Estudios originales
Published on 24 de junio de 2026 | http://doi.org/10.5867/medwave.2026.05.3196
Exploratory study to identify facilitators and barriers for implementing a multiplatform communication app for prehospital screening and transfer follow-up in acute stroke
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Key implementation outcome components, definitions [], and representative citations.
| Acceptability | Stakeholders' perception that a given treatment, service, practice, or innovation is agreeable, satisfactory, or acceptable. | "I would say that it is better to use the application because it increases the chances that the patient can be transferred or referred (...) and treated more promptly." [Participant 6]."I feel that it is a tool that facilitates the clinical process. It is highly standardized, especially in the context of working within a network and as a team (...). It allows us to keep a record and track the patient’s transfer process, while also providing feedback to the initial user." [Participant 6]. |
| Adoption | The intention, initial decision, or action to try or employ an innovation or evidence-based practice. | "I think the application is really good. Apart from some logistical issues with the internet, it is actually very user-friendly." [Participant 7]."In my personal experience, the times I started using it and added patients, it was very quick (...). While carrying out the clinical assessment and completing the medical record, you can simultaneously fill out JOIN." [Participant 3]. |
| Fidelity | The degree to which an intervention was implemented as prescribed in the original protocol or as intended by the program developers. | "It has only been used partially (...); people tend to be more reluctant to use technology." [Participant 2]."It was used very little (...). Many of the patients referred by primary care were already outside the treatment window, some even 48 hours after symptom onset (...). It was not used effectively by primary care services." [Participant 3]. |
| Appropriateness | The perceived fit, relevance, or compatibility of an innovation or evidence-based practice for a particular setting, provider, or recipient. | "We could say that they are simply too busy with their daily work, so using the application would imply an additional responsibility, task, or demand." [Participant 6]."I think the application was used mainly because it was mandated." [Participant 2]. |
| Feasibility | The extent to which a new treatment or innovation can be successfully used or implemented within a particular organization or setting. | "I feel that the team was initially unfamiliar with it, but over time, through training sessions, discussions, and all the efforts made to help the project move forward, the team adapted and now understands how it works. It was a transition. I think no team is fully prepared to take on a strategy of this magnitude." [Participant 8]."The emergency department team never fully engaged despite repeated requests and encouragement (...). They either did not receive the training or the initial training was quickly forgotten." [Participant 3]. |
PHC, primary health care.
Source: Prepared by the authors.