Implementing an intrahospital transport preparation (IHT) and management project for critically ill patients: identification of barriers and facilitators using consolidated framework for implementation research (CFIR) - a qualitative study
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View abstract on PubMed
Summary
This summary is machine-generated.This study identified 39 factors influencing intrahospital transport projects, including barriers and facilitators. Understanding these determinants is key to improving emergency department transport planning and management.
Area Of Science
- Healthcare Management
- Implementation Science
- Patient Transport Logistics
Background
- Intrahospital transport is critical for patient care continuity.
- Effective preparation and management are essential for successful patient transfers.
- Implementation challenges can hinder the efficiency of transport projects.
Purpose Of The Study
- To investigate factors influencing intrahospital transport preparation and management projects.
- To apply the Consolidated Framework for Implementation Research (CFIR) to identify barriers and facilitators.
- To inform strategies for optimizing intrahospital patient transport.
Main Methods
- Qualitative descriptive study utilizing semistructured interviews.
- Conducted in an emergency room of a tertiary hospital in Beijing, China.
- Purposive sampling of 22 doctors and nurses involved in intrahospital transport, with content analysis of data.
Main Results
- Identified 39 implementation determinants (11 barriers, 25 facilitators, 3 neutral factors).
- Determinants aligned with 23 CFIR constructs across 5 domains.
- Key facilitators included ease of implementation and patient benefits; barriers involved inadequate training, poor information systems, and resource shortages.
Conclusions
- Successfully identified factors impacting emergency department intrahospital transport project implementation.
- Despite identified obstacles, the findings offer a clear direction for enhancing transport planning and management.
- The study highlights the importance of addressing specific barriers to improve intrahospital transport processes.
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