{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:33:44Z","timestamp":1791304424034,"version":"4.3.1"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100023401","name":"European Stroke Organisation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023401","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Variation in hospital stroke care is problematic. The Quality in Acute Stroke (QASC) Australia trial demonstrated reductions in death and disability through supported implementation of nurse-led, evidence-based protocols to manage fever, hyperglycaemia (sugar) and swallowing (FeSS Protocols) following stroke. Subsequently, a pre-test\/post-test study was conducted in acute stroke wards in 64 hospitals in 17 European countries to evaluate upscale of the FeSS Protocols. Implementation across countries was underpinned by a cascading facilitation framework of multi-stakeholder support involving academic partners and a not-for-profit health organisation, the Angels Initiative (the industry partner), that operates to promote evidence-based treatments in stroke centres. .We report here an\n                      <jats:italic>a priori<\/jats:italic>\n                      qualitative process evaluation undertaken to identify factors that influenced international implementation of the FeSS Protocols using a cascading facilitation framework.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The sampling frame for interviews was: (1) Executives\/Steering Committee members, consisting of academics, the Angels Initiative and senior project team, (2) Angel Team leaders (managers of Angel Consultants), (3) Angel Consultants (responsible for assisting facilitation of FeSS Protocols into multiple hospitals) and (4) Country Co-ordinators (senior stroke nurses with country and hospital-level responsibilities for facilitating the introduction of the FeSS Protocols). A semi-structured interview elicited participant views on the factorsthat influenced engagement of stakeholders with the project and preparation for and implementation of the FeSS Protocol upscale. Interviews were recorded, transcribed verbatim and analysed inductively within NVivo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Individual (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913) and three group interviews (3 participants in each group) were undertaken. Three main themes with sub-themes were identified that represented key factors influencing upscale: (1)\n                      <jats:italic>readiness for change (sub-themes: negotiating expectations; intervention feasible and acceptable; shared goal of evidence-based stroke management); (2) roles and relationships (sub-themes: defining and establishing roles; harnessing nurse champions) and (3) managing multiple changes (sub-themes: accommodating and responding to variation; more than clinical change; multi-layered communication framework)<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A cascading facilitation model involving a partnership between evidence producers (academic partners), knowledge brokers (industry partner, Angels Initiative) and evidence adopters (stroke clinicians) overcame multiple challenges involved in international evidence translation. Capacity to manage, negotiate and adapt to multi-level changes and strategic engagement of different stakeholders supported adoption of nurse-initiated stroke protocols within Europe. This model has promise for other large-scale evidence translation programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-024-10617-9","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T06:02:43Z","timestamp":1706508163000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Quality in Acute Stroke Care (QASC) global scale-up using a cascading facilitation framework: a qualitative process evaluation"],"prefix":"10.1186","volume":"24","author":[{"given":"Elizabeth","family":"McInnes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simeon","family":"Dale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Bagot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Coughlan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Grimshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waltraud","family":"Pfeilschifter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique A.","family":"Cadilhac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"van der Merwe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"QASC Europe Steering Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"QASC Europe Implementation Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandy","family":"Middleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"issue":"10","key":"10617_CR1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","volume":"20","author":"VL Feigin","year":"2021","unstructured":"Feigin VL, Stark BA, Johnson CO, Roth GA, Bisignano C, Abady GG, et al. Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: a systematic analysis for the global burden of disease study 2019. Lancet Neurol. 2021;20(10):795\u2013820.","journal-title":"Lancet Neurol"},{"issue":"9804","key":"10617_CR2","doi-asserted-by":"publisher","first-page":"1699","DOI":"10.1016\/S0140-6736(11)61485-2","volume":"378","author":"S Middleton","year":"2011","unstructured":"Middleton S, McElduff P, Ward J, Grimshaw JM, Dale S, D\u2019Este C, et al. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. Lancet. 2011;378(9804):1699\u2013706.","journal-title":"The Lancet"},{"issue":"5","key":"10617_CR3","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.1161\/STROKEAHA.116.016038","volume":"48","author":"S Middleton","year":"2017","unstructured":"Middleton S, Coughlan K, Mnatzaganian G, Low Choy N, Dale S, Jammali-Blasi A, et al. Mortality reduction for fever, hyperglycemia, and swallowing nurse-initiated stroke intervention QASC trial (quality in Acute Stroke Care).\u00a0Follow-Up. Stroke. 2017;48(5):1331.","journal-title":"Stroke"},{"issue":"4","key":"10617_CR4","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1161\/STROKEAHA.116.015714","volume":"48","author":"DA Cadilhac","year":"2017","unstructured":"Cadilhac DA, Andrew NE, Lannin NA, Middleton S, Levi CR, Dewey HM, et al. Quality of acute care and long-term quality of life and survival: the australian stroke clinical registry. Stroke. 2017;48(4):1026\u201332.","journal-title":"Stroke"},{"key":"10617_CR5","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.ijnurstu.2018.09.014","volume":"89","author":"S Middleton","year":"2019","unstructured":"Middleton S, McElduff P, Drury P, D\u2019Este C, Cadilhac DA, Dale S, et al. Vital sign monitoring following stroke associated with 90-day independence: a secondary analysis of the QASC Cluster randomized trial. Int J Nurs Stud. 2019;89:72\u20139.","journal-title":"Int J Nurs Stud"},{"issue":"4","key":"10617_CR6","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1177\/2396987318808719","volume":"3","author":"B Norrving","year":"2018","unstructured":"Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018\u20132030. Eur Stroke J. 2018;3(4):309\u201336.","journal-title":"Eur Stroke J"},{"issue":"9391","key":"10617_CR7","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1016\/S0140-6736(03)14546-1","volume":"362","author":"R Grol","year":"2003","unstructured":"Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients\u2019 care. Lancet. 2003;362(9391):1225\u201330.","journal-title":"Lancet"},{"issue":"1","key":"10617_CR8","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s13012-016-0399-1","volume":"11","author":"AR Gagliardi","year":"2016","unstructured":"Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci. 2016;11(1):38.","journal-title":"Implement Sci"},{"issue":"3","key":"10617_CR9","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/j.scaman.2015.02.003","volume":"31","author":"S Ankrah","year":"2015","unstructured":"Ankrah S, Al-Tabbaa O. Universities\u2013industry collaboration: a systematic review. Scand J Manag. 2015;31(3):387\u2013408.","journal-title":"Scand J Manag"},{"issue":"7","key":"10617_CR10","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1016\/j.respol.2010.03.006","volume":"39","author":"J Bruneel","year":"2010","unstructured":"Bruneel J, D\u2019Este P, Salter A. Investigating the factors that diminish the barriers to university\u2013industry collaboration. Res Policy. 2010;39(7):858\u201368.","journal-title":"Res Policy"},{"issue":"2","key":"10617_CR11","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1093\/scipol\/scv035","volume":"43","author":"B Bozeman","year":"2015","unstructured":"Bozeman B, Gaughan M, Youtie J, Slade CP, Rimes H. Research collaboration experiences, good and bad: dispatches from the front lines. Sci Public Policy. 2015;43(2):226\u201344.","journal-title":"Sci Public Policy"},{"issue":"2","key":"10617_CR12","first-page":"221","volume":"89","author":"R Rybnicek","year":"2019","unstructured":"Rybnicek R, K\u00f6nigsgruber R. What makes industry\u2013university collaboration succeed? A systematic review of the literature. J Bus Econ. 2019;89(2):221\u201350.","journal-title":"J Bus Econ"},{"issue":"1","key":"10617_CR13","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1001\/jama.290.1.113","volume":"290","author":"SS Chopra","year":"2003","unstructured":"Chopra SS. Industry Funding of clinical trials: benefit or bias? JAMA. 2003;290(1):113\u20134.","journal-title":"JAMA"},{"issue":"21","key":"10617_CR14","doi-asserted-by":"publisher","first-page":"2202","DOI":"10.1056\/NEJMsa044115","volume":"352","author":"MM Mello","year":"2005","unstructured":"Mello MM, Clarridge BR, Studdert DM. Academic medical centers\u2019 standards for clinical-trial agreements with industry. N Engl J Med. 2005;352(21):2202\u201310.","journal-title":"N Engl J Med"},{"key":"10617_CR15","doi-asserted-by":"publisher","DOI":"10.1177\/23969873221126027","author":"S Middleton","year":"2022","unstructured":"Middleton S, Dale S, McElduff B, Coughlan K, McInnes E. Translation of nurse-initiated protocols to manage fever, hyperglycaemia, and swallowing following stroke across Europe (QASC Europe): a pre-test\/post-test implementation study. Eur Stroke J. 2022. https:\/\/doi.org\/10.1177\/23969873221126027.","journal-title":"Eur Stroke J"},{"issue":"1","key":"10617_CR16","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1111\/wvn.12078","volume":"12","author":"S Dale","year":"2015","unstructured":"Dale S, Levi C, Ward J, Grimshaw JM, Jammali-Blasi A, D\u2019Este C, et al. Barriers and enablers to implementing clinical treatment protocols for fever, hyperglycaemia, and swallowing dysfunction in the quality in acute stroke care (QASC) Project\u2014A mixed methods study. Worldviews on Evidence\u2010Based Nursing. 2015;12(1):41\u201350.","journal-title":"Worldviews on Evidence\u2010Based Nursing"},{"issue":"5","key":"10617_CR17","doi-asserted-by":"publisher","first-page":"e011568","DOI":"10.1136\/bmjopen-2016-011568","volume":"6","author":"S Middleton","year":"2016","unstructured":"Middleton S, Lydtin A, Comerford D, Cadilhac DA, McElduff P, Dale S, et al. From QASC to QASCIP: successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pre-test\/post-test study design. BMJ Open. 2016;6(5):e011568.","journal-title":"BMJ Open"},{"issue":"8","key":"10617_CR18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105931","volume":"30","author":"C Marquina","year":"2021","unstructured":"Marquina C, Ademi Z, Zomer E, Ofori-Asenso R, Tate R, Liew D. Cost burden and cost-effective analysis of the nationwide implementation of the quality in acute stroke care protocol in Australia. J Stroke Cerebrovasc Dis. 2021;30(8): 105931.","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10617_CR19","unstructured":"Angels. leave your legacy. Available from: https:\/\/www.angels-initiative.com\/. Cited 2022 Sep 22."},{"key":"10617_CR20","doi-asserted-by":"publisher","first-page":"401","DOI":"10.2147\/JMDH.S111688","volume":"9","author":"M Masso","year":"2016","unstructured":"Masso M, Thompson C. Attributes of innovations and approaches to scalability - lessons from a national program to extend the scope of practice of health professionals. J Multidiscip Healthc. 2016;9:401\u201310.","journal-title":"J Multidiscip Healthc"},{"issue":"1","key":"10617_CR21","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-8-96","volume":"8","author":"DJ Clarke","year":"2013","unstructured":"Clarke DJ, Godfrey M, Hawkins R, Sadler E, Harding G, Forster A, et al. Implementing a training intervention to support caregivers after stroke: a process evaluation examining the initiation and embedding of programme change. Implement Sci. 2013;8(1): 96.","journal-title":"Implement Sci"},{"issue":"1","key":"10617_CR22","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1186\/s12913-019-4398-1","volume":"19","author":"L Gask","year":"2019","unstructured":"Gask L, Coupe N, Green G. An evaluation of the implementation of cascade training for suicide prevention during the \u2018Choose life\u2019 initiative in Scotland - utilizing normalization process theory. BMC Health Serv Res. 2019;19(1):588.","journal-title":"BMC Health Serv Res"},{"issue":"2\/3\/4","key":"10617_CR23","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1108\/03090590210422058","volume":"26","author":"RL Jacobs","year":"2002","unstructured":"Jacobs RL. Institutionalizing organizational change through cascade training. J Eur Industrial Train. 2002;26(2\/3\/4):177\u201382.","journal-title":"J Eur Industrial Train"},{"issue":"4","key":"10617_CR24","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1177\/15234220122238427","volume":"3","author":"RL Jacobs","year":"2001","unstructured":"Jacobs RL, Russ-Eft D. Cascade training and institutionalizing organizational change. Adv Developing Hum Resour. 2001;3(4):496\u2013503.","journal-title":"Adv Developing Hum Resour"},{"issue":"2","key":"10617_CR25","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77\u2013101.","journal-title":"Qualitative Res Psychol"},{"issue":"6996","key":"10617_CR26","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1136\/bmj.311.6996.42","volume":"311","author":"N Mays","year":"1995","unstructured":"Mays N, Pope C. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995;311(6996):42\u20135.","journal-title":"BMJ"},{"key":"10617_CR27","unstructured":"QSR International Pty Ltd. NVivo (Version 12).\u00a02018.\u00a0https:\/\/www.qsrinternational.com\/nvivo-qualitative-data-analysis-software\/home."},{"issue":"3","key":"10617_CR28","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1093\/intqhc\/mzr018","volume":"23","author":"J Ovretveit","year":"2011","unstructured":"Ovretveit J. Widespread focused improvement: lessons from international health for spreading specific improvements to health services in high-income countries. Int J Qual Health Care. 2011;23(3):239\u201346.","journal-title":"Int J Qual Health Care"},{"issue":"2","key":"10617_CR29","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1093\/intqhc\/mzu009","volume":"26","author":"R Hinchcliff","year":"2014","unstructured":"Hinchcliff R, Greenfield D, Braithwaite J. Is it worth engaging in multi-stakeholder health services research collaborations? Reflections on key benefits, challenges and enabling mechanisms. Int J Qual Health Care. 2014;26(2):124\u20138.","journal-title":"Int J Qual Health Care"},{"issue":"1","key":"10617_CR30","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s13012-016-0374-x","volume":"11","author":"PM Barker","year":"2016","unstructured":"Barker PM, Reid A, Schall MW. A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa. Implement Sci. 2016;11(1):12.","journal-title":"Implement Sci"},{"issue":"1","key":"10617_CR31","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s13012-020-01024-9","volume":"15","author":"K Bonawitz","year":"2020","unstructured":"Bonawitz K, Wetmore M, Heisler M, Dalton VK, Damschroder LJ, Forman J, et al. Champions in context: which attributes matter for change efforts in healthcare? Implement Sci. 2020;15(1):62.","journal-title":"Implement Sci"},{"issue":"1","key":"10617_CR32","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1186\/s13012-020-01031-w","volume":"15","author":"R Lengnick-Hall","year":"2020","unstructured":"Lengnick-Hall R, Willging CE, Hurlburt MS, Aarons GA. Incorporators, early investors, and learners: a longitudinal study of organizational adaptation during EBP implementation and sustainment. Implement Sci. 2020;15(1):74.","journal-title":"Implement Sci"},{"issue":"1","key":"10617_CR33","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1186\/s13012-015-0351-9","volume":"10","author":"CC Bornbaum","year":"2015","unstructured":"Bornbaum CC, Kornas K, Peirson L, Rosella LC. Exploring the function and effectiveness of knowledge brokers as facilitators of knowledge translation in health-related settings: a systematic review and thematic analysis. Implement Sci. 2015;10(1):162.","journal-title":"Implement Sci"},{"issue":"2","key":"10617_CR34","first-page":"15","volume":"1","author":"T Steiner","year":"2015","unstructured":"Steiner T. The angels (AcuteNetworks strivinG for ExceLlence in Stroke) initiative: solving a problem by giving physicians the tools they need to create a solution. Cent Nerv Syst. 2015;1(2):15\u20139.","journal-title":"Cent Nerv Syst"},{"issue":"1","key":"10617_CR35","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1111\/1467-9299.00296","volume":"80","author":"P Williams","year":"2002","unstructured":"Williams P. The competent boundary spanner. Public Adm. 2002;80(1):103\u201324.","journal-title":"Public Adm"},{"issue":"1","key":"10617_CR36","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/1748-5908-4-23","volume":"4","author":"M Dobbins","year":"2009","unstructured":"Dobbins M, Robeson P, Ciliska D, Hanna S, Cameron R, O\u2019Mara L, et al. A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. Implement Sci. 2009;4(1):23.","journal-title":"Implement Sci"},{"issue":"1","key":"10617_CR37","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1186\/1472-6963-13-158","volume":"13","author":"JC Long","year":"2013","unstructured":"Long JC, Cunningham FC, Braithwaite J. Bridges, brokers and boundary spanners in collaborative networks: a systematic review. BMC Health Serv Res. 2013;13(1):158.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"10617_CR38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13012-018-0842-6","volume":"14","author":"JC Moullin","year":"2019","unstructured":"Moullin JC, Dickson KS, Stadnick NA, Rabin B, Aarons GA. Systematic review of the exploration, preparation, implementation, sustainment (EPIS) framework. Implement Sci. 2019;14(1):1.","journal-title":"Implement Sci"},{"issue":"3","key":"10617_CR39","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1007\/s12529-014-9430-6","volume":"22","author":"HL Gainforth","year":"2015","unstructured":"Gainforth HL, Latimer-Cheung AE, Moore S, Athanasopoulos P, Martin Ginis KA. Using network analysis to understand knowledge mobilization in a community-based organization. Int J Behav Med. 2015;22(3):292\u2013300.","journal-title":"Int J Behav Med"},{"issue":"1","key":"10617_CR40","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1186\/s13012-014-0176-y","volume":"9","author":"SL Sibbald","year":"2014","unstructured":"Sibbald SL, Tetroe J, Graham ID. Research funder required research partnerships: a qualitative inquiry. Implement Sci. 2014;9(1):176.","journal-title":"Implement Sci"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-024-10617-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-024-10617-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-024-10617-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T09:03:02Z","timestamp":1708938182000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-024-10617-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,29]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["10617"],"URL":"https:\/\/doi.org\/10.1186\/s12913-024-10617-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-2632119\/v1","asserted-by":"object"}]},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,29]]},"assertion":[{"value":"27 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The project was approved by the Australian Catholic University Human Research Ethics Committee (Register Number 2017-11\u00a0H). Participants provided individual written informed consent prior to interview.This project was carried out according to the Australian National Statement on Ethical Conduct in Human Research 2007 (updated 2018) and the series of guidelines made in accordance with the Australian National Health and Medical Research Council Act 1992. All data will be archived according to National Health and Medical Research Committee requirements to protect the interests of people who agree to participate in human research studies.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and\/or publication of this article: SD, SM received speakers\u2019 fees, conference registration and travel expenses from the Angels Initiative. DC is supported by a National Health and Medical Research Council Senior Research Fellowship (#1154273). Other authors have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"144"}}