A research study to identify facilitators and barriers to outcome measure implementation

Int J Palliat Nurs. 2005 May;11(5):218-25. doi: 10.12968/ijpn.2005.11.5.218.


Aim: To identify facilitators and barriers to implementing outcome measures.

Methods: An action-research approach within a hospice and nursing home was used. Staff took part in semistructured interviews pre- and post-implementation of the Palliative Care Outcome Scale (POS), completed diaries and participated in monthly meetings.

Findings: Qualitative content analysis identified barriers to implementation including: a top-down decision-making approach; outcome measures perceived as time-consuming to use; limited resources for data analysis; and a lack of knowledge of the importance of outcome measures. Facilitators to successful implementation include: involving all staff in decisions about implementation; and using a measure that can be adapted to organization needs and clinical practice. The benefits of using the measure are rapidly noticeable.

Conclusions: Given the need to evaluate services and the role outcome measures can have within clinical governance, this article indicates methods by which measures may be more successfully implemented.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel*
  • Data Collection
  • Data Interpretation, Statistical
  • Decision Making, Organizational
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand
  • Health Services Research
  • Hospice Care / organization & administration
  • Humans
  • London
  • Medical Staff / psychology
  • Nursing Assistants / psychology
  • Nursing Audit / organization & administration
  • Nursing Homes / organization & administration
  • Nursing Methodology Research
  • Nursing Staff / education
  • Nursing Staff / organization & administration
  • Nursing Staff / psychology*
  • Outcome Assessment, Health Care / organization & administration*
  • Professional Competence
  • Surveys and Questionnaires
  • Time Factors
  • Workload