The argument put forward in this paper is that successful implementation of research into practice a function the interplay three core elements--the level and nature evidence, context or environment which to be placed, method way process facilitated. It also proposes because current inconclusive as these elements most important they all should have equal standing. This contrary often implicit assumptions currently being generated within clinical effectiveness agenda where rigour evidence...

The PARiHS framework (Promoting Action on Research Implementation in Health Services) has proved to be a useful practical and conceptual heuristic for many researchers practitioners framing their research or knowledge translation endeavours. However, as it still remains untested therefore its contribution the overall development testing of theory field implementation science is largely unquantified. This being case, paper provides an integrated summary our theoretical thinking so far...

The Promoting Action on Research Implementation in Health Services, or PARIHS framework, was first published 1998. Since this time, work has been ongoing to further develop, refine and test it. Widely used as an organising conceptual framework help both explain predict why the implementation of evidence into practice is not successful, one frameworks make explicit multi-dimensional complex nature well highlighting central importance context. Several critiques have also pointed out its...

Background. Considerable financial and philosophical effort has been expended on the evidence‐based practice agenda. Whilst few would disagree with notion of delivering care based information about what works, there remain significant challenges evidence is, thus how practitioners use it in decision‐making reality clinical practice. Aim. This paper continues debate nature argues for a broader base implementation patient‐centred care. Discussion. Against background constraints, risk...

This paper presents the findings of a concept analysis 'context' in relation to successful implementation evidence into practice.In 1998, conceptual framework was developed that represented interplay and interdependence many factors influencing uptake practice [Kitson A., Harvey G. & McCormack B. (1998) Quality Health Care 7, 149]. One key elements 'context', is, setting which is implemented. It proposed context health care had significant impact on evidence. As part on-going development...

Background. The challenges of implementing evidence‐based practice are complex and varied. Against this background a framework has been developed to represent the multiple factors that may influence implementation evidence into practice. It is proposed successful dependent upon nature being used, quality context, and, type facilitation required enable change process. This study sets out scrutinize elements through empirical enquiry. Aims objectives. aim was address following questions: •...

Nursing has not explored the fundamental aspects of patient care in a systematic, conceptually coherent, scientific way, and this created number ongoing challenges.Each challenge is identified addressed form proposition, with evidence provided to support arguments put forward defend proposed actions.The challenges include: need for an integrated way thinking about fundamentals from conceptual, methodological, practical perspective; unresolved tension nursing practice between depersonalized...

Nursing theories have attempted to shape the everyday practice of clinical nurses and patient care. However, many theories-because their level abstraction distance from caring activity-have failed help undertake routine practical aspects nursing care in a theoretically informed way.The purpose paper is present point-of-care theoretical framework, called fundamentals (FOC) which explains, guides, potentially predicts quality provide patients, carers, family members.The framework presented:...

To generate a standardised definition for fundamental care and identify the discrete elements that constitute such care.There is poor conceptual clarity surrounding care. The Fundamentals of Care Framework aims to overcome this problem by outlining three core dimensions underpinning Implementing requires reflects Framework's understanding, as well agreement on comprise (i.e., patient needs, nutrition, nurse actions, empathy). This study sought achieve consensus.Modified Delphi study.Three...

A multitude of theories, models and frameworks relating to implementing evidence-based practice in health care exist, which can be overwhelming for clinicians clinical researchers new the field implementation science. Clinicians often bear responsibility implementation, but may unfamiliar with theoretical approaches designed inform or understand implementation.In this article, a multidisciplinary group service present pragmatic guide help what are; how approach might used; some prompts...

Despite over 40 years' work on general systems theory, informed by critical social science, there is a mismatch between the theories used to explain and influence clinical practice in nursing way which transferring new knowledge into articulated.The analysis emerging propositions were based critique of seminal texts published English up 2008 covering action diffusion innovations, development management innovations.There an implicit adherence world view that healthcare operate like machines,...

Kitson A, Conroy T, Wengstrom Y, Profetto‐McGrath J, Robertson‐Malt S. International Journal of Nursing Practice 2010; 16 : 423–434 Defining the fundamentals care A three‐stage process is being undertaken to investigate care. Stage One (reported here) involves use a met a‐narrative review methodology undertake thematic analysis, categorization and synthesis selected contents extracted from seminal texts relating nursing practice. Two will involve search for evidence inform refinement method....

Mounting pressure is being exerted to ensure that the delivery of care evidence-based and clinically effective. However, challenge this presents practitioners complex. The authors propose successful implementation evidence into practice a function three elements: nature evidence; context in which change take place; way process managed. A framework has been developed represent these factors. For those about embark on work, article closes by highlighting number key questions for consideration,...

Many representations of the movement healthcare knowledge through society exist, and multiple models for translation evidence into policy practice have been articulated. Most are linear or cyclical very few come close to reflecting dense intricate relationships, systems politics organizations processes required enact sustainable improvements. We illustrate how using complexity network concepts can better inform (KT) argue that changing way we think talk about KT could enhance creation...

Abstract Purpose To explore the evidence around facilitation as an intervention for successful implementation of new knowledge into clinical practice. Organizing Construct The revised version Promoting Action on Research Implementation in Health Services (PARIHS) framework, called integrated or i‐PARIHS is used explanatory framework. This framework posits that a multidimensional construct embedded within innovation and operationalized by clinicians (individuals teams), working across...