Publications by authors named "Natassia Boening"
Background: The purpose of this qualitative study was to identify emergent rehabilitation innovations and clinician perceptions influencing their implementation and outcomes related to hospital discharge decision-making during the Coronavirus 2019 pandemic.
Methods: Rehabilitation clinicians were recruited from the Veterans Affairs Health Care System and participated in individual semi-structured interviews guided by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. Data were analyzed using a rapid qualitative, deductive team-based approach informed by directed content analysis.
Background: The purpose of this qualitative study was to use a Learning Health System approach to identify factors influencing the emergence of innovation in rehabilitation hospital discharge decision-making during the Coronavirus 2019 (COVID-19) pandemic.
Methods: Rehabilitation clinicians were recruited from the Veterans Affairs Health Care System and participated in individual semi-structured interviews guided by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. Data were analyzed using a rapid qualitative, deductive team-based approach informed by directed content analysis.
Article Synopsis
- Successful implementation of a 12-month external facilitation intervention increased access to medications for opioid use disorder (MOUD) in Veterans Health Administration (VHA) facilities, but sustaining this access requires ongoing focus and effort.
- Interviews with 39 providers and leaders uncovered that national focus on the opioid crisis, accountability from the study, and leadership support were key factors in sustaining MOUD access, while barriers included staffing challenges and policy overhaul needs.
- Overall, all participating facilities maintained or improved their MOUD/OUD ratios after a 9-month sustainability period, with a team-based approach being beneficial for both high and low performers.