Family care map: Sustaining family-centered care in Polytrauma Rehabilitation Centers
Open accessAbstract
The study assessed sustainability of the Family Care Map, a family-centered approach to providing care for Veterans with polytrauma-related injuries, in four Department of Veterans Affairs Polytrauma Rehabilitation Centers. We applied a mixed-methods approach. Staff surveys used standardized measures of sustainability, commitment to change, information, and participation during implementation. Qualitative inquiry assessed Family Care Map implementation and facilitators and barriers to sustainability. Staff sustainability perceptions had a significant positive correlation with affective commitment to change, participation, and information received about the change process. Family Care Map integration into standard practices and use of its concepts with patients and families related to staff perceptions about sustainability. The degree of use and integration of the Family Care Map in traumatic brain injury/polytrauma care varied among the Polytrauma Rehabilitation Centers. Some successful sustainability strategies included integration into daily workflow and organizational culture. Examples of sustainability barriers included staff awareness and use and outdated information. Some practices, such as measuring and documenting the use of the Family Care Map in treatment plans, may not routinely occur. The focus on family-centered care will require further evaluation of organization-, staff-, and innovation-level attributes that influence sustainability of changes designed to improve family-centered care.
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Leaders in agencies that successfully sustained A-CHESS took steps to ensure that their strategic decisions and plans for A-CHESS created a coherent vision for organizational transformation; empowered employees to participate in the change process, including providing training; and allocated resources, change policies, procedures, and job descriptions.
“These leaders took steps to ensure that their strategic decisions and plans for A-CHESS created a coherent vision for organizational transformation; empowered employees to participate in the change process, including providing training; and allocated resources, change policies, procedures, and job descriptions [31,41,42].”
From Successful Organizational Strategies to Sustain Use of A-CHESS: A Mobile Intervention for Individuals With Alcohol Use Disorders (2015) · cites this paper as [42]
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- Authors
- Ford, J. H., Wise, M., Krahn, D., Oliver, K. A., Hall, C., & Sayer, N.
- Affiliations
- Center for Health Enhancement System Studies, and
- University of Wisconsin–Madison (US)
- University of Wisconsin System (US)
- William S. Middleton Memorial Veterans Hospital (US)
- Metropolitan State University (US)
- Minneapolis VA Health Care System (US)
- Venue
- Journal of Rehabilitation Research and Development
- Published
- 2014
- Volume
- 51
- Issue
- 8
- Pages
- 1311-1324
- ISSN
- 0742-3241 (ISSN-L)
- 0748-7711
- 1938-1352
- PMC
- PMC4560363
- OpenAlex
- W2111631417
- Cited by
- 24
- References
- 36
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 5 · 2020: 4 · 2018: 5 · 2017: 3 · 2015: 3
- FWCI
- 3.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Rehabilitation Research and Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA020832, R21DA036700)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- family-centered care, polytrauma rehabilitation, traumatic brain injury, veterans, sustainability of care models, implementation barriers and facilitators, affective commitment to change, employee participation, organizational culture
- MeSH terms
- Family Health, Female, Humans, Male, Multiple Trauma, Surveys and Questionnaires, Rehabilitation Centers, Veterans Health
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