Planning for Implementation Success of an Electronic Cross-Facility Health Record for Pediatric Palliative Care Using the Consolidated Framework for Implementation Research (CFIR)

Theresa Sophie Busse, Sven Kernebeck, Larissa Alice Dreier, Dorothee Meyer, Daniel Zenz, Peter Haas, Boris Zernikow and Jan Peter Ehlers
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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
Dorothee Meyer: PedScience Research Institute, 45711 Datteln, 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
Jan Peter Ehlers: Department of Didactics and Educational Research in Health Science, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany

IJERPH, 2022, vol. 19, issue 1, 1-16

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.

Keywords: digital health; health information technology; design thinking; consolidated framework for implementation research; implementation; palliative care; palliative medicine; pediatrics; electronic health record (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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