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Related Concept Videos

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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Related Experiment Video

Updated: Dec 25, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Planning for Implementation Success Using RE-AIM and CFIR Frameworks: A Qualitative Study.

Diane K King1, Jo Ann Shoup2, Marsha A Raebel2

  • 1Center for Behavioral Health Research and Services, University of Alaska Anchorage, Anchorage, AK, United States.

Frontiers in Public Health
|March 21, 2020
PubMed
Summary
This summary is machine-generated.

Combining RE-AIM and CFIR frameworks improved implementation planning for the Breathewell asthma intervention. While initial planning showed strong alignment with Reach, Effectiveness, and Implementation, future adoption and maintenance require addressing leadership and organizational priorities.

Keywords:
adoptiondisseminationframeworksimplementationmaintenancesustainability

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Digital Health Interventions

Background:

  • Dissemination and implementation frameworks like RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and CFIR (Consolidated Framework for Implementation Research) guide the adoption, implementation, and maintenance of evidence-based interventions.
  • These frameworks offer metrics for success (RE-AIM) and identify modifiable factors influencing outcomes (CFIR).
  • The Breathewell intervention, a technology-delivered asthma care program, was planned within an integrated care organization to enhance efficiency.

Purpose of the Study:

  • To apply both RE-AIM and CFIR frameworks to evaluate the implementation planning process for the Breathewell asthma care intervention.
  • To assess the alignment of implementation team priorities with RE-AIM domains and identify key CFIR constructs influencing planning.
  • To understand how team decisions and actions during planning contribute to adoption, implementation, and maintenance outcomes.

Main Methods:

  • Historical documents (agendas, minutes) from 14 months of planning were reviewed for alignment with RE-AIM domains.
  • Implementation team members were interviewed using CFIR-adapted questions to explore process and contextual factors.
  • Documents and interview transcripts were coded using RE-AIM and CFIR definitions to analyze planning content and team reflections.

Main Results:

  • Strong alignment was observed with RE-AIM domains (Reach, Effectiveness, Implementation) and CFIR constructs (stakeholder inclusion, compatibility, culture).
  • This alignment likely contributed to high implementation fidelity.
  • However, low confidence in adoption and maintenance was linked to weak alignment with CFIR constructs like leadership engagement and relative priority.

Conclusions:

  • RE-AIM is valuable for planning and evaluating practice change interventions for external validity.
  • CFIR effectively explains implementation success or failure by identifying modifiable factors.
  • Proactive use of CFIR can promote or hinder adoption, implementation, and maintenance.