Barriers and facilitators to the implementation of the collaborative method: Reflections from a single site

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dc.contributor.author Newton, PJ
dc.contributor.author Davidson, PM
dc.contributor.author Halcomb, EJ
dc.contributor.author Denniss, AR
dc.date.accessioned 2012-02-02T11:00:22Z
dc.date.issued 2007-12
dc.identifier.citation Quality and Safety in Health Care, 2007, 16 (6), pp. 409 - 414
dc.identifier.issn 1475-3898
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/15579
dc.description.abstract Background: A collaborative is an effective method of implementing evidence-based practice across multiple sites through the sharing of experience and knowledge of others in a similar setting, over a short period of time. Collaborative methods were first used in the USA but have been adopted internationally. Aim: This paper sought to document the facilitators and barriers to the implementation of the collaborative method, based on a single site's experience of participating in a multisite, state-wide heart failure collaborative. Method: Qualitative data was collected using three complementary methods: participant observation, reflective journalling and key informant interviews. Quantitative monitoring of team performance occurred monthly according to prespecified performance indicators. Findings: Barriers and facilitators that were identified by this study included: organisational factors, team composition, dynamics and networking, changing doctor behaviour, clinical leadership and communication. Conclusion: The findings from this study underscore the importance of leadership, communication and team cohesion for the successful implementation of the collaborative method at individual sites. In addition, the importance of a preparatory stage that deals with known barriers and facilitators to the collaborative method before the commencement of the official study period was highlighted. The potential for the collaborative approach to improve clinical outcomes warrants further systematic evaluation of process issues and consideration of the barriers and facilitators to implementation in various settings.
dc.language eng
dc.relation.isbasedon 10.1136/qshc.2006.019125
dc.title Barriers and facilitators to the implementation of the collaborative method: Reflections from a single site
dc.type Journal Article
dc.parent Quality and Safety in Health Care
dc.journal.volume 6
dc.journal.volume 16
dc.journal.number 6 en_US
dc.publocation United Kingdom en_US
dc.identifier.startpage 409 en_US
dc.identifier.endpage 414 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 111808
dc.personcode 110950
dc.percentage 100 en_US
dc.classification.name Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.location.activity WOS:000291355500026
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history Closed (ID: 3)


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