Validation of the Effectiveness of the CFIR - ERIC Matching Tool in Implementation Research
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: implementation strategies.
- Who it may be relevant to
- Registry conditions: Infusions, Intravenous, Implementation Science. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Validation of the Effectiveness of the CFIR - ERIC Matching Tool in Implementation Research of Pediatric Venous Access Device Selection
Overview
The goal of this implementation study is to learn if the CFIR-ERIC matching tool is effective indeveloping implementation strategies for pediatric nurse. The evidence practised in this study is the pediatric venous access device selection decision tree from clinical practice guideline on infusion therapy in children. The main questions it aims to answer are: 1. Does the implementation strategies developed by CFIR-ERIC matching tool improve nurses knowledge in venous access devices selection. 2. Does the implementation strategies developed by CFIR-ERIC matching tool lower the error rate of appropriate venous access device selection. Researchers will compare the CFIR-ERIC group to a blank group to see if CIFR-ERIC matching tool works to improve nurses knowleged and lower the error rate of venous access device selection. Participants will: 1. Receive the implementation strategies made by CFIR-ERIC matching tool. 2. Using the pediatric venous access device selection decision trees in daily catheterization. 3. Record their venous access device selection informantion, consumables usage and pediatric patients' outcome.
Detailed description
Currently，the evidence-based practice research often isolates barrier assessment from implementation strategy development. At tne same time, many implementation science models being overly complex for clinicians. In Chinese, certain studies still neglect barrier assessment, demonstrate inconsistent conceptualization of implementation strategies, and rarely classify developed strategies.
As a tool for matching and selecting implementation strategies, the CFIR - ERIC matching tool has the characteristics of strong pertinence, repeatability, structuring, systematization, and simple and convenient operation compared with other models. Researchers can identify barrier factors through CFIR and use the CFIR - ERIC matching tool to match strategies to promote the implementation of clinical intervention measures.
This implementation study adopted a pre-post design using the CFIR-ERIC Matching Tool to analyze barriers and develop strategies. Grounded in the "Pediatric Venous Access Device Selection Decision Tree" from the 2021 clinical practice guideline on infusion therapy in children, the intervention was rolled out across 21 wards at the Children's Hospital of Fudan University.
The implementation process of the evidence was evaluated from four aspects using the RE-AIM framework , including the evaluation indicators corresponding to each dimension of patient reach, intervention efficacy, medical adoption, and guideline implementation.
Interventions
- Other implementation strategies
1. Analysis of barrier factors: A focus group interview will be conducted. Purposive sampling was used to include senior nurses in the ward, members of the evidence-based group, and doctors for the analysis of barrier factors. Then the CFIR-ERIC matching tool will be used to develop implementation strategies based on the barrier factors. 2. The best - worst scaling method will be used to generate relatively reliable and valid preference evidence of stakeholders for implementation strategies from
Primary outcome measures
- error rate of appropriate venous access device selection [Time frame: 6 months]
Secondary outcome measures (5)
- Score of nurses' knowledge questionaire of venous access device selection [Time frame: The third and sixth months of the research.]
- Nurses' compliance with evidence-based practice behaviors [Time frame: 6 months]
- Complication rate [Time frame: 6 months]
- The cost of venous access device consumables [Time frame: 6 months]
- Implementing process evaluated based on "Reach*Efficacy(RE)-Adoption, Implementation, and Maintenance(AIM)" framework [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- Having worked at the research site for ≥ 1 year;
- Being able to independently perform nursing operations (having completed the content related to intravenous infusion in the standardized training of this hospital and passed the assessment).
Exclusion criteria
- Not having obtained the nurse practice license;
- Refusing to participate in this study.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Other
Study locations
China · 1 center
- Children's Hospital of Fudan University — Shanghai
Identifiers
NCT: NCT07184489 · CHFudanU0814