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Sustaining implementation facilitation: a model for facilitator resilience.

Tanya T Olmos-Ochoa1, David A Ganz2,3, Jenny M Barnard2

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Summary
This summary is machine-generated.

This study introduces facilitation intensity and facilitator resilience to understand facilitators' affective experiences in healthcare implementation. Supporting facilitator resilience is key to sustaining the healthcare workforce.

Keywords:
Care coordinationImplementation facilitationPrimary careQuality improvementWorkforce support

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Area of Science:

  • Healthcare Implementation Science
  • Organizational Psychology
  • Health Services Research

Background:

  • Little is known about the affective experiences of implementation facilitators.
  • The Integrated Promoting Action on Research in Health Services (i-PARIHS) framework is expanded to include facilitation intensity and facilitator resilience.
  • Understanding facilitators' emotional, mental, and physical well-being is crucial for effective change implementation.

Purpose of the Study:

  • To conceptualize facilitation intensity and facilitator resilience.
  • To understand the psychological impact of facilitation on facilitator effectiveness and implementation success.
  • To expand the i-PARIHS framework by incorporating affective experiences of facilitators.

Main Methods:

  • Instrumental case study approach.
  • Analysis of facilitator data, including logged reflections and debrief session notes.
  • Conceptualization of facilitation intensity and facilitator resilience based on collected data.

Main Results:

  • Facilitation intensity is defined as the volume of tasks and their psychological impact on the facilitator.
  • Facilitator resilience is defined as the ability to adapt to complexities, maintain hope, self-efficacy, and coping behaviors.
  • These concepts help understand the affective dimension of facilitation.

Conclusions:

  • Facilitators' affective experiences, specifically facilitation intensity and resilience, are linked to implementation success.
  • Future research should focus on reliably measuring these factors and detailing their relationships.
  • Supporting facilitator resilience can sustain the skilled workforce needed for healthcare improvement.