Related Experiment Video
Updated: Jul 18, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
A qualitative study to identify barriers and facilitators to implementation of pilot interventions in the Veterans
Nancy D Sharp1, Sandra L Pineros, Clarissa Hsu
1VA Puget Sound Health Care System and Department of Health Services, University of Washington, Seattle 98108, USA. Nancy.Sharp@med.va.gov
Objective:
To identify barriers and facilitators to implementation of pilot interventions designed to improve measurement and management of low-density lipoprotein cholesterol (LDL-c) levels in coronary heart disease patients using the evidence/context/facilitation model of implementation of evidence-based practice.
Design:
Theory-based conceptual content analysis of structured interviews conducted between January and April 2001.
Setting:
Six medical centers in the United States Veterans Health Administration Northwest Network.
Participants:
Fifty-one of 64 individuals (physicians, nurses, pharmacists, dieticians, quality managers, and other clinical and nonclinical staff) who participated in planning and/or implementing pilot interventions.
Main Findings:
Barriers to successful implementation related primarily to the intervention process and secondarily to characteristics of the intervention context. Interview responses indicated that planning, including identification of resources and assessment of potential barriers and facilitators, was a critical and universally underutilized step in the intervention process.
Conclusions:
Organized team process, documented plans for intervention activities, and ongoing evaluation are essential for sustaining intervention activities. A top priority for facilitating interventions should be the development of educational materials, such as "how to" guides, that teach intervention teams how to anticipate barriers and make plans to address them, as well as identifying and fostering local experts in planning and implementing interventions.
Related Concept Videos
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...