title: Barriers to implementation of a hospital-based program for survivors of traumatic injury.
abstract: The Trauma Survivors Network is a multimodal program for trauma patients and their families. Despite training representatives of 30 trauma centers, only 3 have fully implemented the program. The purpose of this study was to identify barriers to program implementation among trainees through in-depth phone interviews and an electronic survey. Although interviewees were positive about the Trauma Survivors Network concept, they identified numerous barriers to implementation. Trainee confidence in their ability to implement program components was predictive of their success. We recommend that future trainings include program advocacy, implementation skills, and an assessment of trainees' roles in the hospital.
authors.affiliation: Inova Health System, Falls Church, Virginia, USA.
authors.forename: Anna N
authors.initials: AN
authors.lastname: Bradford
authors.forename: Renan C
authors.initials: RC
authors.lastname: Castillo
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Carlini
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Wegener
authors.forename: Shannon
authors.initials: S
authors.lastname: Frattaroli
authors.forename: Sara E
authors.initials: SE
authors.lastname: Heins
authors.forename: Harry
authors.initials: H
authors.lastname: Teter
authors.forename: Ellen J
authors.initials: EJ
authors.lastname: MacKenzie
mesh_terms: D004509:Education, Nursing, Continuing; D022143:Family Nursing / Q000458:organization & administration*; D019538:Health Care Surveys; D006801:Humans; D007407:Interviews as Topic; D016730:Program Development / Q000379:methods*; D017741:Survivors; D014193:Trauma Centers / Q000458:organization & administration*; D014947:Wounds and Injuries / Q000451:nursing*