FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4240897993> ?p ?o ?g. }

• W4240897993 abstract "Abstract Background Facilitation is a complex, relational implementation strategy that guides change processes. Facilitators engage in multiple activities and tailor efforts to local contexts. The contextual factors that prompt facilitators to tailor activities have not been well-described. Methods We conducted a mixed methods evaluation of a trial to improve the quality of transient ischemic attack care. Six sites in the Veterans Health Administration received external facilitation (EF) before and during a 1-year active implementation period. We examined how EF was employed, perceived, and activated. Data analysis included prospective logs of facilitator correspondence with sites (160 site-directed episodes), stakeholder interviews (n=78), and collaborative call debriefs (n=22). Logs were descriptively analyzed across facilitators, sites, time periods, and activity types. Interview transcripts were coded for content related to EF and themes were identified. Debriefs were reviewed to identify instances of and utilization of EF during site critical junctures. Results Multi-tiered EF was supported by two groups (site-facing quality improvement [QI] facilitators and the implementation support team) that were connected by feedback loops. Each site received an average of 24 episodes of site-directed EF; most of the EF was delivered by the QI nurse. For each site, site-directed EF frequently involved networking (45%), preparation and planning (44%), process monitoring (44%), and/or education (36%). EF less commonly involved audit and feedback (20%), brainstorming solutions (16%), and/or stakeholder engagement (5%). However, site-directed EF varied widely across sites and time periods in terms of these facilitation types. Site participants recognized the responsiveness of the QI nurse, and valued her problem-solving, feedback, and accountability support. External facilitators used monitoring and dialogue to intervene by facilitating redirection during challenging periods of uncertainty about project direction and feasibility for sites. External facilitators, in collaboration with the implementation support team, successfully used strategies tailored to diverse local contexts, including networking, providing data, and brainstorming solutions. Conclusions Multi-tiered facilitation capitalizing on feedback loops allowed for tailored, site-directed facilitation that aligned with the types of supports that local participants valued. Critical juncture cases illustrate the complexity of EF and the need to often try multiple strategies in combination to facilitate implementation progress." @default.
• W4240897993 created "2022-05-12" @default.
• W4240897993 creator A5008234363 @default.
• W4240897993 creator A5039272261 @default.
• W4240897993 creator A5042909938 @default.
• W4240897993 creator A5055817856 @default.
• W4240897993 creator A5061178228 @default.
• W4240897993 creator A5073429845 @default.
• W4240897993 creator A5076717317 @default.
• W4240897993 creator A5082080121 @default.
• W4240897993 date "2020-08-05" @default.
• W4240897993 modified "2023-09-28" @default.
• W4240897993 title "Multi-tiered External Facilitation: The Role of Feedback Loops and Tailored Interventions in Supporting Change in a Stepped-Wedge Implementation Trial" @default.
• W4240897993 doi "https://doi.org/10.21203/rs.3.rs-51848/v1" @default.
• W4240897993 hasPublicationYear "2020" @default.
• W4240897993 type Work @default.
• W4240897993 citedByCount "0" @default.
• W4240897993 crossrefType "posted-content" @default.
• W4240897993 hasAuthorship W4240897993A5008234363 @default.
• W4240897993 hasAuthorship W4240897993A5039272261 @default.
• W4240897993 hasAuthorship W4240897993A5042909938 @default.
• W4240897993 hasAuthorship W4240897993A5055817856 @default.
• W4240897993 hasAuthorship W4240897993A5061178228 @default.
• W4240897993 hasAuthorship W4240897993A5073429845 @default.
• W4240897993 hasAuthorship W4240897993A5076717317 @default.
• W4240897993 hasAuthorship W4240897993A5082080121 @default.
• W4240897993 hasBestOaLocation W42408979931 @default.
• W4240897993 hasConcept C121955636 @default.
• W4240897993 hasConcept C1337776 @default.
• W4240897993 hasConcept C144133560 @default.
• W4240897993 hasConcept C150672426 @default.
• W4240897993 hasConcept C15744967 @default.
• W4240897993 hasConcept C159110408 @default.
• W4240897993 hasConcept C162853370 @default.
• W4240897993 hasConcept C169760540 @default.
• W4240897993 hasConcept C17744445 @default.
• W4240897993 hasConcept C195094911 @default.
• W4240897993 hasConcept C199521495 @default.
• W4240897993 hasConcept C201305675 @default.
• W4240897993 hasConcept C27415008 @default.
• W4240897993 hasConcept C2776831358 @default.
• W4240897993 hasConcept C2780378061 @default.
• W4240897993 hasConcept C39549134 @default.
• W4240897993 hasConcept C509550671 @default.
• W4240897993 hasConcept C71405471 @default.
• W4240897993 hasConcept C71924100 @default.
• W4240897993 hasConcept C77805123 @default.
• W4240897993 hasConceptScore W4240897993C121955636 @default.
• W4240897993 hasConceptScore W4240897993C1337776 @default.
• W4240897993 hasConceptScore W4240897993C144133560 @default.
• W4240897993 hasConceptScore W4240897993C150672426 @default.
• W4240897993 hasConceptScore W4240897993C15744967 @default.
• W4240897993 hasConceptScore W4240897993C159110408 @default.
• W4240897993 hasConceptScore W4240897993C162853370 @default.
• W4240897993 hasConceptScore W4240897993C169760540 @default.
• W4240897993 hasConceptScore W4240897993C17744445 @default.
• W4240897993 hasConceptScore W4240897993C195094911 @default.
• W4240897993 hasConceptScore W4240897993C199521495 @default.
• W4240897993 hasConceptScore W4240897993C201305675 @default.
• W4240897993 hasConceptScore W4240897993C27415008 @default.
• W4240897993 hasConceptScore W4240897993C2776831358 @default.
• W4240897993 hasConceptScore W4240897993C2780378061 @default.
• W4240897993 hasConceptScore W4240897993C39549134 @default.
• W4240897993 hasConceptScore W4240897993C509550671 @default.
• W4240897993 hasConceptScore W4240897993C71405471 @default.
• W4240897993 hasConceptScore W4240897993C71924100 @default.
• W4240897993 hasConceptScore W4240897993C77805123 @default.
• W4240897993 hasLocation W42408979931 @default.
• W4240897993 hasLocation W42408979932 @default.
• W4240897993 hasLocation W42408979933 @default.
• W4240897993 hasOpenAccess W4240897993 @default.
• W4240897993 hasPrimaryLocation W42408979931 @default.
• W4240897993 hasRelatedWork W1972700624 @default.
• W4240897993 hasRelatedWork W2004769460 @default.
• W4240897993 hasRelatedWork W2366965488 @default.
• W4240897993 hasRelatedWork W2590187330 @default.
• W4240897993 hasRelatedWork W2899084033 @default.
• W4240897993 hasRelatedWork W2988260097 @default.
• W4240897993 hasRelatedWork W3118630036 @default.
• W4240897993 hasRelatedWork W3149870484 @default.
• W4240897993 hasRelatedWork W3159737107 @default.
• W4240897993 hasRelatedWork W4240897993 @default.
• W4240897993 isParatext "false" @default.
• W4240897993 isRetracted "false" @default.
• W4240897993 workType "article" @default.