C A Vamos1, E L Thompson1, A Cantor1, L Detman2,3, E Bronson3, A Phelps3, J M Louis4, A R Gregg5, J S Curran6, W Sappenfield1. 1. Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA. 2. The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA. 3. Florida Perinatal Quality Collaborative, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA. 4. Department of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA. 5. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Florida, Gainesville, FL, USA. 6. University of South Florida Health, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Abstract
OBJECTIVE: The purpose of this study was to explore the multilevel contextual factors that influenced the implementation of the Obstetric Hemorrhage Initiative (OHI) among hospitals in Florida. STUDY DESIGN: A qualitative evaluation was conducted via in-depth interviews with multidisciplinary hospital staff (n=50) across 12 hospitals. Interviews were guided by the Consolidated Framework for Implementation Research and analyzed in Atlas.ti using rigorous qualitative analysis procedures. RESULT: Factors influencing OHI implementation were present across process (leadership engagement; engaging people; planning; reflecting), inner setting (for example, knowledge/beliefs; resources; communication; culture) and outer setting (for example, cosmopolitanism) levels. Moreover, factors interacted across levels and were not mutually exclusive. Leadership and staff buy-in emerged as important components influencing OHI implementation across disciplines. CONCLUSION: Key contextual factors found to influence OHI implementation experiences can be useful in informing future quality improvement interventions given the institutional and provider-level behavioral changes needed to account for evolving the best practices in perinatology.
OBJECTIVE: The purpose of this study was to explore the multilevel contextual factors that influenced the implementation of the Obstetric Hemorrhage Initiative (OHI) among hospitals in Florida. STUDY DESIGN: A qualitative evaluation was conducted via in-depth interviews with multidisciplinary hospital staff (n=50) across 12 hospitals. Interviews were guided by the Consolidated Framework for Implementation Research and analyzed in Atlas.ti using rigorous qualitative analysis procedures. RESULT: Factors influencing OHI implementation were present across process (leadership engagement; engaging people; planning; reflecting), inner setting (for example, knowledge/beliefs; resources; communication; culture) and outer setting (for example, cosmopolitanism) levels. Moreover, factors interacted across levels and were not mutually exclusive. Leadership and staff buy-in emerged as important components influencing OHI implementation across disciplines. CONCLUSION: Key contextual factors found to influence OHI implementation experiences can be useful in informing future quality improvement interventions given the institutional and provider-level behavioral changes needed to account for evolving the best practices in perinatology.
Authors: Cynthia J Berg; Margaret A Harper; Samuel M Atkinson; Elizabeth A Bell; Haywood L Brown; Marvin L Hage; Avick G Mitra; Kenneth J Moise; William M Callaghan Journal: Obstet Gynecol Date: 2005-12 Impact factor: 7.661
Authors: D D Wirtschafter; J Pettit; P Kurtin; M Dalsey; K Chance; H W Morrow; M Seid; T L Byczkowski; T P Huber; J M Milstein; S M Bowles; S Fichera; S Kloman Journal: J Perinatol Date: 2009-11-26 Impact factor: 2.521
Authors: Laura J Damschroder; David C Aron; Rosalind E Keith; Susan R Kirsh; Jeffery A Alexander; Julie C Lowery Journal: Implement Sci Date: 2009-08-07 Impact factor: 7.327
Authors: S Laudert; W F Liu; S Blackington; B Perkins; S Martin; E Macmillan-York; S Graven; J Handyside Journal: J Perinatol Date: 2007-12 Impact factor: 2.521