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The struggle of translating science into action: Foundational concepts of implementation science
RATIONALE, AIMS, AND OBJECTIVES: “Implementation science,” the scientific study of methods translating research findings into practical, useful outcomes, is contested and complex, with unpredictable use of results from routine clinical practice and different levels of continuing assessment of implem...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901403/ https://www.ncbi.nlm.nih.gov/pubmed/28371050 http://dx.doi.org/10.1111/jep.12741 |
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author | Rapport, Frances Clay‐Williams, Robyn Churruca, Kate Shih, Patti Hogden, Anne Braithwaite, Jeffrey |
author_facet | Rapport, Frances Clay‐Williams, Robyn Churruca, Kate Shih, Patti Hogden, Anne Braithwaite, Jeffrey |
author_sort | Rapport, Frances |
collection | PubMed |
description | RATIONALE, AIMS, AND OBJECTIVES: “Implementation science,” the scientific study of methods translating research findings into practical, useful outcomes, is contested and complex, with unpredictable use of results from routine clinical practice and different levels of continuing assessment of implementable interventions. The authors aim to reveal how implementation science is presented and understood in health services research contexts and clarify the foundational concepts: diffusion, dissemination, implementation, adoption, and sustainability, to progress knowledge in the field. METHOD: Implementation science models, theories, and frameworks are critiqued, and their value for laying the groundwork from which to implement a study's findings is emphasised. The paper highlights the challenges of turning research findings into practical outcomes that can be successfully implemented and the need for support from change agents, to ensure improvements to health care provision, health systems, and policy. The paper examines how researchers create implementation plans and what needs to be considered for study outputs to lead to sustainable interventions. This aspect needs clear planning, underpinned by appropriate theoretical paradigms that rigorously respond to a study's aims and objectives. CONCLUSION: Researchers might benefit from a return to first principles in implementation science, whereby applications that result from research endeavours are both effective and readily disseminated and where interventions can be supported by appropriate health care personnel. These should be people specifically identified to promote change in service organisation, delivery, and policy that can be systematically evaluated over time, to ensure high‐quality, long‐term improvements to patients' health. |
format | Online Article Text |
id | pubmed-5901403 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-59014032018-04-24 The struggle of translating science into action: Foundational concepts of implementation science Rapport, Frances Clay‐Williams, Robyn Churruca, Kate Shih, Patti Hogden, Anne Braithwaite, Jeffrey J Eval Clin Pract Original Articles RATIONALE, AIMS, AND OBJECTIVES: “Implementation science,” the scientific study of methods translating research findings into practical, useful outcomes, is contested and complex, with unpredictable use of results from routine clinical practice and different levels of continuing assessment of implementable interventions. The authors aim to reveal how implementation science is presented and understood in health services research contexts and clarify the foundational concepts: diffusion, dissemination, implementation, adoption, and sustainability, to progress knowledge in the field. METHOD: Implementation science models, theories, and frameworks are critiqued, and their value for laying the groundwork from which to implement a study's findings is emphasised. The paper highlights the challenges of turning research findings into practical outcomes that can be successfully implemented and the need for support from change agents, to ensure improvements to health care provision, health systems, and policy. The paper examines how researchers create implementation plans and what needs to be considered for study outputs to lead to sustainable interventions. This aspect needs clear planning, underpinned by appropriate theoretical paradigms that rigorously respond to a study's aims and objectives. CONCLUSION: Researchers might benefit from a return to first principles in implementation science, whereby applications that result from research endeavours are both effective and readily disseminated and where interventions can be supported by appropriate health care personnel. These should be people specifically identified to promote change in service organisation, delivery, and policy that can be systematically evaluated over time, to ensure high‐quality, long‐term improvements to patients' health. John Wiley and Sons Inc. 2017-03-31 2018-02 /pmc/articles/PMC5901403/ /pubmed/28371050 http://dx.doi.org/10.1111/jep.12741 Text en © 2017 The Authors Journal of Evaluation in Clinical Practice Published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Rapport, Frances Clay‐Williams, Robyn Churruca, Kate Shih, Patti Hogden, Anne Braithwaite, Jeffrey The struggle of translating science into action: Foundational concepts of implementation science |
title | The struggle of translating science into action: Foundational concepts of implementation science |
title_full | The struggle of translating science into action: Foundational concepts of implementation science |
title_fullStr | The struggle of translating science into action: Foundational concepts of implementation science |
title_full_unstemmed | The struggle of translating science into action: Foundational concepts of implementation science |
title_short | The struggle of translating science into action: Foundational concepts of implementation science |
title_sort | struggle of translating science into action: foundational concepts of implementation science |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901403/ https://www.ncbi.nlm.nih.gov/pubmed/28371050 http://dx.doi.org/10.1111/jep.12741 |
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