaluators conducted a thematic analysis using the Consolidated Framework for Implementation Research (CFIR) and assessed factors associated with effective implementation and improved screening outcomes.Results: One study site established a sustainable lung screening program, while the other encountered numerous implementation barriers which they failed to overcome. CFIR constructs highlighted critical barriers and factors associated with success and improved outcomes. Intervention Characteristics: Time spent with patients and disruption to normal workflows were challenges to implementation at both sites. Outer Setting: Both sites struggled with building patient trust and worked to gain trust by providing clear, consistent information about the screening process. One site was located in a state with Medicaid expansion that reimbursed screening but the other was not. Inner Setting: Engaged, supportive leaders who provided clear, consistent communication about implementation helped improve staff capacity, which was critical to building a successful program. Individual Characteristics: Knowledgeable, confident champions and intervention leaders were able to train, guide, and motivate staff throughout the intervention, whereas the absence of supportive leadership failed to produce staff champions and intervention leaders. Process: A slow, stepwise approach to implementation at one site allowed project champions to pilot-test the referral and reimbursement processes and resolve issues before scaling-up.Discussion: This pilot project provides insight into critical resources and steps for successful program implementation in underserved FQHC settings. Future efforts could build upon these findings by considering self-assessment and monitoring tools that incorporate CFIR constructs to help identify and address possible facilitators and barriers to implementation of LDCT.

scholarly journals Service system well-being: conceptualising a holistic concept

2019 ◽  
Vol 30 (6) ◽  
pp. 766-792 ◽  
Author(s):  
Wei Wei Cheryl Leo ◽  
Gaurangi Laud ◽  
Cindy Yunhsin Chou
Keyword(s):  
Service System ◽  
Case Study Research ◽  
Well Being ◽  
Content Type ◽  
Holistic Concept ◽  
Multi Level ◽  
Multi Stakeholder ◽  
Service Managers

Purpose The purpose of this paper is to develop a concept of service system well-being by presenting its collective conceptualisation and ten key domains. Design/methodology/approach Service system well-being domains were established using multi-level theory and a qualitative case study research design. To validate the domains initially developed from the literature, 19 in-depth interviews were conducted across two case studies that represented the service systems of a hospital and a multi-store retail franchise chain. A multi-stakeholder approach was used to explore the actor’s perspectives about service system well-being. Key domains of service system well-being were identified using deductive categorisation analysis. Findings The findings found evidence of ten key domains of well-being, namely strategic, governance, leadership, resource, community, social, collaborative, cultural, existential and transformational, among service system stakeholders. Research limitations/implications Service system well-being is a collective concept comprising ten domains that emerged at different levels of the service system. The propositions outlined the classification of and interlinkages between the domains. This exploratory study was conducted in a limited service context and focussed on ten key domains. Practical implications Service managers in commercial and social organisations are able to apply the notion of service system well-being to identify gaps and nurture well-being deficiencies within different domains of service-system well-being. Originality/value Based on multi-level theory, the study is the first to conceptualise and explore the concept of service system well-being across multiple actors.

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