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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)

Author

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  • Theresa Sophie Busse

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Sven Kernebeck

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Larissa Alice Dreier

    (PedScience Research Institute, 45711 Datteln, Germany
    Department of Children’s Pain Therapy and Pediatric Palliative Care, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany)

  • Dorothee Meyer

    (PedScience Research Institute, 45711 Datteln, Germany
    Department of Children’s Pain Therapy and Pediatric Palliative Care, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany)

  • Daniel Zenz

    (Smart-Q Softwaresystems GmbH, 44801 Bochum, Germany)

  • Peter Haas

    (Department of Medical Informatics, Dortmund University of Applied Sciences and Arts, 44139 Dortmund, Germany)

  • Boris Zernikow

    (PedScience Research Institute, 45711 Datteln, Germany
    Department of Children’s Pain Therapy and Pediatric Palliative Care, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany
    Pediatric Palliative Care Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, Germany)

  • Jan Peter Ehlers

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

Abstract

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.

Suggested Citation

  • Theresa Sophie Busse & Sven Kernebeck & Larissa Alice Dreier & Dorothee Meyer & Daniel Zenz & Peter Haas & Boris Zernikow & Jan Peter Ehlers, 2022. "Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)," IJERPH, MDPI, vol. 19(1), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:1:p:453-:d:715899
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    References listed on IDEAS

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    1. Andreassen, Hege K. & Kjekshus, Lars Erik & Tjora, Aksel, 2015. "Survival of the project: A case study of ICT innovation in health care," Social Science & Medicine, Elsevier, vol. 132(C), pages 62-69.
    2. Faiza Hashim & Khaled Shuaib & Farag Sallabi, 2021. "MedShard: Electronic Health Record Sharing Using Blockchain Sharding," Sustainability, MDPI, vol. 13(11), pages 1-21, May.
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    Cited by:

    1. Adi Alsyouf & Awanis Ku Ishak & Abdalwali Lutfi & Fahad Nasser Alhazmi & Manaf Al-Okaily, 2022. "The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses," IJERPH, MDPI, vol. 19(17), pages 1-30, September.

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