Identifying the domains of context important to implementation science: a study protocol.
Background: There is growing recognition that "context" can and does modify the effects of implementation interventions aimed at increasing healthcare professionals' use of research evidence in clinical practice. However, conceptual clarity about what exactly comprises "context" is lacking. The purp...
| Publicado en: | Implementation Science Vol. 10; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
9/29/2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110052318&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110052318 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17485908 38MN jtl: Implementation Science issn: 17485908 maglogo: N pubinfo: dt: 9/29/2015 vid: 10 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 110052318 110052318 NLM26416206 110052318 10.1186/s13012-015-0325-y NLM26416206 PMC4584460 110052318 ppf: 1 ppct: 9 formats: tig: atl: Identifying the domains of context important to implementation science: a study protocol. aug: au: Squires, Janet E. Graham, Ian D. Hutchinson, Alison M. Michie, Susan Francis, Jill J. Sales, Anne Brehaut, Jamie Curran, Janet Ivers, Noah Lavis, John Linklater, Stefanie Fenton, Shannon Noseworthy, Thomas Vine, Jocelyn Grimshaw, Jeremy M. affil: School of Nursing, University of Ottawa, Ottawa, Canada sug: subj: Health Personnel Study Design Diffusion of Innovation Medical Practice, Evidence-Based Administration Attitude of Health Personnel Qualitative Studies Attitude to Health Funding Source Human ab: Background: There is growing recognition that "context" can and does modify the effects of implementation interventions aimed at increasing healthcare professionals' use of research evidence in clinical practice. However, conceptual clarity about what exactly comprises "context" is lacking. The purpose of this research program is to develop, refine, and validate a framework that identifies the key domains of context (and their features) that can facilitate or hinder (1) healthcare professionals' use of evidence in clinical practice and (2) the effectiveness of implementation interventions.Methods/design: A multi-phased investigation of context using mixed methods will be conducted. The first phase is a concept analysis of context using the Walker and Avant method to distinguish between the defining and irrelevant attributes of context. This phase will result in a preliminary framework for context that identifies its important domains and their features according to the published literature. The second phase is a secondary analysis of qualitative data from 13 studies of interviews with 312 healthcare professionals on the perceived barriers and enablers to their application of research evidence in clinical practice. These data will be analyzed inductively using constant comparative analysis. For the third phase, we will conduct semi-structured interviews with key health system stakeholders and change agents to elicit their knowledge and beliefs about the contextual features that influence the effectiveness of implementation interventions and healthcare professionals' use of evidence in clinical practice. Results from all three phases will be synthesized using a triangulation protocol to refine the context framework drawn from the concept analysis. The framework will then be assessed for content validity using an iterative Delphi approach with international experts (researchers and health system stakeholders/change agents).Discussion: This research program will result in a framework that identifies the domains of context and their features that can facilitate or hinder: (1) healthcare professionals' use of evidence in clinical practice and (2) the effectiveness of implementation interventions. The framework will increase the conceptual clarity of the term "context" for advancing implementation science, improving healthcare professionals' use of evidence in clinical practice, and providing greater understanding of what interventions are likely to be effective in which contexts. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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