Evidence map›Paper›PMID 40948454›Full record

SynthesisJournal of clinical nursing2026

Implementation Outcomes and Their Determinants for Hospital-Led Care Coordination Interventions Targeting Patients With Complex Care Needs: A Qualitative Systematic Review.

Mary Malakellis, Anna Wong Shee, Sarah Wood, Laura Alston, Hannah Beks, Margaret Murray, Vincent L Versace, Kevin Mc Namara

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mary MalakellisDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0003-2063-2040
Anna Wong SheeDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0001-5095-218X
Sarah WoodDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0001-6533-1597
Laura AlstonDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0002-4551-8845
Hannah BeksDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0002-2851-6450
Margaret MurrayDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0002-4208-1166
Vincent L VersaceDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0002-8514-1763
Kevin Mc NamaraDeakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0001-6547-9153

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe the implementation determinants for care coordination interventions in a hospital context.

designSystematic review.

methodsThis review was guided by the Consolidated Framework of Implementation Research (CFIR), assessed for quality using the Mixed Methods Appraisal Tool and reported with the PRISMA guidelines. DATA SOURCES: CINHAL Complete, EMBASE, MEDLINE Complete, PsychINFO (between January 1, 2013, and December 31, 2022, and updated May 09, 2024) and a manual reference list search of all included studies.

resultsThe search returned 5614 articles after duplicates were removed. After title and abstract screening, 264 articles underwent full-text review. Sixteen studies (15 care coordination models) met the inclusion criteria. The CFIR inner setting domain and the implementation process domain were the most prominent domains and 'Partnerships & Connections', 'Work Infrastructure', 'Capability' and 'Reflecting and Evaluating' subdomains emerged as important determinants across the included studies.

conclusionInconsistent findings relating to care coordination outcomes are likely to be substantially influenced by the complexity and heterogeneity of the interventions and variations in implementation and contextual factors. Intra- and inter-organisational relationships were important to connect previously disconnected parts of the health system and were facilitated by experienced care coordinators. Continual improvement was also important to increase fit with contextual factors. More high-quality studies are needed to identify commonalities and provide generalisable principles and characteristics associated with high-performance implementation. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Review findings will provide practitioners, policymakers, and researchers with a comprehensive synthesis of evidence underpinning implementation of effective community care coordination from hospital settings. IMPACT: These review findings will inform the effective implementation of care coordination interventions in a hospital context for patients with complex multimorbidity. REPORTING

methodsPreferred Reporting Items for Systematic reviews and Meta-Analysis. TRIAL AND REGISTRATION: PROSPERO Registration: CRD42022376642. PATIENT OR PUBLIC CONTRIBUTION: No patient or public Contribution.

Indexed as

HospitalsHumansQualitative Research

Identifiers

PMID40948454
PMCPMC12862520

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.