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- Title
Factors Shaping the Implementation of Strategies to Prevent Acute Kidney Injury: A Qualitative Study.
- Authors
Carpenter-Song, Elizabeth; Stabler, Meagan E.; Aschbrenner, Kelly; Zubkoff, Lisa; Cox, Kevin C.; Matheny, Michael E.; Brown, Jeremiah R.
- Abstract
Reducing the prevalence of acute kidney injury (AKI) is an important patient safety objective set forth by the National Quality Forum. Despite international guidelines to prevent AKI, there continues to be an inconsistent uptake of these interventions by cardiac teams across practice settings. The IMPROVE-AKI study was designed to test the effectiveness and implementation of AKI preventive strategies delivered through team-based coaching activities. Qualitative methods were used to identify factors that shaped sites' implementation of AKI prevention strategies. Semi-structured interviews were conducted with staff in a range of roles within the cardiac catheterization laboratories, including nurses, laboratory managers, and interventional cardiologists (N = 50) at multiple time points over the course of the study. Interview transcripts were qualitatively coded, and aggregated code reports were reviewed to construct main themes through memoing. In this paper, we report insights from semi-structured interviews regarding workflow, organizational culture, and leadership factors that impacted implementation of AKI prevention strategies.
- Subjects
ACUTE kidney failure prevention; CARDIAC catheterization; HEALTH services administrators; TEAMS in the workplace; PATIENT aftercare; HEALTH services accessibility; PROFESSIONS; SOCIAL support; LEADERSHIP; RESEARCH methodology; HEALTH facility administration; CARDIOLOGISTS; ATTITUDE (Psychology); CHANGE; INTERVIEWING; HUMAN services programs; WORKFLOW; QUALITATIVE research; LABOR turnover; RESEARCH funding; HOSPITAL laboratories; HOSPITAL nursing staff; INTERPROFESSIONAL relations; COMMUNICATION; QUALITY assurance; THEMATIC analysis; DATA analysis software; WORKING hours; PATIENT safety; CORPORATE culture; LABORATORY personnel; COVID-19 pandemic
- Publication
Qualitative Health Research, 2024, Vol 34, Issue 4, p287
- ISSN
1049-7323
- Publication type
Article
- DOI
10.1177/10497323231209651