Using implementation science to promote the use of the fascia iliaca blocks in hip fracture care
Authors' conclusion
Our study explains why FICBs are underused and shows that the TDF and CFIR provide a framework to identify barriers and facilitators to FICB implementation.
Study context
- Population
- Stakeholders in hip fracture care (health care providers, managers, patients, caregivers); FICB use in hip fracture carestakeholders interviewed
- Participants
- 35 stakeholders
- Comparison
- Before vs after evidence-based implementation strategies
- Outcome
- Barriers and facilitators to timely FICB administration
Methodological detailssingle-centre, semistructured interviews, site observations, Theoretical Domains Framework (TDF) and Consolidated Framework for Implementation Research (CFIR) mapping
- Single-centre
- Semistructured interviews
- Site observations
- TDF and CFIR mapping
Main finding
As reported in the abstract
Barriers and facilitators to FICB use
- Barriers identified
- 18
- Facilitators identified
- 11
- Themes of influences on FICB use
- seven
- Implementation strategies mapped (restructure environment, educational materials, prepare patients, audit and feedback, local opinion leaders, champions, staff training, mandate change)
- eight
Further findings
Rate of FICB administration, before vs after implementation strategies
- Increase in the rate of FICBs administered (before vs after)
- 48% vs 65%
Median time to FICB administration, before vs after implementation strategies
- Decrease in the median time to administration (before vs after)
- 1.63 vs 0.81 days
Original publication
Using implementation science to promote the use of the fascia iliaca blocks in hip fracture care. Can J Anaesth. Published 12 December 2023. doi:10.
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