Understanding determinants of acute stroke thrombolysis using the tailored implementation for chronic diseases framework: a qualitative study.

ABSTRACT:

Background

The Tailored Implementation in Chronic Disease (TICD) framework is a comprehensive framework describing the determinants of implementation success that has been used extensively in primary care settings. We explored the utility of the TICD to identify determinants of practice in an acute setting, namely guideline concordant acute stroke thrombolysis in a low-resourced, predominately minority serving, large, Emergency Department (ED).

Methods

Through workshops and expert review, we developed an interview guide informed by the TICD framework. We then conducted semi-structured interviews with data collected through written transcripts, audio transcripts or interviewer notes based on participant availability. Three independent coders then performed a content analysis

SUBMITTER: Skolarus LE 

PROVIDER: S-EPMC6425596 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature