Cookies?
Library Header Image
LSE Research Online LSE Library Services

Implementation of the single site order in long-term care:: what we can learn from using the consolidated framework for implementation research

Gould, Joanie Sims, Franke, Thea, Staempfli, Sabina, Hung, Lillian and Havaei, Farinaz (2023) Implementation of the single site order in long-term care:: what we can learn from using the consolidated framework for implementation research. Journal of Long-Term Care. pp. 153-165. ISSN 2516-9122

[img] Text (Implementation of the Single Site Order in LongTerm Care: What We Can Learn from Using the Consolidated Framework for Implementation Research) - Published Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (713kB)

Identification Number: 10.31389/jltc.145

Abstract

Context: To mitigate the risk of spread of COVID-19 in long-term care (LTC), the Public Health Agency of Canada instituted several rapid redesign and resource redeployment practices, including single-site policies. Objective: This study aims to understand factors that influence implementation of the Single Site Order (SSO). Methods: Consolidated Framework for Implementation Research (CFIR) guided data collection and analysis. Ten leadership team members and 18 staff were interviewed across 4 LTC homes in British Columbia (BC), Canada. In NVivo 12, a deductive framework analysis was used. Findings: Seven notable CFIR constructs (intervention source, evidence strength and quality, costs, culture, networks and communication, readiness for implementation, and patient needs and resources) were found to be most influential in the implementation of the SSO. We present these constructs and the factors within. Limitations: Our study was limited to the BC context. However, we believe that the findings offer useful insights into the complexity of policy implementation in LTC. Implications: In a system already facing staffing concerns and a highly dependent and increasingly frail resident population, implementation of the SSO further taxed already stretched resources.

Item Type: Article
Additional Information: © 2023 The Author(s)
Divisions: LSE
Subjects: H Social Sciences
Date Deposited: 03 Oct 2023 13:51
Last Modified: 16 Sep 2024 16:03
URI: http://eprints.lse.ac.uk/id/eprint/120353

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics