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Barriers Related To The Implementation Of An Informatics Intervention Into Regular Clinical Practice: A Leadership Perspective
Oslo University Hospital, Norway.
Oslo University Hospital, Norway;KTH Royal Institute of Technology.ORCID iD: 0000-0002-4108-391X
Oslo University Hospital, Norway.
Oslo University Hospital, Norway;Norwegian Centre for Integrated Care and Telemedicine, Norway.
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2012 (English)In: Annals of Behavioral Medicine, ISSN 0883-6612, E-ISSN 1532-4796, Vol. 43, no S1, p. S197-S197, article id C-125Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

The importance of studying real world implementation of efficacious interventions and the roles of key players for implementation success, such as leadership, is highly recognized. This study explored clinical managers’ experiences and perceptions about the implementation of an informatics intervention called Choice into regular clinical practice. Choice is designed to support patient-provider communication and had shown to be efficacious in a previous RCT.

6 nurses and 3 physicians in leadership positions at the 5 units in which Choice was implemented were interviewed post-implementation according to a structured interview guide. The following barriers emerged from the transcribed interviews: In spite of extensive preparation and training prior to implementation, more was needed; there was still resistance to change practice and a lack of motivation among some care providers. Also, time pressure and high turn-over rates required continuous re-training that hampered intervention use. Managers perceived sustained support from and collaboration with the interventionists as vital for the integration of Choice into routine practice.

This study confirms that attitudes, established practices and clinical cultures are deeply rooted and hard to change. More research is needed to identify strategies for overcoming these barriers, and how leadership may be better supported to utilize the key role they play for implementation success.

Place, publisher, year, edition, pages
2012. Vol. 43, no S1, p. S197-S197, article id C-125
National Category
Other Health Sciences
Research subject
Health and Caring Sciences, Health Informatics; Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-62918DOI: 10.1007/s12160-012-9354-9ISI: 000302092400766OAI: oai:DiVA.org:lnu-62918DiVA, id: diva2:1095036
Available from: 2012-05-07 Created: 2017-05-11 Last updated: 2019-01-23Bibliographically approved

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Ekstedt, Mirjam

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