Implementation facilitators and barriers of person and family-centred emergency care
Background: At the time of the research, the nurses in the designated hospital’s emergency department did not implement person- and family-centred care to the detriment of patients and families. They were, however, eager to embark on the implementation of the recommendations of the Registered Nurses...
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| Format: | Article |
| Language: | Afrikaans |
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AOSIS
2024-11-01
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| Series: | Health SA Gesondheid: Journal of Interdisciplinary Health Sciences |
| Subjects: | |
| Online Access: | https://hsag.co.za/index.php/hsag/article/view/2789 |
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| _version_ | 1846142411811586048 |
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| author | Mari-Louise Joubert Neltjie C. van Wyk Ronell Leech |
| author_facet | Mari-Louise Joubert Neltjie C. van Wyk Ronell Leech |
| author_sort | Mari-Louise Joubert |
| collection | DOAJ |
| description | Background: At the time of the research, the nurses in the designated hospital’s emergency department did not implement person- and family-centred care to the detriment of patients and families. They were, however, eager to embark on the implementation of the recommendations of the Registered Nurses Association of Ontario for person- and family-centred care.
Aim: This study therefore aimed to explore and describe the possible implementation facilitators and barriers prior to the use of the association’s recommendations.
Setting: The study included eight nurses with different specialisation fields and more than 5 years of experience in an emergency department.
Methods: During focus group interviews with nurse participants, the domains of the Consolidated Framework for Implementation Research were used to explore whether the recommendations of the Registered Nurses Association of Ontario could be used to structure person- and family-centred care in the emergency department of the designated hospital in the Mpumalanga province in South Africa. The framework guided the deductive data analysis.
Results: The identified facilitators referred to a positive match between the recommendations and existing practice in the department. The barriers referred to the department’s fast-paced work environment in which a combination of emergency and primary care is delivered.
Conclusion: One of the facilitators referred to the participants being used to ongoing training by and communication from management to support their adjustment to improvements. One of the barriers referred to the department’s fast-paced work environment.
Contributions: The article contributes to practice improvement with a description of the use of frameworks to explore possible facilitators and barriers prior to endeavours to implement recommendations. |
| format | Article |
| id | doaj-art-4be6cac4f6b14b46830f3c9827b88e5f |
| institution | Kabale University |
| issn | 1025-9848 2071-9736 |
| language | Afrikaans |
| publishDate | 2024-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Health SA Gesondheid: Journal of Interdisciplinary Health Sciences |
| spelling | doaj-art-4be6cac4f6b14b46830f3c9827b88e5f2024-12-03T11:14:03ZafrAOSISHealth SA Gesondheid: Journal of Interdisciplinary Health Sciences1025-98482071-97362024-11-01290e1e810.4102/hsag.v29i0.27891187Implementation facilitators and barriers of person and family-centred emergency careMari-Louise Joubert0Neltjie C. van Wyk1Ronell Leech2Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Nursing Science, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Nursing Science, Faculty of Health Sciences, University of Pretoria, PretoriaBackground: At the time of the research, the nurses in the designated hospital’s emergency department did not implement person- and family-centred care to the detriment of patients and families. They were, however, eager to embark on the implementation of the recommendations of the Registered Nurses Association of Ontario for person- and family-centred care. Aim: This study therefore aimed to explore and describe the possible implementation facilitators and barriers prior to the use of the association’s recommendations. Setting: The study included eight nurses with different specialisation fields and more than 5 years of experience in an emergency department. Methods: During focus group interviews with nurse participants, the domains of the Consolidated Framework for Implementation Research were used to explore whether the recommendations of the Registered Nurses Association of Ontario could be used to structure person- and family-centred care in the emergency department of the designated hospital in the Mpumalanga province in South Africa. The framework guided the deductive data analysis. Results: The identified facilitators referred to a positive match between the recommendations and existing practice in the department. The barriers referred to the department’s fast-paced work environment in which a combination of emergency and primary care is delivered. Conclusion: One of the facilitators referred to the participants being used to ongoing training by and communication from management to support their adjustment to improvements. One of the barriers referred to the department’s fast-paced work environment. Contributions: The article contributes to practice improvement with a description of the use of frameworks to explore possible facilitators and barriers prior to endeavours to implement recommendations.https://hsag.co.za/index.php/hsag/article/view/2789consolidated framework for implementation researchperson- and family-centred careimplementation sciencequalitative researchemergency department |
| spellingShingle | Mari-Louise Joubert Neltjie C. van Wyk Ronell Leech Implementation facilitators and barriers of person and family-centred emergency care Health SA Gesondheid: Journal of Interdisciplinary Health Sciences consolidated framework for implementation research person- and family-centred care implementation science qualitative research emergency department |
| title | Implementation facilitators and barriers of person and family-centred emergency care |
| title_full | Implementation facilitators and barriers of person and family-centred emergency care |
| title_fullStr | Implementation facilitators and barriers of person and family-centred emergency care |
| title_full_unstemmed | Implementation facilitators and barriers of person and family-centred emergency care |
| title_short | Implementation facilitators and barriers of person and family-centred emergency care |
| title_sort | implementation facilitators and barriers of person and family centred emergency care |
| topic | consolidated framework for implementation research person- and family-centred care implementation science qualitative research emergency department |
| url | https://hsag.co.za/index.php/hsag/article/view/2789 |
| work_keys_str_mv | AT marilouisejoubert implementationfacilitatorsandbarriersofpersonandfamilycentredemergencycare AT neltjiecvanwyk implementationfacilitatorsandbarriersofpersonandfamilycentredemergencycare AT ronellleech implementationfacilitatorsandbarriersofpersonandfamilycentredemergencycare |