Inside help: An integrative review of champions in healthcare-related implementation

作者：Edward J. Miech, Nicholas A. Rattray, Mindy Flanagan, Laura J. Damschroder, Arlene A. Schmid, Teresa M. Damush · 发表于：SAGE Open Medicine · 年份：2018 · DOI：10.1177/2050312118773261 · 被引用次数：551 · 研究领域：Health Policy Implementation Science、Community Health and Development、Interprofessional Education and Collaboration

BACKGROUND/AIMS: The idea that champions are crucial to effective healthcare-related implementation has gained broad acceptance; yet the champion construct has been hampered by inconsistent use across the published literature. This integrative review sought to establish the current state of the literature on champions in healthcare settings and bring greater clarity to this important construct. METHODS: This integrative review was limited to research articles in peer-reviewed, English-language journals published from 1980 to 2016. Searches were conducted on the online MEDLINE database via OVID and PubMed using the keyword "champion." Several additional terms often describe champions and were also included as keywords: implementation leader, opinion leader, facilitator, and change agent. Bibliographies of full-text articles that met inclusion criteria were reviewed for additional references not yet identified via the main strategy of conducting keyword searches in MEDLINE. A five-member team abstracted all full-text articles meeting inclusion criteria. RESULTS: The final dataset for the integrative review consisted of 199 unique articles. Use of the term champion varied widely across the articles with respect to topic, specific job positions, or broader organizational roles. The most common method for operationalizing champion for purposes of analysis was the use of a dichotomous variable designating champion presence or absence. Four studies randomly allocated of the presence...