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Exploring the Implementation of a New Nursing Role Using the CFIR-ERIC Approach: A Qualitative Study
Marianne Saragosa1,2,3, Paula Shing4,5, Zahra A Hirji4
1Science of Care Institute, Toronto, Canada.
Journal of Nursing Management
|May 16, 2026
Summary
Implementing a new nursing role (RPN) in acute care requires addressing organizational readiness and workforce needs. Key facilitators included strong leadership and clear communication, while role clarity and team integration presented challenges.
Area of Science:
- Healthcare Management
- Nursing Practice
- Implementation Science
Background:
- Introducing new nursing roles is crucial for optimizing healthcare delivery.
- The Registered Psychiatric Nurse (RPN) role aims to enhance acute care services.
- Understanding implementation dynamics is vital for successful integration.
Purpose of the Study:
- To identify barriers and facilitators for implementing a new Registered Psychiatric Nurse (RPN) role in acute care.
- To map implementation strategies using the Consolidated Framework for Implementation Research (CFIR) and Expert Recommendations for Implementing Change (ERIC).
Main Methods:
- A qualitative descriptive study using semistructured interviews and document analysis.
- Data were analyzed deductively using the CFIR framework.
- Implementation strategies were mapped to the ERIC tool.
Main Results:
- Enablers included organizational readiness, mission alignment, and effective teaming.
- Barriers involved role clarity, team integration, and access to information.
- Eleven implementation strategies were identified, such as staff preparation and champion identification.
Conclusions:
- Successful RPN role implementation hinges on organizational readiness, leadership, and addressing workforce needs.
- Challenges in role clarity and team integration require targeted strategies.
- Implementation science frameworks can guide the integration of new nursing roles in hospitals.
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