Implementation Science and Research
Concurrent Education Session - 60 minutes
Implementation researchers have defined sustainability and outlined sustainability approaches for healthcare. Most of the literature, however, is focused on theory—with little guidance for frontline practitioners who are tasked with sustaining best practice. Defining sustainability and facility-level approaches, although important, does not lead to real-world application at the unit level.
This session provides an overview of sustainability literature related to HAI, facilitation used in the implementation process, and the role of leadership to sustain best practices. We will highlight two tools: Kamishibai Cards (K Cards) and Leadership Rounds.
The word kamishibai means “paper drama” and is an ancient Japanese art form practiced in Buddhist temples which is now used as a management tool known as K Cards; monks use this storytelling art form to convey moral lessons. Leadership Rounds are a practical tool to sustain evidence-based practice. Both tools have been used in manufacturing and now in healthcare, and both can facilitate interaction between leaders and frontline staff.
This session will be framed using the Consolidated Framework for Implementation Research (CFIR) – prompting participants to recognize the importance of looking closely at the inner settings of a facility – including unit and facility culture, learning climate, psychological safety of frontline staff members, readiness for change, and leadership engagement.