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Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)

Pediatric palliative care (PPC) patients require years of care across professions and sectors. Sharing treatment-related information and communicating among different PPC professionals is critical to ensure good quality of care. In Germany, this communication is mostly paper-based and prone to error...

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Autores principales: Busse, Theresa Sophie, Kernebeck, Sven, Dreier, Larissa Alice, Meyer, Dorothee, Zenz, Daniel, Haas, Peter, Zernikow, Boris, Ehlers, Jan Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744647/
https://www.ncbi.nlm.nih.gov/pubmed/35010713
http://dx.doi.org/10.3390/ijerph19010453
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author Busse, Theresa Sophie
Kernebeck, Sven
Dreier, Larissa Alice
Meyer, Dorothee
Zenz, Daniel
Haas, Peter
Zernikow, Boris
Ehlers, Jan Peter
author_facet Busse, Theresa Sophie
Kernebeck, Sven
Dreier, Larissa Alice
Meyer, Dorothee
Zenz, Daniel
Haas, Peter
Zernikow, Boris
Ehlers, Jan Peter
author_sort Busse, Theresa Sophie
collection PubMed
description Pediatric palliative care (PPC) patients require years of care across professions and sectors. Sharing treatment-related information and communicating among different PPC professionals is critical to ensure good quality of care. In Germany, this communication is mostly paper-based and prone to errors. Therefore, an electronic cross-facility health record (ECHR) was participatorily designed with users, wherein information can be shared and PPC professionals can communicate with each other. As this form of electronic health record differs from existing models in Germany, there is a need for successful implementation to ensure a positive impact. Therefore, the facilitators and barriers to the implementation of ECHR in PPC were examined. Using the consolidated framework for implementation research (CFIR), transcripts of 32 interviews, 3 focus groups, and 20 think-aloud studies with PPC professionals were analyzed. CFIR indicated that the ECHR-design was viewed positively by users and can be a facilitator for implementation. Barriers exist, mainly due to the fact that the implementation is not planned, the use of the ECHR involves effort, costs are not covered, and all users must be motivated to use the ECHR for functionality. CFIR helps uncover the crux of the issues that need to be considered when planning ECHR implementation to improve care in PPC.
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spelling pubmed-87446472022-01-11 Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR) Busse, Theresa Sophie Kernebeck, Sven Dreier, Larissa Alice Meyer, Dorothee Zenz, Daniel Haas, Peter Zernikow, Boris Ehlers, Jan Peter Int J Environ Res Public Health Article Pediatric palliative care (PPC) patients require years of care across professions and sectors. Sharing treatment-related information and communicating among different PPC professionals is critical to ensure good quality of care. In Germany, this communication is mostly paper-based and prone to errors. Therefore, an electronic cross-facility health record (ECHR) was participatorily designed with users, wherein information can be shared and PPC professionals can communicate with each other. As this form of electronic health record differs from existing models in Germany, there is a need for successful implementation to ensure a positive impact. Therefore, the facilitators and barriers to the implementation of ECHR in PPC were examined. Using the consolidated framework for implementation research (CFIR), transcripts of 32 interviews, 3 focus groups, and 20 think-aloud studies with PPC professionals were analyzed. CFIR indicated that the ECHR-design was viewed positively by users and can be a facilitator for implementation. Barriers exist, mainly due to the fact that the implementation is not planned, the use of the ECHR involves effort, costs are not covered, and all users must be motivated to use the ECHR for functionality. CFIR helps uncover the crux of the issues that need to be considered when planning ECHR implementation to improve care in PPC. MDPI 2022-01-01 /pmc/articles/PMC8744647/ /pubmed/35010713 http://dx.doi.org/10.3390/ijerph19010453 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Busse, Theresa Sophie
Kernebeck, Sven
Dreier, Larissa Alice
Meyer, Dorothee
Zenz, Daniel
Haas, Peter
Zernikow, Boris
Ehlers, Jan Peter
Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)
title Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)
title_full Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)
title_fullStr Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)
title_full_unstemmed Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)
title_short Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)
title_sort planning for implementation success of an electronic cross-facility health record for pediatric palliative care using the consolidated framework for implementation research (cfir)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744647/
https://www.ncbi.nlm.nih.gov/pubmed/35010713
http://dx.doi.org/10.3390/ijerph19010453
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