Skip to main content

Table 2 Summary of Each Implementation Project

From: Experiences of using the i-PARIHS framework: a co-designed case study of four multi-site implementation projects

ProjectProblemInnovationFacilitationRecipientsContext
1 BHIPLimited delivery of anticipatory, patient-centred, and coordinated outpatient mental health care.Collaborative Chronic Care Model (CCM) for interdisciplinary team-based care in general mental health clinic settings.Internal-external model of facilitation adapted from Kirchner et al. (2014) and based on i-PARIHSInterdisciplinary general mental health care team members (e.g. clerk, nurse, psychiatrist, psychologist, social worker) at nine U.S. Department of Veterans Affairs (VA) medical centres.Outpatient mental health care setting
Outer context
In 2013, VA leadership launched a nationwide initiative to establish interdisciplinary teams in each VA medical centre throughout the United States. In 2015, the VA adopted the CCM and partnered with the study team to develop CCM implementation support.
Inner context
The inner context varied by medical centre.
2 CHERISHHigh prevalence of geriatric complications (e.g. delirium, functional decline) in older inpatientsA multicomponent intervention to reduce complications and improve outcomesInternal-external model of facilitation based on i-PARIHSInterdisciplinary acute care team members (nurses, allied health professionals, medical staff)Acute care setting
Outer context
New national standard on comprehensive care and delirium clinical care standard created an impetus for improving care of older patients.
Inner context
The inner context varied by hospital and ward.
3 SIMPLESuboptimal and inefficient management of malnutrition in hospitalsSystematised Interdisciplinary Malnutrition Program Implementation and Evaluation – for enabling a system and team approach to better management of malnutritionInternal-external model of facilitation based on i-PARIHSMultidisciplinary teams and dietetics departments in six publicly funded hospitals in AustraliaAcute care setting
Outer context
State-wide roll-out of electronic medical
records exposed gaps in systems of malnutrition care and unsustainable demand on dietetics services.
Inner context
The inner context varied by hospital, ward and dietetics department.
4 REACHInconsistent cleaning practices in hospitals despite detailed cleaning guidelinesAn environmental cleaning bundle – a bundle of evidence-based practices to improve cleaning performance and reduce infectionsExternal facilitation with local championsEnvironmental services staff members employed in a role that included ward cleaning across 11 hospitals (public and private) in Australia.Acute care setting
Outer context
National accreditation requirements and infection control guidelines required hospitals to have a comprehensive cleaning program.
Inner context
The inner context varied by ward.