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A research study to identify facilitators and barriers to outcome measure implementation
Maria Dunckley1, Fiona Aspinal, Julia M Addington-Hall
1Interdisciplinary Research Centre in Health, School of Health and Social Sciences, Coventry University, Coventry, UK. M.Dunckley@Coventry.ac.uk
International Journal of Palliative Nursing
|June 10, 2005
Summary
Implementing outcome measures in healthcare settings is crucial for service evaluation. Successful implementation requires staff involvement and adaptable tools, overcoming barriers like time constraints and limited resources.
Area of Science:
- Healthcare Management
- Clinical Governance
- Quality Improvement
Background:
- Effective outcome measurement is essential for evaluating healthcare services and informing clinical governance.
- Previous studies have highlighted challenges in the practical implementation of outcome measures within clinical settings.
Purpose of the Study:
- To identify facilitators and barriers to the successful implementation of outcome measures in a hospice and nursing home setting.
- To provide insights into optimizing the adoption of outcome measures for improved service evaluation.
Main Methods:
- An action-research approach was employed in a hospice and nursing home.
- Data were collected through pre- and post-implementation semistructured interviews with staff, participant diaries, and monthly meetings.
- Qualitative content analysis was used to analyze the collected data.
Main Results:
- Key barriers included top-down decision-making, perceived time-consuming nature of measures, limited data analysis resources, and insufficient knowledge of their importance.
- Facilitators involved staff engagement in decision-making and the use of adaptable outcome measures aligned with organizational needs and clinical practice.
- The benefits of using the Palliative Care Outcome Scale (POS) were rapidly noticeable.
Conclusions:
- Successful implementation of outcome measures necessitates a collaborative approach, involving all staff in the decision-making process.
- Utilizing adaptable measures, such as the Palliative Care Outcome Scale (POS), can enhance adoption and demonstrate benefits within clinical governance frameworks.
- Strategies identified can improve the successful implementation of outcome measures for enhanced service evaluation.