Barriers and Enablers presentation

The Quality in Acute Stroke Care (QASC) Barriers and Enablers

Ms Simeon Dale Clinical Research Fellow Nursing Research Institute

Barriers and Enablers

Why do we need to do a Barriers and Enablers Assessment?

• Essential part of the implementation process

• Understand why you are not achieving best practice

• If barriers are not overcome, no change will take place

Part A- Who to involvePart B - Barriers at the people levelPart C - Other barriersPart D - Enablers

How to use the QASC Barriers and Enablers Assessment TOOL ?

Part A – Who to involve; Seeks to identify the key people, teams/groups that will be crucial to the successful implementation of the FeSS clinical protocols

Part A - Example Individual or Group

Role in implementation process?Rank Importance:1-5

Examples:

Nurse Unit Manager

• Provide leadership and support for the FeSS clinical protocol

Speech Pathologist

• Assist with the education of staff and support for the use of the FeSS clinical protocol

Part B – Barriers at the peoplelevel;Focuses on the individuals and/or teams identified in Part A and the factors that may act as barriers or enablers to their acceptance and implementation of the FeSS clinical protocols

Part B - Example Individual or Group

BarriersRank Importance:1-5

Example:Night duty RN

• Sceptical about the value of EBP to own clinical practice and has inadequate knowledge about the FeSS clinical protocol

• Is resistant to change - ‘Have been using the hospital stroke guidelines effectively for the last 20 years- why change now?’

Part C – Other barriers;Seeks to identify any other barriers that could be related to the unit/ward, inter- professional relations, work place culture, resources etc

Part C - Example FactorNature of potential barrierRank

Importance:1-5

Examples:

The evidence
• Staff may be unaware of the evidence regarding the FeSS clinical protocols

Resources
• Lack of equipment – thermometers, glucose monitors

Part D –Enablers;Looks at what strategies or incentives could be used to enable implementation of the FeSS clinical protocols

Part D - Example Individual or Group

Possible incentives/aids to change?

Best way to inform/approach/involve them in the FeSS implementation process?

Example:

Medical Staff
• Desire to improve outcomes for their stroke patients

Include all members of MDT in staff education sessions

Any Questions ?