Facilitating implementation of the Decision-Making Capacity Assessment (DMCA) Model: senior leadership perspectives on the use of the National Implementation Research Network (NIRN) Model and frameworks

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dc.contributor.authorBrémault-Phillips, Suzette
dc.contributor.authorPike, Ashley
dc.contributor.authorCharles, Lesley
dc.contributor.authorRoduta-Roberts, Mary
dc.contributor.authorMitra, Aruna
dc.contributor.authorFriesen, Steven
dc.contributor.authorMoulton, Lynne
dc.contributor.authorParmar, Jasneet
dc.date.accessioned2018-11-07T17:02:55Z
dc.date.available2018-11-07T17:02:55Z
dc.date.issued2018-08-23
dc.date.updated2018-11-07T17:02:55Z
dc.description.abstractObjective Abstract Dementia and other chronic conditions can compromise a person’s ability to make independent personal and financial decisions. In the wake of an ageing population and rising incidence of chronic conditions, the number of persons who may require Decision-Making Capacity Assessments (DMCAs) is likely to increase. Legislation (e.g., Trusteeship, Guardianship, Medical Assistance in Dying) also necessitates that DMCAs adhere to legislative requirements and principles. An intentional, explicit and systematic means of implementing standardized DMCA best-practices is advisable. This single exploratory case-study examined the perspectives of senior leaders and clinical experts regarding the utility of using the National Implementation Research Network (NIRN) Model to facilitate implementation, spread and sustainability of a DMCA Model. Participants learned about the NIRN Model and discussed its application during working and focus groups, all of which were audio-recorded, transcribed, and analyzed using thematic analysis. Results Participants found that the NIRN Model aligned well with the DMCA Model, and offered utility to support implementation, spread and sustainability of DMCA best-practices. Participants also noted barriers related to its language, inability to capture personal change, resource requirements, and complexity. It was recommended that a NIRN-informed DMCA-specific implementation framework and toolkit be developed and NIRN-champions be available to guide implementation.
dc.identifier.citationBMC Research Notes. 2018 Aug 23;11(1):607
dc.identifier.doihttps://doi.org/10.1186/s13104-018-3714-x
dc.identifier.urihttp://hdl.handle.net/1880/108978
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleFacilitating implementation of the Decision-Making Capacity Assessment (DMCA) Model: senior leadership perspectives on the use of the National Implementation Research Network (NIRN) Model and frameworks
dc.typeJournal Article
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