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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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Leader perspectives on implementing Time Together: a qualitative process evaluation using the Consolidated Framework

Andreas Glantz1, Britt-Marie Lindgren2, Ingeborg Nilsson3

  • 1Department of Nursing, Umeå University, Umeå, Sweden andreas.glantz@umu.se.

BMJ Open
|June 24, 2026
PubMed
Summary
This summary is machine-generated.

Implementing Time Together (TT) in psychiatric inpatient care (PIC) faced challenges due to differing staff perceptions of its value. Addressing these varied beliefs is crucial for successful intervention delivery.

Keywords:
HospitalsImplementation ScienceMENTAL HEALTHNursing CareQUALITATIVE RESEARCHQuality Improvement

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Area of Science:

  • Nursing Interventions
  • Psychiatric Inpatient Care
  • Implementation Science

Background:

  • Time Together (TT) is a nursing intervention promoting joint patient-staff activities.
  • Previous research indicates implementation difficulties with TT.
  • No studies have specifically explored TT implementation in psychiatric inpatient care (PIC).

Purpose of the Study:

  • To explore mid-level leaders' and implementation leads' perspectives on implementing TT in PIC.
  • To analyze implementation challenges using the Consolidated Framework for Implementation Research (CFIR).

Main Methods:

  • Qualitative study utilizing semistructured interviews.
  • 11 mid-level leaders and implementation leads participated.
  • Deductive qualitative content analysis with CFIR as a structured matrix.

Main Results:

  • TT was perceived as beneficial and aligned with ward missions.
  • Implementation was challenging due to some staff viewing joint activities as lacking value.
  • A need for more information and a clearer rationale for TT was identified.

Conclusions:

  • A discrepancy exists between leaders' and staff's values regarding meaningful psychiatric care.
  • Leadership and motivation were key implementation challenges.
  • Addressing intervention deliverers' values and beliefs is essential for successful TT implementation, beyond training alone.