NursingLesson 1 of 1 in the course Implementation and Evaluation Considerations

Assessing Facilitators and Barriers in Community Program Implementation

5 flashcards · 5 quiz questions · 5 match pairs · 5 fill-in sentences · English

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Summary

Even a well-designed, evidence-based community health program can encounter challenges when it is put into practice. Identifying what may help or hinder implementation allows the program team—and nurses as members of that team—to plan more effectively, adapt interventions, and improve the likelihood of success.

A facilitator is a person or thing that makes implementation of program interventions and activities easier. A barrier is a condition or challenge that makes implementation more difficult or less effective.

All flashcards

What is an implementation facilitator?
A person or thing that makes implementation of program interventions and activities easier, such as an engaged community champion or an intervention that fits existing organizational functions.
How can a team identify potential barriers and facilitators?
Use findings from a community needs assessment, relevant literature and research, and experience with the target population, community, and similar programs.
Name common barriers related to intervention planning.
Examples include interventions that are not tailored to the population or context, insufficient evidence, excessive complexity, underestimated coordination needs, and inadequate recruitment or retention planning.
What should guide the choice of a strategy to reduce a barrier?
Consider the barrier’s likely impact on program effectiveness and the strategy’s potential to reduce that barrier.
Why must implementation strategies be evaluated and revised?
Resources, partners, social conditions, geography, timing, and participant needs can vary or change. Regular evaluation helps the team adapt strategies to current circumstances.

Quiz questions

  1. What is an implementation facilitator?Answer: A person or factor that makes program activities easier to carry out.
  2. Which sources can help a team identify likely implementation facilitators and barriers?Answer: Needs assessments, research literature, and experience with similar communities or programs.
  3. Which factor can hinder program implementers?Answer: High workloads and competing priorities.
  4. Transportation costs are preventing participants from attending a community program. Which strategy most directly addresses this barrier?Answer: Reimburse bus fares to help participants attend.
  5. What should a team consider when choosing a strategy to address an implementation barrier?Answer: The barrier’s impact and the strategy’s likelihood of reducing it.

Based on Population Health for Nurses by Jessica Ochs, Sherry L. Roper, Susan M. Schwartz (OpenStax), licensed CC BY 4.0. Adapted into a summary, flashcards and quizzes.

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