tailieunhanh - báo cáo khoa học: "Examining sustainability in a hospital setting: Case of smoking cessation"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Examining sustainability in a hospital setting: Case of smoking cessation | Campbell et al. Implementation Science 2011 6 108 http content 6 1 108 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Examining sustainability in a hospital setting Case of smoking cessation Sharon Campbell 1 Karen Pieters1 Kerri-Anne Mullen2 Robin Reece3 and Robert D Reid2 Abstract Background The Ottawa Model of Smoking Cessation OMSC is a hospital-based smoking cessation program that is expanding across Canada. While the short-term effectiveness of hospital cessation programs has been documented less is known about long-term sustainability. The purpose of this exploratory study was to understand how hospitals using the OMSC were addressing sustainability and determine if there were critical factors or issues that should be addressed as the program expanded. Methods Six hospitals that differed on OMSC program activities identify and document smokers advise quitting provide medication and offer follow-up were intentionally selected and two key informants per hospital were interviewed using a semi-structured interview guide. Key informants were asked to reflect on the initial decision to implement the OMSC the current implementation process and perceived sustainability of the program. Qualitative analysis of the interview transcripts was conducted and themes related to problem definition stakeholder influence and program features emerged. Results Sustainability was operationalized as higher performance of OMSC activities than at baseline. Factors identified in the literature as important for sustainability such as program design differences in implementation organizational characteristics and the community environment did not explain differences in program sustainability. Instead key informants identified factors that reflected the interaction between how the health problem was defined by stakeholders how priorities and concerns were addressed features of the program itself and fit within the hospital context and .