Too much theory and not enough practice? The challenge of implementation science application in healthcare practice.
Background: Implementation science (IS) should contribute to maintaining high standards of care across healthcare systems and enhancing care practices. However, despite the evident need for greater and more rapid uptake and integration of evidence in practice, IS design and methodology fall short of...
| Published in: | Journal of Evaluation in Clinical Practice Vol. 28; no. 6; pp. 991 - 1003 |
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| Main Authors: | , , , , , , |
| Format: | review tables/charts Journal Article |
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Wiley-Blackwell
Dec2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160177694&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160177694 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Dec2022 vid: 28 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160177694 151416200 160177694 160177694 10.1111/jep.13600 160177694 ppf: 991 ppct: 12 formats: tig: atl: Too much theory and not enough practice? The challenge of implementation science application in healthcare practice. aug: au: Rapport, Frances Smith, James Hutchinson, Karen Clay‐Williams, Robyn Churruca, Kate Bierbaum, Mia Braithwaite, Jeffrey affil: Australian Institute of Health Innovation, Macquarie University, Sydney New South Wales, , Australia sug: subj: Implementation Science Medical Practice, Evidence-Based Health Care Delivery Research Methodology Collaboration Program Implementation Models, Theoretical Research Personnel Quality of Health Care Public Health Organizational Development Health Promotion Research, Medical Patient Safety Health Services ab: Background: Implementation science (IS) should contribute to maintaining high standards of care across healthcare systems and enhancing care practices. However, despite the evident need for greater and more rapid uptake and integration of evidence in practice, IS design and methodology fall short of the needs of effective translation. Aim: In this paper we examine what it is about IS that makes it so appealing for effective uptake of interventions in routine practice, and yet so difficult to achieve. We propose a number of ways that implementation scientists could build mutual relationships with healthcare practitioners and other stakeholders including public members to ensure greater shared care practices, and highlight the value of IS training, collaborative educational events, and co‐designed research. Discussion: More consideration should be given to IS applications in healthcare contexts. Implementation scientists can make a valuable contribution by mobilizing theory and improving practice. However, goals for an evidence‐based system may be more appropriately achieved through greater outreach and collaboration, with methods that are flexible to support rapid implementation in complex adaptive systems. Collective learning and mutual trust can be cultivated by embedding researchers into healthcare services while offering greater opportunities for practitioners to learn about, and engage in, implementation research. Conclusion: To bridge the worlds of healthcare practice and IS, researchers could be more consistent in the relationships they build with professionals and the public, communicating through a shared language and co‐joining practical approaches to effective implementation. This will build capacity for improved collaboration and foster respectful, interdisciplinary relationships. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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