Archives for August 2016
How to Become a Leader in Implementation Science
Implementation science helps move healthcare research into practice. The field needs exceptional implementation leaders to drive change and implement new strategies. Leadership is a critical construct of various theoretical implementation frameworks, such as the Consolidated Framework for Implementation Research (CFIR). The article, iLead- A Transformational Leadership Intervention to Train Healthcare Managers’ Implementation Leadership describes how to improve implementation leadership development and discusses how to improve leadership behaviors through training. In Stockholm Sweden, a study using a non-randomized intervention design employed an intervention consisting of the identification and analysis of what skills an employee or manager should strengthen in order to successfully implement an intervention. This article provides a robust description of how implementation practitioners can be trained most efficiently. Interested in becoming a leader in implementation science? Read the full article here.
Theoretical Approaches in Implementation Science
Implementation science uses a multitude of frameworks, with theories borrowed from psychology, sociology, and organizational theory. The increased use of frameworks and theoretical models provides researchers with a better understanding about why implementation science succeeds or fails. These approaches aim to evaluate the process of implementation, explain what influences outcomes, and guide the movement from research into practice. The article, Making Sense of Implementation Theories, Models and Frameworks proposes a classification of the five categories of theories, models, and frameworks used in implementation science. The categories of theoretical approaches are based on their origin, development, and aims. Categories include process models, determinant frameworks, classic theories, implementation theories, and evaluation frameworks. Click here to learn more about theoretical approaches and their use in implementation science.
Integrating evidence-based practices for increasing cancer screenings in safety net health systems: a multiple case study using the Consolidated Framework for Implementation Research
Implementing evidence-based practices (EBPs) to increase cancer screenings in safety net primary care systems has great potential for reducing cancer disparities. Yet there is a gap in understanding the factors and mechanisms that influence EBP implementation within these high-priority systems. Guided by the Consolidated Framework for Implementation Research (CFIR), this study aims to fill this gap with a multiple case study of health care safety net systems that were funded by an American Cancer Society (ACS) grants program to increase breast and colorectal cancer screening rates. The initiative funded 68 safety net systems to increase cancer screening through implementation of evidence-based provider and client-oriented strategies.
Data are from a mixed-methods evaluation with nine purposively selected safety net systems. Fifty-two interviews were conducted with project leaders, implementers, and ACS staff. Funded safety net systems were categorized into high-, medium-, and low-performing cases based on the level of EBP implementation. Within- and cross-case analyses were performed to identify CFIR constructs that influenced level of EBP implementation.
Of 39 CFIR constructs examined, six distinguished levels of implementation. Two constructs were from the intervention characteristics domain: adaptability and trialability. Three were from the inner setting domain: leadership engagement, tension for change, and access to information and knowledge. Engaging formally appointed internal implementation leaders, from the process domain, also distinguished level of implementation. No constructs from the outer setting or individual characteristics domain differentiated systems by level of implementation. To read more, click here.
An Introduction to Implementation Science
Implementation science is a relatively new field to researchers in health care, yet shares many commonalities with quality improvement and dissemination science. As Bauer states in the article An Introduction to Implementation Science for the Non-Specialist, implementation science is “the scientific study of methods to promote the systematic uptake of research findings and other Evidence Based Practices into routine practice, and, hence, to improve the quality and effectiveness of health services.” Through the use of both qualitative and quantitative methods, implementation science can help evaluate and improve an intervention. Click here to read more about implementation science used in two real-world studies.