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Related Concept Videos

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Nursing Implementation

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The Implementation Process of Two Evidence-Based Protocols: A Spatial Neglect Network Initiative.

Kimberly Hreha1, A M Barrett2,3, Robert W Gillen4

  • 1Division of Occupational Therapy Doctorate, Department of Orthopaedic Surgery, School of Medicine, Duke University, Durham, NC, United States.

Frontiers in Health Services
|March 17, 2023
PubMed
Summary
This summary is machine-generated.

This project implemented spatial neglect assessment (KF-NAP®) and treatment (KF-PAT®) protocols in inpatient rehabilitation facilities (IRFs). Successful implementation required addressing barriers like time constraints through researcher-clinician partnerships and clear communication.

Keywords:
Consolidated Framework for Implementation ResearchKessler Foundation Neglect Assessment ProcessPrism Adaptation Treatmentknowledge translationspatial neglect

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Implementation Science

Background:

  • Spatial neglect is a common neurocognitive disorder affecting stroke survivors, particularly in inpatient rehabilitation settings.
  • Effective assessment and treatment protocols are crucial for improving patient outcomes in rehabilitation.
  • Implementing evidence-based practices in clinical settings presents unique challenges.

Purpose of the Study:

  • To implement two evidence-based protocols for spatial neglect: KF-NAP® for assessment and KF-PAT® for treatment in inpatient rehabilitation facilities (IRFs).
  • To document the implementation process, including identified barriers and facilitators, and evaluate implementation outcomes.
  • To train occupational therapists (OTs) in utilizing these tools within their regular practice.

Main Methods:

  • The Knowledge-To-Action Cycle guided the project, encompassing knowledge inquiry (training), knowledge translation (implementation), and outcome evaluation.
  • Sixteen IRFs participated, with 32 therapists trained on the KF-NAP® and KF-PAT® protocols.
  • The Consolidated Framework for Implementation Research was used to identify barriers and facilitators through surveys and ongoing discussion.

Main Results:

  • Thirty-two therapists received training on the KF-NAP® and KF-PAT® protocols across participating sites.
  • Common barriers included time constraints due to high patient volume and other responsibilities, requiring collaborative problem-solving.
  • The implementation process highlighted the importance of researcher-clinician partnerships and effective communication.

Conclusions:

  • Implementing evidence-based spatial neglect protocols in IRFs is feasible with strategic planning and adaptation.
  • Addressing practical barriers through collaborative efforts and clear communication is vital for successful knowledge translation.
  • Further research is necessary to optimize implementation strategies and long-term outcomes for spatial neglect care.