Table 3.
Factors that facilitate sustainment
|
Hailemariam et al.'s Facilitating Factors |
Wiltsey Stirman et al.’s Framework | Fully Sustained | Not fully sustained | Example quotation |
|---|---|---|---|---|
| EIP effectiveness or benefit | Innovation characteristics | 10 | 1 | “The [EIP] has been successful and continues to guide our practice” |
| Organizational leadership | Context | 8 | 1 | “We have support from leadership and the department” |
| Workforce | Capacity | 6 | 0 | “The primary team is doing well to manage the process with little oversight and facilitator involvement” |
| Adaptation/Alignment | Processes & interactions | 5 | 0 | “[EIP] was adapted to accommodate more telehealth and fewer face to face encounters during COVID 19” |
| Ongoing support | Processes & interactions | 4 | 1 | “Our facility offers strong support for the [EIP] which has allowed us to expand beyond our own facility” |
| EIP fit | Innovation characteristics | 2 | 1 | “It also fits within the mission of [top VHA initiative]” |
| Critical incidentsa | Outer Settinga | 2 | 0 | “Virtual technology helped keep practice ongoing during COVID” |
| Ability to maintain EIP fidelity/integrity | Innovation characteristics | 1 | 1 | “[EIP] is used on a daily basis” |
| Integration of rules & policies | Processes & interactions | 1 | 0 | “[EIP] made an expectation for all nurses and providers” |
| Resources | Capacity | 1 | 0 | “Equipment is not an issue” |
| Community stakeholder support/involvement | Capacity | 1 | 1 | “I met with stakeholders outside the VA in an effort to get equipment and support for our Veterans in these areas” |
| Internal/external EIP champions | Capacity | 0 | 4 | “Unit champion ensures practice is continued” |
| Training & education | Processes & interactions | 0 | 1 | “Previous work with [EIP staff] trainings have facilitated the early success of the pilot program” |
| Sustained attention to topic/prioritya | N/Aa | 0 | 2 | “We still use some of the [EIP elements] we set in place during the process” |
| Totalb | 41 | 13 |
aNot present in Hailemariam et al.'s factors
bTotals are based on 66% (39/59) of facility representatives who provided brief, open-ended text box responses in the 2021 survey. Some responders had provided more than one type of barrier