Validation of the Effectiveness of the CFIR - ERIC Matching Tool in Implementation Research

NCT ID: NCT07184489

Last Updated: 2025-09-19

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 394 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-20
• Study Completion Date: 2025-12-31

Brief Summary

The goal of this implementation study is to learn if the CFIR-ERIC matching tool is effective indeveloping implementation strategies for pediatric nurse. The evidence practised in this study is the pediatric venous access device selection decision tree from clinical practice guideline on infusion therapy in children. The main questions it aims to answer are:

1. Does the implementation strategies developed by CFIR-ERIC matching tool improve nurses knowledge in venous access devices selection.

2. Does the implementation strategies developed by CFIR-ERIC matching tool lower the error rate of appropriate venous access device selection.

Researchers will compare the CFIR-ERIC group to a blank group to see if CIFR-ERIC matching tool works to improve nurses knowleged and lower the error rate of venous access device selection.

Participants will:

1. Receive the implementation strategies made by CFIR-ERIC matching tool.

2. Using the pediatric venous access device selection decision trees in daily catheterization.

3. Record their venous access device selection informantion, consumables usage and pediatric patients' outcome.

Detailed Description

Currently，the evidence-based practice research often isolates barrier assessment from implementation strategy development. At tne same time, many implementation science models being overly complex for clinicians. In Chinese, certain studies still neglect barrier assessment, demonstrate inconsistent conceptualization of implementation strategies, and rarely classify developed strategies.

As a tool for matching and selecting implementation strategies, the CFIR - ERIC matching tool has the characteristics of strong pertinence, repeatability, structuring, systematization, and simple and convenient operation compared with other models. Researchers can identify barrier factors through CFIR and use the CFIR - ERIC matching tool to match strategies to promote the implementation of clinical intervention measures.

This implementation study adopted a pre-post design using the CFIR-ERIC Matching Tool to analyze barriers and develop strategies. Grounded in the "Pediatric Venous Access Device Selection Decision Tree" from the 2021 clinical practice guideline on infusion therapy in children, the intervention was rolled out across 21 wards at the Children's Hospital of Fudan University.

The implementation process of the evidence was evaluated from four aspects using the RE-AIM framework , including the evaluation indicators corresponding to each dimension of patient reach, intervention efficacy, medical adoption, and guideline implementation.

Conditions

Infusions, Intravenous; Implementation Science

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

CFIR-ERIC group

Develop implementation strategies for applying evidence to clinical practice using CFIR - ERIC matching tool.

Group Type: EXPERIMENTAL

implementation strategies

Intervention Type: OTHER

1. Analysis of barrier factors: A focus group interview will be conducted. Purposive sampling was used to include senior nurses in the ward, members of the evidence-based group, and doctors for the analysis of barrier factors. Then the CFIR-ERIC matching tool will be used to develop implementation strategies based on the barrier factors.

2. The best - worst scaling method will be used to generate relatively reliable and valid preference evidence of stakeholders for implementation strategies from CFIR-ERIC matching tool.

3. The implementation strategies will be developed specifically by an expert group. This group includes nursing managers and experts in evidence-based practice.

4. Implement the strategies.

Interventions

implementation strategies

1. Analysis of barrier factors: A focus group interview will be conducted. Purposive sampling was used to include senior nurses in the ward, members of the evidence-based group, and doctors for the analysis of barrier factors. Then the CFIR-ERIC matching tool will be used to develop implementation strategies based on the barrier factors.

2. The best - worst scaling method will be used to generate relatively reliable and valid preference evidence of stakeholders for implementation strategies from CFIR-ERIC matching tool.

3. The implementation strategies will be developed specifically by an expert group. This group includes nursing managers and experts in evidence-based practice.

4. Implement the strategies.

Intervention Type: OTHER

Other Intervention Names

pediatric venous access device selection decision tree

Eligibility Criteria

Inclusion Criteria

• Having worked at the research site for ≥ 1 year;
• Being able to independently perform nursing operations (having completed the content related to intravenous infusion in the standardized training of this hospital and passed the assessment).

Exclusion Criteria

• Not having obtained the nurse practice license;
• Refusing to participate in this study.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Children's Hospital of Fudan University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Children's Hospital of Fudan University

Shanghai, , China

Site Status: RECRUITING

Countries

China

Central Contacts

Yaliuhui WANG

Role: CONTACT

ylhwang@126.com

+86 18085293862

Facility Contacts

Ying Gu, Doctor

Role: primary

guying0128@aliyun.com

+86 13816881726

Other Identifiers

CHFudanU0814

Identifier Type: -

Identifier Source: org_study_id