Site-Specific Adaptation of an Inpatient Patient Navigator Program at 2 Children's Hospitals

Area of Science:

• Pediatric healthcare quality improvement
• Health equity research
• Sociotechnical systems analysis

Background:

• The Family Bridge Program aims to enhance outcomes for vulnerable pediatric patients.
• It utilizes a family navigator (
• Guide
• ") across six key service domains.
• This study focuses on replicating the program at a second pediatric hospital.

Purpose of the Study:

• To analyze the feasibility and adaptation strategies for translating the Family Bridge Program to a new pediatric hospital.
• To identify specific Guide tasks and influencing sociotechnical factors across two distinct hospital settings.
• To develop a framework for successful program replication.

Main Methods:

• Interviews with 45 clinical and hospital staff across two pediatric hospitals.
• Application of a sociotechnical model to analyze task performance factors.
• Identification of Guide tasks, influencing factors, and adaptation strategies.

Main Results:

• 57 Guide tasks were identified across the six program domains.
• Multiple sociotechnical factors impacting task performance were identified within and between hospitals.
• Adaptation strategies for integrating the Guide with clinical teams were developed.

Conclusions:

• A task-based adaptation successfully translated the Family Bridge Program to a second hospital.
• Addressing sociotechnical differences between sites is crucial for program replication.
• This study offers a replicable framework for implementing the program at other institutions.