Imperial College London
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DrStuartHofer

Faculty of Medicine, School of Public Health

Project Evaluation Manager
 
 
 
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Contact

 

+44 (0)7894 473 482stuart.green

 
 
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Location

 

Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Gilhooly:2019:10.1186/s13012-019-0894-2,
author = {Gilhooly, D and Green, SA and McCann, C and Black, N and Moonesinghe, SR},
doi = {10.1186/s13012-019-0894-2},
journal = {Implementation Science},
title = {Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: A scoping review.},
url = {http://dx.doi.org/10.1186/s13012-019-0894-2},
volume = {14},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundCare bundles are small sets of evidence-based recommendations, designed to support the implementation of evidence-based best clinical practice. However, there is variation in the design and implementation of care bundles, which may impact on the fidelity of delivery and subsequently their clinical effectiveness.MethodsA scoping review was carried out using the Arksey and O’Malley framework to identify the literature reporting on the design, implementation and evaluation of care bundles. The Embase, CINAHL, Cochrane and Ovid MEDLINE databases were searched for manuscripts published between 2001 and November 2017; hand-searching of references and citations was also undertaken. Data were initially assessed using a quality assessment tool, the Downs and Black checklist, prior to further analysis and narrative synthesis. Implementation strategies were classified using the Expert Recommendations for Implementing Change (ERIC) criteria.ResultsTwenty-eight thousand six hundred ninety-two publications were screened and 348 articles retrieved in full text. Ninety-nine peer-reviewed quantitative publications were included for data extraction. These consisted of one randomised crossover trial, one randomised cluster trial, one case-control study, 20 prospective cohort studies and 76 non-parallel cohort studies. Twenty-three percent of studies were classified as poor based on Downs and Black checklist, and reporting of implementation strategies lacked structure.Negative associations were found between the number of elements in a bundle and compliance (Spearman’s rho = − 0.47, non-parallel cohort and − 0.65, prospective cohort studies), and between the complexity of elements and compliance (p < 0.001, chi-squared = 23.05). Implementation strategies associated with improved compliance included evaluative and iterative approaches, development of stakeholder relationships and education and t
AU  - Gilhooly,D
AU  - Green,SA
AU  - McCann,C
AU  - Black,N
AU  - Moonesinghe,SR
DO  - 10.1186/s13012-019-0894-2
PY  - 2019///
SN  - 1748-5908
TI  - Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: A scoping review.
T2  - Implementation Science
UR  - http://dx.doi.org/10.1186/s13012-019-0894-2
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31060625
UR  - http://hdl.handle.net/10044/1/70175
VL  - 14
ER  -
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