Context matters in implementation science: a scoping review of determinant frameworks that describe contextual determinants for implementation outcomes
Tóm tắt
The relevance of context in implementation science is reflected in the numerous theories, frameworks, models and taxonomies that have been proposed to analyse determinants of implementation (in this paper referred to as determinant frameworks). This scoping review aimed to investigate and map how determinant frameworks used in implementation science were developed, what terms are used for contextual determinants for implementation, how the context is conceptualized, and which context dimensions that can be discerned. A scoping review was conducted. MEDLINE and EMBASE were searched from inception to October 2017, and supplemented with implementation science text books and known published overviews. Publications in English that described a determinant framework (theory, model, taxonomy or checklist), of which context was one determinant, were eligible. Screening and inclusion were done in duplicate. Extracted data were analysed to address the study aims. A qualitative content analysis with an inductive approach was carried out concerning the development and core context dimensions of the frameworks. The review is reported according to the PRISMA guidelines. The database searches yielded a total of 1113 publications, of which 67 were considered potentially relevant based on the predetermined eligibility criteria, and retrieved in full text. Seventeen unique determinant frameworks were identified and included. Most were developed based on the literature and/or the developers’ implementation experiences. Six of the frameworks explicitly referred to “context”, but only four frameworks provided a specific definition of the concept. Instead, context was defined indirectly by description of various categories and sub-categories that together made up the context. Twelve context dimensions were identified, pertaining to different aggregation levels. The most widely addressed context dimensions were organizational support, financial resources, social relations and support, and leadership. The findings suggest variation with regard to how the frameworks were developed and considerable inconsistency in terms used for contextual determinants, how context is conceptualized, and which contextual determinants are accounted for in frameworks used in implementation science. Common context dimensions were identified, which can facilitate research that incorporates a theory of context, i.e. assumptions about how different dimensions may influence each other and affect implementation outcomes. A thoughtful application of the concept and a more consistent terminology would enhance transparency, simplify communication among researchers, and facilitate comparison across studies.
Tài liệu tham khảo
McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K. Getting evidence into practice: the meaning of ‘context’. J Adv Nurs. 2002;38:94–104.
Dopson S, Fitzgerald L. The active role of context. In: Dopson S, Fitzgerald L, editors. Knowledge to action? Evidence-based health care in context. New York: Oxford University Press; 2005. p. 79–103.
Kaplan HC, Brady PW, Dritz MC, Hooper DK, Linam WM, Froehle CM, et al. The influence of context on quality improvement success in health care: a systematic review of the literature. Milbank Q. 2010;88:500–59.
Taylor SL, Dy S, Foy R, Hempel S, McDonald KM, Övretveit J, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011;20:611–7.
Tomoaia-Cotisel A, Scammon DL, Waitzman NJ, Cronholm PF, Halladay JR, Driscoll DL, et al. Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change. Ann Fam Med. 2013;11(Suppl 1):S115–23.
Edwards N, Barker PM. The importance of context in implementation research. J Acquir Immune Defic Syndr. 2014;67(S2):S157–62.
Squires JE, Graham ID, Hutchinson AM, Michie S, Francis JJ, Sales A, et al. Identifying the domains of context important to implementation science: a study protocol. Implement Sci. 2015;10:135.
Pfadenhauer LM, Mozygemba K, Gerhardus A, Hofmann B, Booth A, Bakke Lysdahl K, et al. Context and implementation: a concept analysis towards conceptual maturity. Z Evid Fortbild Qual Gesundhwes. 2015;109:103–14.
May C, Johnson M, Finch T. Implementation, context and complexity. Implement Sci. 2016;11:141.
Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10:53.
Kitson AL, Harvey G, McCormack B. Enabling the implementation of evidence-based practice: a conceptual framework. Qual Health Care. 1998;7:149–58.
Rycroft-Malone J. Promoting action on research implementation in health services (PARIHS). In: Rycroft-Malone J, Bucknall T, editors. Models and frameworks for implementing evidence-based practice: linking evidence to action. Oxford: Wiley-Blackwell; 2010. p. 109–36.
Cane J, O’Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37.
Cochrane LJ, Olson CA, Murray S, Dupuis M, Tooman T, Hayes S. Gaps between knowing and doing: understanding and assessing the barriers to optimal health care. J Contin Educ Heal Prof. 2007;27:94–102.
Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.
Birken SA, Powell BJ, Shea CM, Haines ER, Kirk MA, Leeman J, et al. Criteria for selecting implementation science theories and frameworks: results from an international survey. Implement Sci. 2017;12:124.
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8:19–32.
O’Brien KK, Colquhoun H, Levac D, Baxter L, Tricco AC, Straus S, et al. Advancing scoping study methodology: a web-based survey and consultation of perceptions on terminology, definition and methodological steps. BMC Health Serv Res. 2016;16:305.
Peters MD, Godfrey CM, McInerney P, Soares CB, Khalil H, Parker D. The Joanna Briggs institute reviewers’ manual 2015: Methodology for JBI scoping reviews. Adelaide: The Joanna Briggs Institute; 2015.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.
Proctor E, Silmere H, Raghavan R, Aarons G, Griffey R. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Admin Pol Ment Health. 2011;38:65–76.
Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F. Implementation research: a synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute; 2005.
Greenhalgh T, Robert G, Bate P, Macfarlane F, Kyriakidou O. Diffusion of innovations in service organisations: a systematic literature review. Malden, MA: Blackwell Publishing; 2005.
Grol R, Wensing M, Eccles M, Davis D, editors. Improving patient care: the implementation of change in health care. Chichester: Wiley; 2013.
Nutley SM, Walter I, Davies HTO. Using evidence: how research can inform public services. Bristol: The Policy Press; 2007.
Straus S, Tetroe J, Graham ID. Knowledge translation in health care. Chichester: John Wiley; 2009.
Rycroft-Malone J, Bucknall T. Models and frameworks for implementing evidence-based practice: linking evidence to action. Oxford: Wiley-Blackwell; 2010.
Brownson RC, Colditz GA, Proctor EK, editors. Dissemination and implementation research in health. New York: Oxford University Press; 2012. p. 1–508.
Kelly B, Perkins DF, editors. Handbook of implementation science for psychology in education. Cambridge: Cambridge University Press; 2012.
Greenhalgh T. How to implement evidence-based healthcare. Hoboken, NJ: John Wiley; 2018.
Mitchell SA, Fisher CA, Hastings CE, Silverman LB, Wallen GR. A thematic analysis of theoretical models for translating science in nursing: mapping the field. Nurs Outlook. 2010;58:287–300.
Meyers DC, Durlak JA, Wandersman A. The quality implementation framework: a synthesis of critical steps in the implementation process. Am J Community Psychol. 2012;50:462–80.
Tabak RG, Khoong EC, Chambers DA, Brownson RC. Bridging research and practice: models for dissemination and implementation research. Am J Prev Med. 2012;43:337–50.
Flottorp SA, Oxman AD, Krause J, Musila NR, Wensing M, Godycki-Cwirko M, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013;8:35.
Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2007;62:107–15.
Cole FL. Content analysis: process and application. Clin Nurse Spec. 1988;2:53–7.
Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud P-AC, et al. Why don’t physicians follow clinical practice guidelines? JAMA. 1999;282:1458–65.
Harvey G, Kitson A. PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice. Implement Sci. 2016;11:33.
Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust. 2004;180:S57–60.
Fleuren M, Wiefferink K, Paulussen T. Determinants of innovations within health care organizations. Int J Qual Health Care. 2004;16:107–23.
Feldstein AC, Glasgow RE. A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Jt Comm J Qual Patient Saf. 2008;34:228–43.
Blase KA, Van Dyke M, Fixsen DL, Bailey FW. Implementation science: key concepts, themes and evidence for practitioners in educational psychology. In: Kelly B, Perkins DF, editors. Handbook of implementation science for psychology in education. Cambridge: Cambridge University Press; 2012. p. 13–34.
Mäkelä M, Thorsen T. A framework for guidelines implementation studies. In: Thorsen T, Mäkelä M, editors. Changing professional practice. Copenhagen: Danish Institute for Health Services Research and Development; 1999. p. 23–53.
Wensing M, Bosch M, Foy R, van der Weijden T, Eccles M, Grol R. Factors in theories on behaviour change to guide implementation and quality improvement in healthcare. Nijmegen: Centre for Quality of Care Research (WOK); 2005.
Rainbird K, Sanson-Fisher R, Buchan H. Identifying barriers to evidence uptake. Melbourne: National Institute of Clinical Studies; 2006.
Gurses AP, Marsteller JA, Ozok AA, Xiao Y, Owens S, Pronovost PJ. Using an interdisciplinary approach to identify factors that affect clinicians’ compliance with evidence-based guidelines. Crit Care Med. 2010;38(8 Suppl):S282–91.
World Health Organization (WHO). Identifying and addressing barriers to implementing policy options. In: SURE guides for preparing and using evidence-based policy briefs. 2011. http://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/SURE-Guides-v2.1/Collectedfiles/sure_guides.html. Accessed 2 Feb 2019.
Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A, on behalf of the Psychological Theory Group. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14:26–33.
Greenhalgh T, Robert G, Bate P, Kyriakidou O, Macfarlane F, Peacock R. How to spread good ideas: a systematic review of the literature on diffusion, dissemination and sustainability of innovations in health service delivery and organisation. Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R&D (NCCSDO), 2004.
Proctor EK, Powell BJ, McMillen JC. Implementation strategies: recommendations for specifying and reporting. Implement Sci. 2013;8:139.
Johns G. The essential impact of context on organizational behavior. Acad Manag Rev. 2006;31:386–408.
Wensing M, Grol R. Determinants of change. In: Grol R, Wensing M, Eccles M, Davis D, editors. Improving patient care: the implementation of change in clinical practice. Chichester: Wiley; 2013. p. 139–50.
Aarons GA, Horowitz JD, Dlugosz LR, Erhart MG. The role of organizational processes in dissemination and implementation research. In: Brownson RC, Colditz GA, Proctor EK, editors. Dissemination and implementation research in health. New York: Oxford University Press; 2012. p. 128–53.
Williams B, Perillo S, Brown T. What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. Nurs Educ Today. 2015;35:e34–41.
Sibbald SL, Wathen CN, Kothari A. An empirically based model for knowledge management in health care organizations. Health Care Manag Rev. 2016;41:64–74.
Aarons GA, Sommerfeld DH, Walrath-Greene CM. Evidence-based practice implementation: the impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice. Implement Sci. 2009;4:83.
Wakida EK, Talib ZM, Akena D, Okello ES, Kinengyere A, Mindra A, Obua C. Barriers and facilitators to the integration of mental health services into primary health care: a systematic review. Syst Rev. 2018;7(1):211.
Chu KWK, Cheung LLW. Incorporating sustainability in small health-care facilities: an integrated model. Leadersh Health Serv (Bradf Engl). 2018;31(4):441–51 Epub 2018 Apr 10.
Alvesson M. Understanding organizational culture. London: Sage; 2002.
Morgan PI, Ogbonna E. Subcultural dynamics in transformation: a multi-perspective study of healthcare professionals. Hum Relat. 2008;61:39–65.
Lloyd E. Organizational culture. In: Arvinen-Muondo R, Perkins S, editors. Organizational behaviour. London: Kogan Page; 2013. p. 209–39.
Hall P. Interprofessional teamwork: professional cultures as Barriers. J Interprof Care. 2005;19(Suppl 1):188–96.
Ferlie E, Fitzgerald L, Wood M, Hawkins C. The nonspread of innovations: the mediating role of professionals. Acad Manag J. 2005;48:117–34.
Fitzgerald L, Dopson S. Professional boundaries and the diffusion of innovation. In: Dopson S, Fitzgerald L, editors. Knowledge to action? Evidence-based health care in context. New York: Oxford University Press; 2005. p. 104–31.
Hillman AL. Managing the physicians: rules versus incentives. Health Aff. 1991;10:138–46.
Hudson B. Interprofessionality in health and social care: the Achilles’ heel of partnership? J Interprof Care. 2002;16:7–17.
Sutker WL. The physician’s role in patient safety: What’s in it for me? Proc (Bayl Univ Med Cent). 2008;21:9–14.
Mittman BS. Implementation science in health care. In: Brownson RC, Colditz GA, Proctor EK, editors. Dissemination and implementation research in health. New York: Oxford University Press; 2012. p. 400–18.
Eriksson N, Mullern T, Andersson T, Gadolin C, Tengblad S, Ujvari S. Involvement drivers: a study of nurses and physicians in improvement work. Q Manage Health Care. 2016;25:85–91.
Denison DR. What is the difference between organizational culture and organizational climate? A native’s point of view of a decade of paradigm wars. Acad Manag Rev. 1996;21:619–54.
Glisson C, James LR. The cross-level effects of culture and climate in human service teams. J Org Beh. 2002;23:767–94.
Reichenpfader U, Carlfjord S, Nilsen P. Leadership in evidence-based practice: a systematic review. Leadersh Health Serv. 2015;28:298–316.
Yukl G. Leadership in organizations. Prentice Hall: Upper Saddle River, NJ; 2006.
Gill R. Theory and practice of leadership. London: Sage Publications; 2011.
Hartley J, Benington J. Leadership for healthcare. Bristol: Policy Press; 2010. p. 1–130.
Locock L, Dopson S, Chambers D, Gabbay J. Understanding the role of opinion leaders in improving clinical effectiveness. Soc Sci Med. 2001;53:745–7.
Övretveit J. The leaders’ role in quality and safety improvement: a review of the research and guidance. Karolinska Institute: Stockholm; 2005.
Dickinson H, Ham C. Engaging doctors in leadership: review of the literature. Birmingham: University of Birmingham; 2008.
Hernan AL, Giles SJ, Fuller J, Johnson JK, Walker C, Dunbar JA. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Qual Saf. 2015;24:583–93.
Longtin Y, Sax H, Leape LL, Sheridan SE, Donaldson L, Pittet D. Patient participation: current knowledge and applicability to patient safety. Mayo Clinic Proc. 2010;85:53–62.
Doherty C, Stavropoulou C. Patients’ willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Soc Sci Med. 2012;75:257–63.
Bronfenbrenner U. The ecology of human development: experiments by nature and design. Cambridge, Massachusetts: Harvard University Press; 1979.
McLaren L, Hawe P. Ecological Perspectives in Health Research. J Epidemiol Community Health. 2005;59:6–14.
Weick KE. The social psychology of organising. Reading, MA: Addison-Wesley; 1969.
Meek VL. Organizational culture: origins and weaknesses. Organ Stud. 1988;9:453–73.
Estabrooks CA, Squires JE, Cummings GG, Birdsell JM, Norton PG. Development and assessment of the Alberta context tool. BMC Health Serv Res. 2009;9:234.
McCormack B, McCarthy G, Wright J, Slater P, Coffey A. Development and testing of the context assessment index (CAI). Worldviews Evid-Based Nurs. 2009;6(1):27–35.
Li SA, Jeffs L, Barwick M, Stevens B. Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review. Syst Rev. 2018;7:72.
Strifler L, Cardoso R, McGowan J, Cogo E, Nincic V, Khan PA, Scott A, Ghassemi M, MacDonald H, Lai Y, Treister V, Tricco AC, Straus SE. Scoping review identifies significant number of knowledge translation theories, models, and frameworks with limited use. J Clin Epidemiol. 2018;100:92–102.
Övretveit JC, Shekelle PG, Dy SM, McDonald KM, Hempel S, Pronovost P, et al. How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. BMJ Qual Saf. 2011;20:604e610.
Cappelli P, Sherer PD. The missing role of context in OB: the need for a meso-level approach. Res Organ Behav. 1991;13:55–110.
Mowday RT, Sutton RI. Organizational behavior: linking individuals and groups to organizational con texts. Annu Rev Psychol. 1993;44:195–229.
Maren S, Phan L, Liberzon I. The contextual brain: implications for fear conditioning, extinction and psychopathology. Nat Rev Neurosci. 2013;14:417–28.
Jarvis P, Holford J, Griffin C. The theory and practice of learning. London: Routledge; 2003. p. 1–170.
Phillips DC, Soltis JF, editors. Perspectives on learning. New York: Teachers College; 2009. p. 1–120.
Illeris K. A comprehensive understanding of human learning. In: Illeris K, editor. Contemporary theories of learning. Oxford: Routledge; 2009. p. 7–20.
Jordan A, Carlile O, Stack A, editors. Approaches to learning – a guide for teachers. New York: Open University Press; 2008. p. 1–251.
McMillan K, Perron A. Nurses amidst change. Policy Polit Nurs Pract. 2013;14:26–32.