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Clinicians as novice facilitators: a SIMPLE case study.

Adrienne M Young1,2, Heather H Keller3,4, Rhiannon Barnes5

  • 1Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Herston, Australia.

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|March 13, 2019
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Summary
This summary is machine-generated.

Novice clinician facilitators in complex projects need dedicated time and support. This ensures successful implementation of new care models by building trust and fostering change.

Keywords:
Change managementFacilitationHospitalsImplementationNutrition

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Area of Science:

  • Healthcare Management
  • Implementation Science
  • Clinical Practice Improvement

Background:

  • Complex implementation projects require effective facilitation.
  • Novice facilitators face unique challenges in healthcare settings.
  • Understanding the facilitator role is crucial for successful change management.

Purpose of the Study:

  • To explore the functions, barriers, and enablers for novice clinician facilitators.
  • To enhance understanding of the facilitation process in complex implementation projects.
  • To inform strategies for supporting facilitators in implementing new care models.

Main Methods:

  • Semi-structured interviews were conducted with seven local facilitators.
  • The study focused on the implementation of The SIMPLE Approach (Systematised Interdisciplinary Malnutrition Pathway Implementation and Evaluation).
  • Participants were involved in implementing a new malnutrition care model across six hospitals in Queensland, Australia.

Main Results:

  • Key facilitator functions include building relationships, using data for change, negotiating implementation, and measuring success.
  • "Dedicated role, time and support" emerged as a critical theme for overcoming barriers and enabling success.
  • Novice facilitators experienced challenges related to role clarity, time allocation, and support systems.

Conclusions:

  • Novice clinician facilitators require protected time and regular peer/expert support for complex interventions.
  • An adapt-to-fit approach to facilitation and innovation is necessary for successful implementation.
  • Effective facilitation structures enable iterative improvements, trust-building, and internal capacity development for change.