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Implementation Science
Published in: Implementation Science 1/2011

Open Access 01-12-2011 | Methodology

A Guide for applying a revised version of the PARIHS framework for implementation

Authors: Cheryl B Stetler, Laura J Damschroder, Christian D Helfrich, Hildi J Hagedorn

Published in: Implementation Science | Issue 1/2011

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Abstract

Background

Based on a critical synthesis of literature on use of the Promoting Action on Research Implementation in Health Services (PARIHS) framework, revisions and a companion Guide were developed by a group of researchers independent of the original PARIHS team. The purpose of the Guide is to enhance and optimize efforts of researchers using PARIHS in implementation trials and evaluations.

Methods

Authors used a planned, structured process to organize and synthesize critiques, discussions, and potential recommendations for refinements of the PARIHS framework arising from a systematic review. Using a templated form, each author independently recorded key components for each reviewed paper; that is, study definitions, perceived strengths/limitations of PARIHS, other observations regarding key issues and recommendations regarding needed refinements. After reaching consensus on these key components, the authors summarized the information and developed the Guide.

Results

A number of revisions, perceived as consistent with the PARIHS framework's general nature and intent, are proposed. The related Guide is composed of a set of reference tools, provided in Additional files. Its core content is built upon the basic elements of PARIHS and current implementation science.

Conclusions

We invite researchers using PARIHS for targeted evidence-based practice (EBP) implementations with a strong task-orientation to use this Guide as a companion and to apply the revised framework prospectively and comprehensively. Researchers also are encouraged to evaluate its use relative to perceived strengths and issues. Such evaluations and critical reflections regarding PARIHS and our Guide could thereby promote the framework's continued evolution.
Appendix
Available only for authorised users
Literature
1.
Helfrich C, Damschroder L, Hagedorn H, Daggett G, Sahay A, Ritchie M, Damush T, Guihan M, Ullrich P, Stetler C: A critical synthesis of literature on the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Implementation Science. 2010, 5 (1): 82-10.1186/1748-5908-5-82.CrossRefPubMedPubMedCentral
2.
Rycroft-Malone J, Kitson A, Harvey G, McCormack B, Seers K, Titchen A, Estabrooks C: Ingredients for change: revisiting a conceptual framework. Quality & Safety in Health Care. 2002, 11 (2): 174-180. 10.1136/qhc.11.2.174.CrossRef
3.
Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A: An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004, 13 (8): 913-924. 10.1111/j.1365-2702.2004.01007.x.CrossRefPubMed
4.
Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B: What counts as evidence in evidence-based practice?. J Adv Nurs. 2004, 47 (1): 81-90. 10.1111/j.1365-2648.2004.03068.x.CrossRefPubMed
5.
Kitson A, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A: Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implementation Science. 2008, 3 (1): 1-10.1186/1748-5908-3-1.CrossRefPubMedPubMedCentral
6.
Grol RPTM, Bosch MC, Hulscher MEJL, Eccles MP, Wensing M: Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives. The Milbank Quarterly. 2007, 85 (1): 93-138. 10.1111/j.1468-0009.2007.00478.x.CrossRefPubMedPubMedCentral
7.
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: 50-10.1186/1748-5908-4-50.CrossRefPubMedPubMedCentral
8.
Kitson A, Harvey G, McCormack B: Enabling the implementation of evidence based practice: a conceptual framework. Quality in Health Care. 1998, 7 (3): 149-158. 10.1136/qshc.7.3.149.CrossRefPubMedPubMedCentral
9.
Harvey G, Loftus-Hills A, Rycroft-Malone J, Titchen A, Kitson A, McCormack B, Seers K: Getting evidence into practice: the role and function of facilitation. Journal of Advanced Nursing. 2002, 37 (6): 577-588. 10.1046/j.1365-2648.2002.02126.x.CrossRefPubMed
10.
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 (1): 94-104. 10.1046/j.1365-2648.2002.02150.x.CrossRefPubMed
11.
Rycroft-Malone J: Promoting Action on Research Implementation in Health Services (PARIHS). Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action. Edited by: Rycroft-Malone J, Bucknall T. 2010, Oxford: Wiley-Blackwell
12.
McCormack B, McCarthy G, Wright J, Coffey A: Development and Testing of the Context Assessment Index (CAI). Worldviews on Evidence-Based Nursing. 2009, 6 (1): 27-35. 10.1111/j.1741-6787.2008.00130.x.CrossRefPubMed
13.
Feussner JR, Kizer KW, Demakis JG: The Quality Enhancement Research Initiative (QUERI): from evidence to action. Med Care. 2000, 38 (6 Suppl 1): I1-6-PubMed
14.
Stetler CB, McQueen L, Demakis J, Mittman BS: An organizational framework and strategic implementation for system-level change to enhance research-based practice: QUERI Series. Implement Sci. 2008, 3: 30-10.1186/1748-5908-3-30.CrossRefPubMedPubMedCentral
15.
Stetler CB, Mittman BS, Francis J: Overview of the VA Quality Enhancement Research Initiative (QUERI) and QUERI theme articles: QUERI Series. Implement Sci. 2008, 3: 8-10.1186/1748-5908-3-8.CrossRefPubMedPubMedCentral
16.
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. National Co-ordinating Centre for NHS Service Delivery and Organisation Research & Development (NCCSDO). 2004, 1-424.
17.
Stetler C, Ritchie J, Rycroft-Malone J, Schultz A, Charns M: Institutionalizing evidence-based practice: an organizational case study using a model of strategic change. Implementation Science. 2009, 4 (1): 78-10.1186/1748-5908-4-78.CrossRefPubMedPubMedCentral
18.
Helfrich C, Li Y-F, Sharp N, Sales A: Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework. Implementation Science. 2009, 4 (1): 38-10.1186/1748-5908-4-38.CrossRefPubMedPubMedCentral
19.
Stetler C, Legro M, Rycroft-Malone J, Bowman C, Curran G, Guihan M, Hagedorn H, Pineros S, Wallace C: Role of "external facilitation" in implementation of research findings: a qualitative evaluation of facilitation experiences in the Veterans Health Administration. Implementation Science. 2006, 1 (1): 23-10.1186/1748-5908-1-23.CrossRefPubMedPubMedCentral
20.
Stetler CB, Legro MW, Wallace CM, Bowman C, Guihan M, Hagedorn H, Kimmel B, Sharp ND, Smith JL: The role of formative evaluation in implementation research and the QUERI experience. J Gen Intern Med. 2006, 21 (Suppl 2): S1-8.CrossRefPubMedPubMedCentral
21.
Hagedorn H, Hogan M, Smith JL, Bowman C, Curran GM, Espadas D, Kimmel B, Kochevar L, Legro MW, Sales AE: Lessons learned about implementing research evidence into clinical practice. Experiences from VA QUERI. J Gen Intern Med. 2006, 21 (Suppl 2): S21-4.PubMedPubMedCentral
22.
23.
Luck J, Hagigi F, Parker LE, Yano EM, Rubenstein LV, Kirchner JE: A social marketing approach to implementing evidence-based practice in VHA QUERI: the TIDES depression collaborative care model. Implement Sci. 2009, 4: 64-10.1186/1748-5908-4-64.CrossRefPubMedPubMedCentral
24.
25.
Stetler CB: Refinement of the Stetler/Marram model for application of research findings to practice. Nurs Outlook. 1994, 42 (1): 15-25. 10.1016/0029-6554(94)90067-1.CrossRefPubMed
26.
Stetler CB: Updating the Stetler Model of research utilization to facilitate evidence-based practice. Nurs Outlook. 2001, 49 (6): 272-9. 10.1067/mno.2001.120517.CrossRefPubMed
27.
Stetler CB, Corrigan B, Sander-Buscemi K, Burns M: Integration of evidence into practice and the change process: fall prevention program as a model. Outcomes Manag Nurs Pract. 1999, 3 (3): 102-11.PubMed
28.
Lohr KN, Carey TS: Assessing "best evidence": issues in grading the quality of studies for systematic reviews. Jt Comm J Qual Improv. 1999, 25 (9): 470-9.PubMed
29.
Rogers E: Diffusion of Innovations. 1983, New York: Free Press
30.
Grimshaw J, Thomas R, MacLennan G, Fraser C, Ramsay C, Vale L, Whitty P, Eccles M, Matowe L, Shirran L, Wensing M, Dijkstra R, Donaldson C: Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004, 8 (6): iii-iv, 1-72.CrossRefPubMed
31.
Grol R, Wensing M, Eccles M: The implementation of change in clinical practice. 2005, Edinburgh: Elsevier Butterworth Heinemann
32.
33.
Rogers EM: Diffusion of Innovations. 1995, New York, NY: The Free Press
34.
Ellis I, Howard P, Larson A, Robertson J: From workshop to work practice: An exploration of context and facilitation in the development of evidence-based practice. Worldviews Evid Based Nurs. 2005, 2 (2): 84-93. 10.1111/j.1741-6787.2005.04088.x.CrossRefPubMed
35.
Bahtsevani C, Willman A, Khalaf A, Östman M: Developing an instrument for evaluating implementation of clinical practice guidelines: a test-retest study. Journal of Evaluation in Clinical Practice. 2008, 14 (5): 839-846.CrossRefPubMed
36.
Sharp ND, Pineros SL, Hsu C, Starks H, Sales AE: A Qualitative Study to Identify Barriers and Facilitators to Implementation of Pilot Interventions in the Veterans Health Administration (VHA) Northwest Network. Worldviews Evid Based Nurs. 2004, 1 (2): 129-39. 10.1111/j.1741-6787.2004.04023.x.CrossRefPubMed
37.
Helfrich CD, Weiner BJ, McKinney MM, Minasian L: Determinants of Implementation Effectiveness: Adapting a Framework for Complex Innovations. Med Care Res Rev. 2007, 64 (3): 279-303. 10.1177/1077558707299887.CrossRefPubMed
Metadata
Title
A Guide for applying a revised version of the PARIHS framework for implementation
Authors
Cheryl B Stetler
Laura J Damschroder
Christian D Helfrich
Hildi J Hagedorn
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2011
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-6-99

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