Frameworks and Models

Consolidated Framework for Implementation Research (CFIR)

• CFIR Fact Sheet

• CFIR Guide

  • For individuals considering using the CFIR to evaluate an implementation or design an implementation study, visit this site for more information.

• Improvement Science Research Network (ISRN)

  • The ISRN aims to accelerate the development and dissemination of interprofessional improvement science in a systems context across mutliple sites and employs the CFIR to guide their research.

• CFIR Presentation

  • Led by Laura J. Damschroder and Dr. Teresa Damush, this presentation includes an introduction to the CFIR and application of the framework in research settings.

Facilitating Adoption of Best Practices (FAB)

• FAB Fact Sheet

Implementation Climate

• “The capacity for change, receptivity of involved interventions, and the extent to which using that intervention will be expected, rewarded, and supported by an organization”

• What it is:
  • Key predictor regarding the consistency and quality of organizational members’ use of a specific innovation.
  • Strategic focus and is innovation-specific.
  • Requires collection of multi-dimensional perceptual data from expected innovation users.

• Implementation Climate
  • Includes description and rational for inclusion of Implementation Climate.

^{July 22, 2011}
The Meaning and Measurement of Implementation Climate

Practical, Robust, Implementation and Sustainability Model (PRISM)

• PRISM Fact Sheet

Precede/Proceed Model

• Precede/Proceed Model Fact Sheet

Promoting Action on Research Implementation in Health Services (PARiHS)

• PARiHS Fact Sheet

• The National Collaborating Centre for Methods and Tools (NCCMT)

  • The NCCMT is one of six National Collaborating Centres for Public Health in Canada. Their summary of the PARiHS framework is broken down into an easy to view table.

• PARiHS Framework Presentation

  • Led by Dr. Philip M. Ullrich, this presentation includes of a breakdown of the PARiHS framework and an example on using the framework for an implementation project.

• ^{September 18, 2013}
  Use of Implementation Theory: A Focus on PARIHS

• ^{August 15, 2005}
  Developing Postoperative Pain Management: Utilising the Promoting Action on Research Implementation in Health Services (PARIHS) Framework

Organizational Readiness for Implementing Change (ORIC)

• “Shared psychological state in which organizational members feel committed to implementing an organizational change and confident in their collective abilities to do so”

• What it is:
  • Organizational members’ change commitment (determination to implement change) and change efficacy (ability) to implement organizational change
  • Varies as a function of how much organizational member’s value the change and how they value three key determinants of implementation capability: task demands, resource availability, and situational factors.
  • Multilevel construct: Readiness can be present at the individual, unit, group, department, or organizational level.

^{March 20, 2009}
A Theory of Organizational Readiness for Change

Sticky Knowledge

• Sticky Knowledge

• Sticky Knowledge – Barriers to Knowing in the Firm

  • Gabriel Szulanski defines the popular concept of stickiness and its operationalization, providing a roadmap for understanding and further researching this topical issue.

• Sticky Knowledge: A possible model for investigating implementation in healthcare contexts 

  • This article includes a case study on how sticky knowledge influences the transfer of knowledge from a source to a recipient.

Reach Effectiveness Adoption Implementation Maintenance (RE-AIM)

• RE-AIM Fact Sheet

Theoretical Domains Framework (TDF)

• Thematic Series on the Theoretical Domains Framework 
  • This article describes the TDF, provides a brief critique of the framework, and introduces theories of behavior change.

• Systematic Approach using TDF
  • Simon French discusses in this article documentation of the development and use of the Theoretical Domains Framework to advance the science of implementation research.