A Mixed Methods Approach to Exploring the Implementation Fidelity of the Eat, Sleep, Console Model of Care

Abstract

Families affected by substance use disorder (SUD) continue to experience inequities within the healthcare system. The Eat, Sleep, Console (ESC) model is a healthcare innovation that has shown positive outcomes; however, its core components remain poorly conceptualized, impacting implementation. This study used a convergent mixed-methods research design to explore the implementation fidelity of the ESC model at two sites in Eastern Canada. Qualitative data included an analysis of direct care and nurse leader perspectives using an interpretive description approach, while quantitative proxy measures were examined through a retrospective analysis using the Nova Scotia ATLEE perinatal database. Triangulated results underscore the importance of contextual understanding and qualitative inquiry to support the spread and scale of the ESC model of care in diverse contexts.