Article

The study assessed sustainability of the Family Care Map, a family-centered
approach to providing care for Veterans with polytrauma-related injuries, in four
Department of Veterans Affairs Polytrauma Rehabilitation Centers. We applied a
mixed-methods approach. Staff surveys used standardized measures of
sustainability, commitment to change, information, and participation during
implementation. Qualitative inquiry assessed Family Care Map implementation and
facilitators and barriers to sustainability. Staff sustainability perceptions had
a significant positive correlation with affective commitment to change,
participation, and information received about the change process. Family Care Map
integration into standard practices and use of its concepts with patients and
families related to staff perceptions about sustainability. The degree of use and
integration of the Family Care Map in traumatic brain injury/polytrauma care
varied among the Polytrauma Rehabilitation Centers. Some successful
sustainability strategies included integration into daily workflow and
organizational culture. Examples of sustainability barriers included staff
awareness and use and outdated information. Some practices, such as measuring and
documenting the use of the Family Care Map in treatment plans, may not routinely
occur. The focus on family-centered care will require further evaluation of
organization-, staff-, and innovation-level attributes that influence
sustainability of changes designed to improve family-centered care.

Langue : ANGLAIS