A virtual dissemination framework to inform and evaluate a neonatal project ECHO (NeoECHO)

Area of Science:

• Healthcare dissemination strategies
• Virtual education frameworks
• Neonatal intensive care unit (NICU) best practices

Background:

• Intensive care unit (ICU) patient care necessitates up-to-date knowledge and best practices.
• A novel Virtual Dissemination Evaluation (VDE) framework was developed to address this challenge.
• The framework was applied to the NeoECHO strategy for virtual education in NICUs, focusing on necrotizing enterocolitis.

Purpose of the Study:

• To present the development, implementation, and evaluation of a theoretically grounded VDE framework.
• To operationalize the framework within the NeoECHO dissemination strategy for NICUs.
• To assess the feasibility and adherence of the VDE framework in delivering evidence-based practices.

Main Methods:

• The VDE framework integrates the Integrated-Promoting Action on Research Implementation in Health Services (iPARIHS) and Moore's Expanded Outcomes frameworks.
• Conceptual determinants and virtual facilitators were operationalized within the NeoECHO strategy.
• Fawcett's criteria for practical framework application guided the conceptual mapping and operational activities.

Main Results:

• The VDE framework demonstrated feasibility for adherence and operationalization, meeting criteria for practical application.
• Implementation evaluation was usable for virtual dissemination of best practices in neonatal necrotizing enterocolitis care.
• Healthcare providers actively engaged with the NeoECHO strategy, indicating successful implementation.

Conclusions:

• The VDE framework requires rigor for generalization, emphasizing structured delivery and evaluation for effective virtual dissemination.
• The framework has the potential to narrow the evidence-based practice gap in neonatal care.
• Effective use of the VDE framework enhances knowledge dissemination, improving neonatal care quality in NICUs.