Implementing a new clinical service – what’s your elevator pitch?

Background People with multiple sclerosis (PwMS) identify emotional well-being as a key unmet care need. Mindfulness-based interventions (MBI) can improve emotional well-being in PwMS; however, there is a lack of information on their implementation in routine care. Healthcare policy influencers may...

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Vydané v:BMC health services research Ročník 25; číslo 1; s. 462 - 13
Hlavní autori: Sureshkumar, Ashvene, Scandiffio, Jillian, Luong, Dorothy, Munce, Sarah, Lai, Nanette, Feng, Gregory, Bayley, Mark, Oh, Jiwon, Kastner, Monika, Furlan, Andrea D., Sud, Abhimanyu, Feinstein, Anthony, Simpson, Robert
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 28.03.2025
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
Adult
Care and treatment
Comorbidity
Data collection
Decision making
Female
Health Administration
Health aspects
Health care policy
Health Informatics
Health Policy
Health services
Healthcare policy
Humans
Influence
Intervention
Interviews as Topic
Knowledge
Laws, regulations and rules
Male
Management
Medical policy
Medicine
Medicine & Public Health
Mental health
Middle Aged
Mindfulness
Mindfulness meditation
Multiple sclerosis
Multiple Sclerosis - psychology
Multiple Sclerosis - therapy
Nursing Research
Ontario
Policy
Psychological aspects
Public Health
Qualitative
Qualitative Research
Ontario
Canada
Policy
Multiple sclerosis
Mindfulness
Qualitative
Healthcare policy
ISSN:1472-6963, 1472-6963
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Shrnutí:Background People with multiple sclerosis (PwMS) identify emotional well-being as a key unmet care need. Mindfulness-based interventions (MBI) can improve emotional well-being in PwMS; however, there is a lack of information on their implementation in routine care. Healthcare policy influencers may provide critical insight as to the implementation process. The aim of this study was to explore the needs and priorities of healthcare policy influencers for implementing MBIs for PwMS in Canada. Methods A qualitative descriptive approach was adopted using semi-structured interviews with an inductive thematic analysis. Healthcare policy influencers (e.g., senior clinical leaders, provisional health service commissioners, healthcare policymakers) in various settings across Ontario were recruited. Results Twelve individuals with an average age of 51.1 ± 8.9 years participated in the semi-structured interviews. Interviews ranged from 12 to 60 min. Four themes were identified in thematic analysis: (1) Need for evidence with a personal connection is foundational; (2) People Power: Need for Implementation champions; (3) Finding its place: Need for embedding interventions into existing systems; and (4) Sustainability: Need for focus on long-term impact. Conclusion Our study provides novel insight into complex factors which affect implementation of new interventions, such as MBIs for PwMS, into the healthcare landscape in Ontario. Six key steps were identified for implementors to consider when seeking to implement a new intervention: (1) identify the problem and the need for intervention, (2) establish evidence highlighting evidence of effectiveness for an intervention, (3) build a team of implementation champions, (4) pilot the novel intervention to establish proof of concept, feasibility, and ecological integration within current landscape, (5) identify decision makers for intervention implementation, and (6) develop an ‘elevator pitch’ for decision makers. The implementation process is convoluted and can lack clarity. This is a major challenge for implementers. We have identified six key steps for implementers to consider, making this process more transparent and hopefully more successful. Future research should explore, test, and bridge the gaps in the implementation pathway we have identified, as this may be critical in closing the gaps that exist in our healthcare systems.
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-025-12633-9