Pre-implementation Stage Research Articles

Pemberdayaan Ekonomi Masyarakat Melalui Home Industry

This study aims to analyze the community economic empowerment program through the implementation program and the results of community economic empowerment through the tulangsapi craft home industry in Pasirtukul Village. This research method is a qualitative research using descriptive method. Data collection techniques used, interviews, and documentation. Data analysis was carried out through a logical interpretation that spread with the context of Community Economic Empowerment. The results of the study showed that the Community Economic Empowerment program through the home of Cattle Bone craft industry was an activity used to provide information. Build with manufacturers for craftsmen with the aim of improving the economy of the craftsmen. In addition, from this activity the community is given craft tools and procedures for managing production results. The process carried out by agricultural training consists of several stages, namely the pre-implementation stage, the manufacturing process, the process and the discussion. the community is clearer in managing handicrafts; the craftsman community finds more in the home industry; The economic control of the community through industrial houses, cow bone crafts, produces relations and network links for craftsmen to improve their handicrafts

Konseling Pranikah Untuk Kesiapan Mental Calon Pasangan di Badan Kependudukan dan KB Kota Binjai Pada Masa Pandemi Covid 19

The purpose of this study is to identify the description of premarital counseling for the mental readiness of prospective couples in the Population and Family Planning Board of Binjai City. This study used a qualitative descriptive research method. The subjects of this study were psychologists and prospective partners who took part in the counseling process, and the objects in this study were a psychologist and 4 catin who attended premarital counseling. The results of this study was the implementation model of premarital counseling at the Population and Family Planning Board of Binjai City uses two stages, namely: a) the pre-implementation stage and b) the implementation stage. The counseling model used for the mental readiness of prospective partners uses a group counseling model. At the time of counseling, PUP is introduced, and creates a happy family. The bride and groom come to the Population and Family Planning Board of Binjai City to complete the marriage requirements, gain knowledge about marriage and how to build a happy family so that later they can minimize the problems that come in domestic life.

Assessment of trap efficiency of Dokan dam with different sediment management techniques using ResCon 2.2

Dokan dam is one of the strategic dams in Iraq with third larger storage capacity, the importance of this project comes through the functions that were built for; irrigation, flood prevention, hydropower generation, and tourism. Even in the pre-implementation stage, the sediment study was not conducted to predict the storage through the life of the dam. The rate of the siltation processed is indicated as 3.8 million m3 /year. For reservoir sedimentation analysis, many factors should be identified like shape of the lake behind dam, trap efficiency (TE), rate of sedimentation, and sediment management process. Different sediment management techniques are used in this research to predict the trap efficiency of Dokan dam for up to 300 years of project life, the analysis of available data shows that TE of Dokan dam is 97% up to 2055; and ResCon 2.2 model shows that the best sediment management techniques which give higher TE are catchment management, by-pass, and trucking of about 95%, 96%, and 97% respectively. The selection of the best techniques will be address after examining economical and technical factors.

Evaluation of Automated Alert and Activation of Medical Emergency Team in Head and Neck Cancer Patients Using Early Warning Score at Tertiary Level Hospital in North India.

Improved patient safety for those undergoing treatment of head and neck cancers depends on prompt identification of warning indicators from severely critical patients and appropriate treatment. As a result, many hospitals all around the world have implemented quick response techniques, including medical emergency teams (MET), which have systems and personnel that are highly trained to deal with patients who are deteriorating. Nowadays, automated activation and alert programs are also being discussed. To compare the patient outcomes in two conditions: one before the application of the automated MET alert and activation program and the other after the application of the automated MET alert and an activation programwas used. There was an examination of clinical data on MET-managed patients before and after the computerized alert and activation approach was put in place. The study comprised all adult head and neck cancer patients who were treated by the MET between March 1, 2017, and December 31, 2021. The physiologic abnormalities of the patient at the moment of the MET initiation were recorded as causes for MET activation when the MET was alerted by the computerized alert, and activation system.From activation through deactivation, the MET intervention lasted. Hospital mortality served as the study's primary outcome. The duration of stay at the hospital and unscheduled ICU hospitalizations were secondary outcomes. Medical records from hospitals were examined retrospectively to get information on clinical outcomes. The percentage of unplanned admissions in ICU was greater in the pre-implementation stage (22.34%) as compared to that in the post-implementation stage (13.56%) (p value<0.001). The duration of stay of patients at the hospital also got reduced in the post-implementation phase (13.23 ±1.47 days) as compared to the pre-implementation stage (24,76± 1.12 days) (p<0.001). The median time of derangement of activation of MET was greater in the pre-implementation stage (62 minutes) as compared to the post-implementation stage (34 minutes) (p-value <0.001). The most common complications leading to MET activation in a pre-implementation phase were neurological and respiratory complications. On the other hand, overall deterioration was the most common cause of MET activation. The mortality rate of patients in the pre-implementation stage was 36.23% as compared to 22.12% in the post-implementation stage (p<0.001). The hospital experienced improved clinical outcomes with the adoption of an automated alarm and activation system using a cumulative weighted scoring methodology, which significantly reduced the time from disruption to MET activation.

Study the Value of Togetherness and Gotong Royong (Team Work) Of Flying Duce Race in Limapuluh Kota Regency

This research is based on the trend of folk traditions in the people of West Sumatra. One of them is a tradition in the form of a competition that uses livestock such as cows, buffaloes, and ducks were in its implementation the community blends from several Luak Limapuluh (Limapuluh Kota Regency and Payakumbuh) West Sumatra Province. This study intends to explain the values of togetherness and gotong royong (team work) in the tradition of Flying Duck Race in the Limapuluh Kota Regency. The formulation of the problem in this study is how the values of togetherness and gotong royong (team work) in the tradition of Flying Duck Race of Limapuluh Kota Regency. The purpose of this study is to analyze how the values of togetherness and mutual cooperation in the tradition of Flying Duck Race in Limapuluh Kota regency. The data collection techniques in this study are observation, interviews, and documentation. The informants in this study consisted of 9 (nine) people, namely the Chairman of the Nagari Traditional Density as well as the head of porti, the Tourism Office for Sports and Culture of Limapuluh Kota Regency, the Chairman of the Luak Reinbond the Chief Executive, the Competition Participants, and the community. Data analysis techniques use qualitative methods with a sociological study approach. The results in this study explain that in the tradition of Flying Duck Race there are values of togetherness in the form of humility, service and mutual cooperation has values in the form of unity, voluntary, kinship, help which are reflected when the implementation starts from the pre-implementation stage to the post-implementation or evaluation stage where the tradition is always maintained in the life of the community.

KEDUDUKAN PERATURAN NAGARI DALAM PERSPEKTIF HUKUM TATA NEGARA (Studi Pembentukan Peraturan Nagari di Manggilang)

A written regulation is needed in a Nagari to guide the leader of Nagari that is called by Wali Nagari to run his government. However, these days, in Nagari the regulation used is the unwritten regulation that only shared among the community. This study aims to encourage to form the Nagari Regulation especially for Nagari Manggilang. This study was carried out in a normative-empirical manner by conducting interviews and observations. The data found will be strengthened by various government regulations to obtain a more scientific study. From the findings during the research, the authors found that the Nagari Regulations are still recognized and have binding legal force even though they are not stated in detail on the types of hierarchy of laws and regulations in Indonesia. Meanwhile, the process of forming Nagari Regulations in Nagari Manggilang includes the pre-implementation, implementation, and post implementation. In the pre-implementation stage, it was found that the authority of the KAN institution was not fully fulfilled so that it was not in accordance with the mandate of the Regional Regulation of West Sumatra Province Number 7 of 2018 concerning Nagari. Therefore, there should be special regulations related to the institutions authorized to form Nagari regulations in Nagari Manggilang.

Pre-implementation Assessment of Tobacco Cessation Interventions in Substance Use Disorder Residential Programs in California

Background Across the United States, substance use disorder (SUD) treatment programs vary in terms of tobacco-related policies and cessation services offered. Implementation of tobacco-related policies within this setting can face several barriers. Little is known about how program leadership anticipate such barriers at the pre-implementation phase. This study used the Consolidated Framework for Implementation Research (CFIR) during the pre-implementation stage to identify factors that may influence the implementation stage of tobacco-related cessation policies and services in residential SUD programs. Methods We conducted semi-structured qualitative interviews with sixteen residential treatment program directors in California. The analysis was guided by a deductive approach using CFIR domains and constructs to develop codes and identify themes. ATLAS.ti software was used to facilitate thematic analysis of interview transcripts. Findings Themes that arose as anticipated facilitators for implementation included the relative advantage of the intervention vs. current practice, external policies/incentives to support tobacco-related policy, program directors’ strong commitment and high self-efficacy to incorporate cessation into SUD treatment, and recognizing the importance of planning and engaging opinion leaders. Potential barriers included the SUD recovery culture, low stakeholder engagement, organizational culture, lack of workforce expertise, and lack of reimbursement for smoking cessation services. Conclusion To support successful implementation of tobacco-related organizational change interventions, staff and clients of residential SUD programs require extensive education about the effectiveness of evidence-based medications and behavioral therapies for treating tobacco dependence. Publicly funded SUD treatment programs should receive support to address tobacco dependence among their clients through expanded reimbursement for tobacco cessation services.

The perspectives of older adults with mild cognitive impairment and their caregivers on the use of socially assistive robots in healthcare: exploring factors that influence attitude in a pre-implementation stage

Background Due to increasing age and an increasing prevalence rate of neurocognitive disorders such as Mild Cognitive Impairment (MCI) and dementia, independent living may become challenging. The use of socially assistive robots (SARs) is one solution that can enable older adults with cognitive impairment to remain independent. However, at present, there is a lack of knowledge about the attitudes of older adults with MCI and their caregivers towards SARs. Methods This study relies on a constructivist grounded theory approach. Semi-structured interviews were conducted to gain a deeper insight into attitudes of two different stakeholder groups; older adults with MCI and their (in)formal caregivers. Results Forty individual semi-structured interviews were conducted with older adults with MCI (N = 30) and (in)formal caregivers (N = 10). Data revealed different perspectives on SARs in healthcare for the involved stakeholders. Two main topics could be derived: (1) perspectives on robot assistance, discussing different viewpoints on the potential value of robots as helpers, and (2) perspectives on implementation, revealing different factors that could affect implementation. Both topics may explain a positive, impartial or negative attitude towards SARs. Conclusions This study identified different factors that should be taken into account when implementing a SAR in the home environment of older adults. Despite the fact that the benefits of SARs are often recognized, many older participants currently seem not ready yet to commit to the use of a SAR. IMPLICATIONS FOR REHABILITATION This study explores the attitudes towards a SAR, developed to stimulate and support older adults with Mild Cognitive Impairment (MCI) on a physical, cognitive and social level. The results give a deeper insight into different factors contributing to a (non-) successful implementation of SARs in the home environment of older adults with MCI.

Leadership Practices: Impact on Brigada Eskwela Level of Implementation

This study aimed to investigate and explore the impact of leadership practices in the level of implementation of brigada eskwela. To facilitate such concern, two (2) sets of questionnaires were utilized by the researcher. One (1) is for the inventory of leadership practices of the school head and the second one is for the inventory on the level of implementation of brigada eskwela. Frequency, Mean, standard deviation, and T-test were the statistical tools used in this research. The results revealed that the three (3) prevailing leadership practices were democratic, transformational and delegative. The Brigada Eskwela implementation stages namely: Pre-implementation stage, implementation stage and post-implementation stage were all rated at very high level. Moreover, significant difference was also registered on the impact of leadership practices in all stages of the implementation of brigada eskwela program. Thus, managerial skills are a key factor in conducting an activity or program like the brigada eskwela.

Boundary Objects as Dialogical Learning Accelerators for Social Change in Design for Health: Systematic Review.

BackgroundBoundary objects can add value for innovative design and implementation research in health care through their organizational focus and the dynamic structure between ill-structured and tailored use. However, when innovation is approached as a boundary object, more attention will need to be paid to the preimplementation phase. Research and design thinking pay attention to the preimplementation stage but do not have a social or organizational focus per se. The integration of boundary objects in design methodologies can provide a more social and organizational focus in innovative design projects by mapping out the mechanisms that occur at boundaries during design. Four dialogical learning mechanisms that can be triggered at boundaries have been described in the literature: identification, coordination, reflection, and transformation. These mechanisms seem suitable for integration in innovative design research on health.ObjectiveFocusing on innovation in health, this study aims to find out whether the different learning mechanisms can be linked to studies on health innovation that mention boundary objects as a concept and assess whether the related mechanisms provide insight into the stage of the design and implementation or change process.MethodsThe following 6 databases were searched for relevant abstracts: PubMed, Scopus, Education Resources Information Center, PsycINFO, Information Science and Technology s, and Embase. These databases cover a wide range of published studies in the field of health.ResultsOur initial search yielded 3102 records; after removing the duplicates, 2186 (70.47%) records were screened on the title and abstract, and 25 (0.81%) papers were included; of the 13 papers where we identified 1 mechanism, 5 (38%) described an innovation or innovative project, and of the 12 papers where we identified more mechanisms, 9 (75%) described the development or implementation of an innovation. The reflective mechanism was not identified solely but was present in papers describing a more successful development or implementation project of innovation. In these papers, the predetermined goals were achieved, and the process of integration was relatively smoother.ConclusionsThe concept of boundary objects has found its way into health care. Although the idea of a boundary object was introduced to describe how specific artifacts can fulfill a bridging function between different sociocultural sites and thus have a social focus, the focus in the included papers was often on the boundary object itself rather than the social effect. The reflection and transformation mechanisms were underrepresented in the included studies but based on the findings in this review, pursuing to trigger the reflective mechanism in design, development, and implementation projects can lead to a more fluid and smooth integration of innovation into practice.

Social life-cycle assessment (S-LCA) of residential rooftop solar panels using challenge-derived framework

BackgroundSocial life-cycle assessment (S-LCA) provides a framework to evaluate the social impacts of decisions made during the design phases of a product. Rooftop solar panels are considered an environmentally friendly renewable energy technology due to their ability to generate electricity without producing greenhouse gases while generating electricity. This study presents the application of a challenge-derived S-LCA framework to assess the social impacts of rooftop solar panels in the southeast region of the United States (U.S.) during the use and end-of-life phases.MethodsThe challenge-derived S-LCA framework was developed based on a set of challenges to performing social assessments. The challenges were identified through a systematic mapping process and verified using expert feedback. Additional feedback is gathered through users from mechanical engineering capstone design students. The case study application shown in this paper aims to identify the potential social impacts at a pre-implementation stage of the rooftop solar panel in residential applications. The framework follows the ISO 14040 LCA structure, and the analysis was performed based on impact indicators (Type-I framework) and performance reference points (PRP).ResultsThe framework implements existing social impact assessment methodologies, and guides each of the assessment stages based on the type of analysis performed. The results highlight the workers as the stakeholder group with the highest social impacts. The results also highlight the need for regulation to make rooftop solar panels accessible to low-income community members.ConclusionsAn S-LCA framework to assess the social impacts of product systems and technologies is implemented to evaluate the potential social impacts of residential rooftop solar panels. The framework presented applies to product systems and technologies at a pre- or post-implementation state, and it aims to guide novice and expert users alike. Nonetheless, further research is still needed to improve the methodology presented, and additional case studies should be performed to test the applicability of the framework across a broad set of fields.

A Note on End-User Requirements Elicitation for Electronic Medical Records Implementations

This paper summarises the arguments and counterarguments within the scientific discussion on the issue of the implementation of Electronic Medical Records (EMR). The primary purpose of the research is to present a framework for gathering end-user requirements in EMR system implementation. The cross-geographical literature review demonstrates EMR system implementation to be a complicated task to manage. A systematic review of literature sources and approaches for solving the problem indicates that a lack of end-user participation often results in technology rollbacks. The failures to implement electronic medical records are considered to be the reasons for financial losses, followed by the rearrangements of key personnel. The author of the article investigates the role of the main actors involved in the healthcare process. Consequently, as the market adoption of EMRs grows and its impact as a workflow management tool in care facilities increases, focusing on end-user requirements during the implementation phase becomes essential. Investigation of the topic reveals that the opposing points of view, learning investments, and the embedded nature of older technologies deter users from accepting new technology. Methodological research tools involved studying the workflows in a regular outpatient journey. Taking the case of a standard outpatient facility, the paper attempts to present its results through a framework for requirement gathering in the pre-implementation stages. A plan of action for eliciting end-user requirements for the users in a three-stage framework is being proposed. Considering the diverse number of actors in the standard outpatient journey, the three-stage framework breaks down requirements by roles and educational backgrounds and gathers into 1) antecedent or existing conditions; 2) formal and informal communication channels; 3) user and system-generated requirements. This framework relies on synthesising existing frameworks and arranging them in sequential order for real-world implementations based on existing research papers.

A pilot model of a public-private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening.

We developed an implementation plan to integrate diagnostic testing for coronavirus disease 2019 (COVID-19) into a public school system. Implementation barriers were identified and strategies were mapped to overcome them. A COVID-19 diagnostic testing program leveraging a public-private partnership was developed for a public school system. A suburban school district and a local hospital during the 2020-2021 academic year. Using Consolidated Framework for Implementation Research (CFIR) constructs and evidenced-based implementation strategies, the program was designed as a "closed system" and was adapted based on stakeholder feedback. Implementation barriers and facilitators were identified and mapped to CFIR constructs to provide insights into factors influencing program adoption. Preimplementation stages of engagement, feasibility, and readiness planning were completed. The program did not progress to implementation due to multiple factors, including changes in school leadership (inner setting and process-level constructs), improved access to outside testing, and lack of an existing paradigm for in-school testing (external constructs). Limited support from key stakeholders and opinion leaders was also a barrier (process-level construct). Although this locally initiated program did not progress beyond the preimplementation stage, the processes developed and barriers identified may be useful to inform planning efforts in other testing programs within public school systems. Future programs may consider incorporating multiplex diagnostic testing for influenza in addition to COVID-19. With relaxation of infection control measures, the prevalence of other respiratory viruses will increase. Actionable results will be needed to inform decisions about closures and quarantines.

Da'wah Patterns through Local Culture of Gesrek Art in Kombongan Village, Garut Regency

The purpose of this study was to determine the art of Gesrek as a medium of cultural da'wah and the pattern of da'wah in the local culture of Gesrek art. The research was conducted in Kombongan Village, Pakenjeng Village, Pamulihan District, Garut Regency. The choice of this place was based on the growth and development of the art of Gesrek as one of the local pearls of wisdom of the Garut people. The research was conducted with a qualitative approach through descriptive methods. Where the researcher collects data through observation and in-depth interviews in order to be able to compare the data in the field and the literature review according to the research topic, the results showed that Gesrek art could be used as an effective cultural propaganda medium because this art contains practices that are following Islamic teachings both at the pre-implementation stage and at the time of implementation. The da'wah pattern of dialogue is a form of interaction between Islam and local culture in the art of Gesrek. This is marked by the content of the prayer and the behavior of the art following Islamic teachings and sharia, such as readings sourced from Al-Quran verses and rituals prior to their implementation that follow Islamic teachings.

Pengembangan Ekonomi Berbasis Potensi Lokal Untuk Pemberdayaan Pemuda di Desa Binaan Pamekasan

Community development is the essence of community empowerment, especially in terms of increasing participation in something that will be carried out by a group of people. The fostered village is one of the community development programs with a target location of a village that meets the characteristics to become a fostered village. Developing fostered villages is the right and strategic choice for the benefit of regional development in the current Covid-19 pandemic conditions. One of the developed villages is located in Barurambat Timur Village, Pademawu District, Pamekasan Regency, East Java Province. The method of implementing this community service program is carried out in several stages, including pre-implementation stage, preparation stage, implementation stage and monitoring and evaluation stage. The purpose of this community service activity is to develop the local economy by increasing the capability of youth regarding the processing of products/businesses managed by young people in the target villages. The results that have been achieved in this community service are that by providing socialization and training on the processing of local potential, it can empower youth in the target villages to develop products from the efforts that have been made. This training triggers the youth in the target villages to be creative in creating updates or innovations in processing their local potential. It is hoped that the existence of economic development activities on the local business potential of the youth in the fostered villages can revive the regional economy as a mitigation of the impact of the economic recession due to Covid-19.Keywords: community empowerment, fostered villages, economic development, local potential

Data Needs for Economic Evaluations of Screening in Pediatric Primary Care: A Research Framework.

Data Needs for Economic Evaluations of Screening in Pediatric Primary Care: A Research Framework.

Pre-Marital Counseling Effectiveness In Building Happy Muslim Families

This study discusses the effectiveness of premarital guidance and counseling in building sakinah families at the Office of Religious Affairs (KUA) of Parigi District, Parigi Moutong Regency. The study used qualitative methods and the data was gathered through observation, indepth interviews and written material. The data analysis was analyzed through reduction process, then the data was presented in a table, and it was also verified, and finally the discussion was built based on the data. The results showed that (1) Guidance and premarital counseling in KUA Parigi District has been effectively carried out through premarital counseling and counseling programs carried out through two stages namely the pre-implementation stage and the implementation stage by increasing the role of the counselor in handling divorce, and guidance and pre-marital counseling with procedures that have been determined based on the existing schedule and comprehensive pre-marital guidance materials guided by KUA Employees and several other relevant agencies.

End users' resistance behaviour paradigm in pre-deployment stage of ERP systems: evidence from Bangladeshi manufacturing industry

PurposeThis study proposes a research model to identify the relevant constructs of employee resistance and symbolic adoption in pre-implementation stage of enterprise resource planning systems in manufacturing industries, drawing suitable support from the existing body of literature. The proposed model is a combination of the status quo bias theory and absorptive capacity theory to measure employee resistance that negatively lead to symbolic adoption of a user.Design/methodology/approachThis research used a self-administered questionnaire to survey 221 participants from five organizations in the manufacturing industry, all working towards deploying enterprise resource planning (ERP) systems.FindingsThe results show that factors contributing to status quo bias and absorptive capacity impact end-user grumbling. Furthermore, end-user grumbling affects symbolic adoption substantially.Practical implicationsThis study provides researchers, practitioners and ERP vendors a broader overview of employees' resistance and motivation for using newly deployed systems.Originality/valueIn the past two decades, both practitioners and academicians are investigating the technical and non-technical features that assist end-users to adopt the system. Information system theories center on the post-deployment stage, with rare attempts to identify users' resistance and mental willingness to accept technology in the pre-adoption phase, which is very crucial for the success of ERP.

Effects of Computerised Clinical Decision Support on Adherence to VTE Prophylaxis Clinical Practice Guidelines among Hospitalised Patients.

Venous thromboembolism (VTE) is an important patient safety concern. VTE leads to significant mortality and morbidity and a burden on healthcare resources. Despite the widespread availability of evidence-based clinical practice guidelines on VTE prophylaxis, we found that only 50.9% of our patients were receiving appropriate prophylaxis. The purpose of this study was to evaluate the impact of automation of an adapted VTE prophylaxis CPG using a clinical decision support system (the VTE-CDSS) on VTE prevention among hospitalised adult patients. A quasi-experimental study (pre- and post-implementation) was conducted at a large 900-bed tertiary teaching multi-specialty hospital in Riyadh, Saudi Arabia. The 1809 adult patients in the study included 871 enrolled during the pre-implementation stage and 938 enrolled during the post-implementation stage. Multi-faceted implementation interventions were utilised, including leadership engagement and support, quality and clinical champions, staff training and education and regular audit and feedback. Two rate-based process measures were calculated for each admission cohort (i.e. pre- and post-implementation): the percentage of inpatients who were assessed for VTE risk on admission and the percentage of inpatients who received appropriate VTE prophylaxis. Two outcome measures were calculated: the prevalence of hospital-acquired VTE (HA-VTE) events and the in-hospital all-cause mortality. The percentage of inpatients risk assessed for VTE on admission increased from 77.4% to 93.3% (P < 0.01). The percentage of patients who received appropriate VTE prophylaxis increased from 50.9% to 81.4% (P < 0.01). The HA-VTE events decreased by 50% from 0.33% to 0.15% (P < 0.01).All-cause in-hospital mortality did not significantly change after implementation of the VTE-CDSS compared with pre-implementation mortality (P > 0.05). The VTE-CDSS improved patient safety by enhancing adherence to the VTE prophylaxis best practice and adapted CPG. The multi-faceted implementation strategies approach improved the compliance rate of risk assessment and the adherence to prophylaxis recommendations and substantially reduced the HA-VTE prevalence. A successful CDSS requires a set of critical components to ensure better user compliance and positive patient outcomes.

Implementation of a standard outcome set in perinatal care: a qualitative analysis of barriers and facilitators from all stakeholder perspectives

BackgroundTo improve their quality, healthcare systems are increasingly focused on value delivered to patients. For perinatal care, the International Consortium for Health Outcomes Measurement (ICHOM) proposed a patient-centred outcome set with both clinical and patient-reported measures for pregnancy and childbirth (PCB set). This study aimed to identify factors that affect the implementation of the PCB set at the pre-implementation stage, using the consolidated framework for implementation research (CFIR).MethodsIn this qualitative study, we conducted semi-structured interviews amongst a purposive sample of key stakeholders within an obstetric care network (OCN): 1) patients, 2) perinatal care professionals involved in the full cycle of perinatal care, and 3) policy makers, including hospital managers, administrative staff and health care insurers. While the CFIR guided data capture and structuring, thematic analysis revealed overarching themes that best reflected the barriers and facilitators from different stakeholder perspectives. Within these overarching themes, the CFIR constructs were maintained.ResultsInterviews were conducted with 6 patients, 16 professionals and 5 policy makers. Thematic analysis supported by the CFIR framework identified four main themes: the instrument and its implementation process, use in individual patient care, use in quality improvement, and the context of the OCN. Important barriers included professional workload, data reliability, and interprofessional and interorganizational collaboration. Potential facilitators were the PCB set’s direct value in individual care, interprofessional feedback and education, and aligning with existing systems. Prominent variations between stakeholder groups included the expected patient burden, the level of use, transparency of outcomes and the degree of integrated care.ConclusionsThis study clarified critical factors that affect successful implementation of the PCB set in perinatal care. Practice recommendations, suggested at multiple levels, can enable structural patient-centred care improvement and may unite stakeholders towards integrated birth care.