Qualitative study on the implementation process, operation status, and development factors of the work support project for the severely disabled: Centered on the employees of the implementing agency

Abstract Background In the implementation of standardized cancer patient pathways (CPPs), the investigatory units, endoscopy, radiology and pathology, are crucial to ensure an eventual cancer diagnosis. However, when evaluating the implementation of CPPs, little attention has been paid to the healthcare professionals working in these units. The aim of this study was to explore experiences of the implementation of CPPs among health professionals in investigatory units. Methods This descriptive qualitative study included 55 health professionals working in investigatory units. Participants were interviewed in 2017–2018, and data were analysed using thematic analysis. Results The health professionals reported benefits, facilitators and challenges when describing their experiences of implementing CPPs. Benefits included that CPP improved collaboration and increased focus on the patients. Facilitators in the implementation process included pre-existing well-functioning work processes and having supportive functions (e.g. coordinators). Challenges included the lack of staff and clinical equipment, as well as unjustified time-slots and incorrect referrals. Conclusions The findings show that most health professionals working in investigatory units’ experience benefits with the implementation of CPP, but the lack of resources was especially hard to overcome.

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Does the Organizational Change Induced by the Pre-Implementation of an IS Proceed as a Planned Process?

Encyclopedia of Organizational Knowledge, Administration, and Technology - Advances in Logistics, Operations, and Management Science ◽

10.4018/978-1-7998-3473-1.ch018 ◽

2021 ◽

pp. 219-232

Author(s):

Amira Sghari ◽

Jamil Chaabouni ◽

Serge Baile

Keyword(s):

Organizational Change ◽

Qualitative Study ◽

Conflicts Of Interest ◽

Implementation Process ◽

The Political ◽

Processes Of Change

The pre-implementation process of an IS is characterized by procedures of selection and evaluation, which is rather in a pattern of change in a planned process. However, the research on organizational change gave rise to several approaches according to which, the change can be explained by other processes (political, interpretative, incremental, and complex). For this research, the authors seek to study the process of pre-implementation of an IS in order to check whether it pursues a planned process, or the observed change may also have characteristics of other explanatory processes of change. To this end, a qualitative study by case study is conducted in Basic Bank. The results show that change during the process of pre-implementation of the IS is explained not only by the planned process but also by the political and interpretative process. Based on this result, it is recommended to practitioners who wish to lead a change within their organizations to envisage the managerial actions from the outset of the project in order to reduce the potential conflicts of interest between actors.

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A Qualitative Study on Responsible Tour Operators' Perception and Operation Status

Journal of Agricultural Extension & Community Development ◽

10.12653/jecd.2015.22.1.0015 ◽

2015 ◽

Vol 22 (1) ◽

pp. 15-24 ◽

Cited By ~ 1

Author(s):

Kyung-Hee Kim ◽

Sung-Jin Kang

Keyword(s):

Qualitative Study ◽

Operation Status

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Assessing the implementation process and outcomes of newly introduced assistant roles: a qualitative study to examine the utility of the Calderdale Framework as an appraisal tool

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s35493 ◽

2012 ◽

pp. 307 ◽

Cited By ~ 8

Author(s):

Susan Nancarrow ◽

Moran ◽

Wiseman ◽

Alison Pighills ◽

Murphy

Keyword(s):

Qualitative Study ◽

Implementation Process ◽

Appraisal Tool

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Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

10.21203/rs.3.rs-51203/v1 ◽

2020 ◽

Author(s):

Sabrina Cerqueira-Santos ◽

Kérlin Stancine Santos Rocha ◽

Dyego Carlos Souza Anacleto Araújo ◽

Genival Araujo Santos Júnior ◽

Pedro Wlisses dos Santos Menezes ◽

...

Keyword(s):

Qualitative Study ◽

Implementation Process ◽

Community Pharmacies ◽

Drug Dispensing ◽

Face To Face ◽

Informed Consent Form ◽

Complex Process ◽

Optimal Service ◽

Health Products ◽

A Chain

Abstract Background: Implementation of clinical pharmacy services, such as drug dispensing, is a complex process. It is necessary to understand the challenges associated with this practice from the perspective of the actors involved to help ensure optimal service provision. Thus, this study aimed to understand the factors that may influence the implementation of drug dispensing in community pharmacies, according to the perceptions of pharmacists. Methods: This qualitative study was based on semi-structured, face-to-face interviews. The participants were pharmacists who worked in a chain of community pharmacies in Brazil, selected based on their direct participation in the implementation process. The interview recordings were transcribed full verbatim and were independently analyzed using thematic analysis, followed by consensus meetings between researchers. The factors identified by the participants were classified according to the Apoteca framework. This study was approved by the Committee of Ethics in Research and all participants signed an informed consent form. Results: We conducted 18 interviews, with 47 factors that may influence the implementation of drug dispensing in community pharmacies being identified. These factors were allocated to seven categories: support from community pharmacy chain (4), pharmacy infrastructure (11), characteristics of the pharmacy, medicines and other health products (4), pharmacist (16), dispensing work process (2), pharmacy team (2), and patient (8). The classification of factors according to the Apoteca framework allocated most of them to administrative (14) and technical (14) domains, followed by attitudinal (13) and political (5) domains. Conclusions: This study identified several factors that can influence the implementation of drug dispensing and classified them according to the domains of the Apoteca framework, highlighting the multifactorial nature of the implementation process. The results of this study can guide the planning of strategies aimed at providing efficient drug dispensing in community pharmacies.

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Barriers and Facilitators in the Strengthening Families Program (SFP 10–14) Implementation Process in Northeast Brazil: A Retrospective Qualitative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17196979 ◽

2020 ◽

Vol 17 (19) ◽

pp. 6979 ◽

Cited By ~ 1

Author(s):

Ingrid Gomes Abdala ◽

Sheila Giardini Murta ◽

Jordana Calil Lopes de Menezes ◽

Larissa de Almeida Nobre-Sandoval ◽

Maria do Socorro Mendes Gomes ◽

...

Keyword(s):

Qualitative Study ◽

Implementation Strategies ◽

Implementation Process ◽

Barriers And Facilitators ◽

Preventive Program ◽

Public Agency ◽

Intervention Delivery ◽

Vulnerable Families ◽

Strengthening Families Program ◽

Strengthening Families

This study analyzed contextual barriers and facilitators in the implementation of Strengthening Families Program (SFP 10–14), Brazilian version, a family-based preventive program focused on the prevention of risk behaviors for adolescent health. SFP 10–14 was implemented between 2016 and 2017 for socioeconomically vulnerable families in four Northeast Brazilian states as a tool of the National Drug Policy. A retrospective qualitative study was carried out in which 26 implementation agents participated. Data from 16 individual interviews and two group interviews were analyzed through content analysis. The most recurrent barriers were the group facilitators’ working conditions, weak municipal administration, precarious infrastructure, inadequate group facilitator training methodologies, low adherence of managers and professionals, and funding scarcity. The conditions highlighted as favorable to the implementation were proper intersectoral coordination, engagement of involved actors, awareness of public agency administrators, municipal management efficacy, and efficient family recruitment strategies. Favorable political contexts, engagement of implementation agents, and intersectoral implementation strategies were identified as central to the success of the implementation of SFP 10–14, especially in the adoption of the intervention, community mobilization, and intervention delivery stages. Further studies should combine contexts, mechanisms, and results for a broad understanding of the effectiveness of this intervention in the public sector.

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Staff experiences with strategic implementation of clinical health promotion: A nested qualitative study in the WHO-HPH Recognition Process RCT

SAGE Open Medicine ◽

10.1177/2050312118792394 ◽

2018 ◽

Vol 6 ◽

pp. 205031211879239 ◽

Cited By ~ 3

Author(s):

Jeff Kirk Svane ◽

Ingrid Egerod ◽

Hanne Tønnesen

Keyword(s):

Clinical Trial ◽

Health Promotion ◽

Qualitative Study ◽

World Health Organization ◽

Implementation Process ◽

World Health ◽

The World ◽

Strategic Implementation ◽

Health Organization ◽

Clinical Departments

Objectives: Health promotion is on the global agenda. The risks targeted include smoking, hazardous alcohol consumption, nutrition and insufficient physical activity. Implementation of clinical health promotion, however, remains a major challenge. While several processes, models and frameworks for strategic implementation exist, very few have been tested in randomized designs. Testing a strategic implementation process for clinical health promotion was only recently attempted via a randomized clinical trial on the World Health Organization Health Promotion Hospitals Recognition Process. The randomized clinical trial showed that the process improved central parts of implementation. To complement these findings, this nested qualitative study aimed to explore experiences and perceptions of staff and managers, who had completed the process, and generate hypotheses for improvements. Methods: We interviewed a purposeful sample of 45 key informants from four countries, who worked at clinical departments and had undertaken the World Health Organization Health Promotion Hospitals implementation process. The informants included 14 managers, 14 medical doctors, 13 nurses and 4 other clinical staff. Interview transcripts were analyzed using qualitative content analysis and an inductive approach to coding and categorization supported by QSR NVivo. Results: The informants’ experiences and perceptions centered around four global themes concerning (1) awareness, cultural re-orientation and integration; (2) learnings; (3) normalization and legitimacy and (4) a more evidence-based, structured and systematic approach to clinical health promotion. Informants were positive toward the implementation process, although it was sometimes challenging. The suggested improvements to increase acceptability related to the patient survey, time consumption, translation, tailoring to local circumstances and in-advance training. Conclusions: Managers and staff were positive toward the World Health Organization Health Promotion Hospitals process, which was perceived to bring about positive changes and learnings. The findings also suggest that the implementation process may be improved by minor adjustments to process elements and design. It is our recommendation to use the process in clinical departments to further implementation of clinical health promotion.

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