Factors Shaping the Implementation of Strategies to Prevent Acute Kidney Injury

A Qualitative Study

Bibliographic Data

ID4703056
AuthorsE Carpenter-Song (0000-0002-7545-1717, Dartmouth College, corresponding author), Meagan E Stabler (0000-0002-3706-2622, Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA), Kelly Aschbrenner (Department of Psychiatry), Kelly A Aschbrenner (0000-0001-6243-2421, Dartmouth College), Lisa Zubkoff (0000-0002-0728-2237, Department of Medicine, University of Alabama at Birmingham and VA Birmingham Health Care, Birmingham, AL, USA), Kevin C Cox (0000-0002-3275-6692, Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA), Michael E Matheny (0000-0003-3217-4147, Vanderbilt University Medical Center, Nashville, TN, USA), Jeremiah R Brown (0000-0003-4512-9716, Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA)
Year2024
Volume34
Issue4
Pages287-297
Publication date2024-03-01
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323231209651
PMID37939257
OpenAlexW4388486248
LanguageEN
References cited16

Reducing the prevalence of acute kidney injury (AKI) is an important patient safety objective set forth by the National Quality Forum. Despite international guidelines to prevent AKI, there continues to be an inconsistent uptake of these interventions by cardiac teams across practice settings. The IMPROVE-AKI study was designed to test the effectiveness and implementation of AKI preventive strategies delivered through team-based coaching activities. Qualitative methods were used to identify factors that shaped sites' implementation of AKI prevention strategies. Semi-structured interviews were conducted with staff in a range of roles within the cardiac catheterization laboratories, including nurses, laboratory managers, and interventional cardiologists ( N = 50) at multiple time points over the course of the study. Interview transcripts were qualitatively coded, and aggregated code reports were reviewed to construct main themes through memoing. In this paper, we report insights from semi-structured interviews regarding workflow, organizational culture, and leadership factors that impacted implementation of AKI prevention strategies

Acute kidney injury · Coaching · Health care · Medical education · Operations management · Organizational culture · Patient safety · Psychological intervention · Public relations · Qualitative research · Quality management · Workflow · Acute Kidney Injury Research · Cardiac Arrest and Resuscitation · Medicine · Nursing · Patient Safety and Medication Errors · Psychology · Internal Medicine

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