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
Objective To investigate the factors contributing to or hindering intrahospital transport preparation and management projects using the consolidated framework for implementation research (CFIR) framework.Design Semistructured interviews were used in a qualitative descriptive study.Setting This study...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e096290.full |
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| author | Jing Wang Li Ma Ying Lu Baohua Li Xiaotian Zhang Rui Xie Guifen Li Man Cui Lanfang Du |
| author_facet | Jing Wang Li Ma Ying Lu Baohua Li Xiaotian Zhang Rui Xie Guifen Li Man Cui Lanfang Du |
| author_sort | Jing Wang |
| collection | DOAJ |
| description | Objective To investigate the factors contributing to or hindering intrahospital transport preparation and management projects using the consolidated framework for implementation research (CFIR) framework.Design Semistructured interviews were used in a qualitative descriptive study.Setting This study was conducted in the emergency room of a tertiary hospital in Beijing, China, between December 2023 and January 2024.Participants Purposive sampling was employed to recruit 22 doctors and nurses involved in intrahospital transport.Primary and secondary outcome measures A content analysis technique was employed to transcribe and analyse all gathered data. Iterative methods were used for the data collection and analysis.Results 39 implementation determinants—11 barriers, 25 facilitators and 3 neutral factors—were identified. These determining factors aligned with 23 of the 26 CFIR constructs and 5 CFIR domains. Facilitators were identified in four primary domains: ease of implementation, scientific and project completion, patient advantages and enhanced capacity for safe and professional transfer. Additionally, hurdles were identified in the CFIR domains of intervention characteristics, outer settings and inner settings. These barriers include inadequate training and mobilisation, insufficient information systems, unclear reward and punishment policies, a shortage of labour and material resources and the absence of established reward and punishment laws.Conclusion This study identified the factors influencing the emergency department’s intrahospital transport planning and management project implementation. Despite numerous obstacles, the project provides a clear pathway for advancing intrahospital transport planning and management. |
| format | Article |
| id | doaj-art-9638a052816a46d18397540bdc2c4111 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9638a052816a46d18397540bdc2c41112025-01-21T12:50:09ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-096290Implementing 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 studyJing Wang0Li Ma1Ying Lu2Baohua Li3Xiaotian Zhang4Rui Xie5Guifen Li6Man Cui7Lanfang Du8Department of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Nursing, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaDepartment of Emergency, Peking University Third Hospital, Beijing, ChinaObjective To investigate the factors contributing to or hindering intrahospital transport preparation and management projects using the consolidated framework for implementation research (CFIR) framework.Design Semistructured interviews were used in a qualitative descriptive study.Setting This study was conducted in the emergency room of a tertiary hospital in Beijing, China, between December 2023 and January 2024.Participants Purposive sampling was employed to recruit 22 doctors and nurses involved in intrahospital transport.Primary and secondary outcome measures A content analysis technique was employed to transcribe and analyse all gathered data. Iterative methods were used for the data collection and analysis.Results 39 implementation determinants—11 barriers, 25 facilitators and 3 neutral factors—were identified. These determining factors aligned with 23 of the 26 CFIR constructs and 5 CFIR domains. Facilitators were identified in four primary domains: ease of implementation, scientific and project completion, patient advantages and enhanced capacity for safe and professional transfer. Additionally, hurdles were identified in the CFIR domains of intervention characteristics, outer settings and inner settings. These barriers include inadequate training and mobilisation, insufficient information systems, unclear reward and punishment policies, a shortage of labour and material resources and the absence of established reward and punishment laws.Conclusion This study identified the factors influencing the emergency department’s intrahospital transport planning and management project implementation. Despite numerous obstacles, the project provides a clear pathway for advancing intrahospital transport planning and management.https://bmjopen.bmj.com/content/15/1/e096290.full |
| spellingShingle | Jing Wang Li Ma Ying Lu Baohua Li Xiaotian Zhang Rui Xie Guifen Li Man Cui Lanfang Du 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/15/1/e096290.full |
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