Table 2 KT strategies used for the sustainability of alberta FICare™ and reported barriers and facilitators to their use
ERIC Taxonomy KT Strategy | Description of KT Strategy | Barriers (B) and Facilitators (F) to use of KT Strategy | CFS Construct28 |
|---|---|---|---|
Identified in Environmental Scan and Key Informant Interviews | |||
Conduct ongoing training | • Online education modules for nurses • Asynchronous • Webpage | • Increase in workload to complete training (B) • Lack of accessibility to ongoing education materials (B) | Negotiating initiative processes |
Identify and prepare champions | • Identification of nursing staff within each care setting to take on a champion role to help sustain EBI | • No dedicated role or resources to support a clinical champion (B) | The people involved; Resources |
Research Co-production | • Collaborative partnership between researchers and health system to support ongoing sustainability | • Established partnership between research team and health system strategic clinical network (F) • Lack of clarity on the shift from research project to everyday practice (B) | People involved; organizational setting |
Identified in Key Informant Interviews | |||
Remind clinicians | • Large posters on the unit and in the staff lounge | • Constantly visible and large in various areas of clinical practice and (F) | Organizational Setting |
Audit and provide feedback | • Site visits accompanied by comprehensive written audit reports and brief summary ‘report cards’ based on observational feedback. | • Lack of buy-in regarding the clinical relevance of the EBI outcomes (B) | Negotiating initiative processes |
Promote adaptability | • Tailored communication whiteboards • Volunteers services were adapted to support ongoing use | • Adaptation of implementation and sustainability is left to individual sites which helps to ensure alignment with local context (F) • Lack of clarity of implementation strategies can be adapted (B) | EBI Design and Delivery |
Change record systems | • Alberta FICare is being integrated into an electronic clinical information system • Resources are posted to Alberta FICare websites | • Integration into electronic clinical information system supports use in practice (F) • Challenges with integration into workflow when other large-scale implementation projects are occurring simultaneously (B) | Organizational setting |
Involve patients/consumers and family members | • Collected in the form of parent surveys, and real-time feedback, involvement in planning committees, and co-designing scale and spread resources | • Lack of time and opportunity to engage parents in providing feedback (B) | People involved; Resources; The external environment |
Access new funding | • Resources needed for ongoing training and education • Secured 3 years of fixed funding to hire a provincial practice lead to coordinate and continue to evaluate and a peer family mentor clinical coordinator to further develop parent support | • Foundations commonly support family-centered initiatives (F) • Funding is not always available to support sustainability efforts (B) | Resources |