Implementation Science: The Key Concepts

Description

This accessible textbook introduces a wide spectrum of ideas, approaches, and examples that make up the emerging field of implementation science, including implementation theory, processes and methods, data collection and analysis, brokering interest on the ground, and sustainable implementation. Containing over 60 concise essays, each addressing the thorny problem of how we can make care more evidence-informed, this book looks at how implementation science should be defined, how it can be conducted, and how it is assessed. It offers vital insight into how research findings that are derived from healthcare contexts can help make sense of service delivery and patient encounters. Each entry concentrates on an important concept and examines the idea’s evidence base, root causes and effects, ideas and applications, and methodologies and methods. Revealing a very human side to caregiving, but also tackling its more complex and technological aspects, the contributors draw on real-life healthcare examples to look both at why things go right in introducing a new intervention and at what can go wrong. Implementation Science: The Key Concepts provides a toolbox of rich, contemporary thought from leading international thinkers, clearly and succinctly delivered. This comprehensive and enlightening range of ideas and examples brought together in one place is essential reading for all students, researchers, and practitioners with an interest in translating knowledge into practice in healthcare. Cover Half Title Title Copyright Contents List of figures List of tables List of boxes List of contributors Foreword Acknowledgements List of abbreviations List of models, theories, frameworks, and tools Part I Principles and concepts of implementation science Setting the scene: principles and concepts of implementation science 1 Complexity science 2 Taking a systems view 3 Resilience changes the lens for healthcare implementation systems 4 Implementation systems that support resilient performance 5 Principles of implementation science 6 Medical humanism: the role of character in implementation science 7 Theorizing 8 Theories, models, and frameworks in implementation science: a Taxonomy 9 The Consolidated Framework for Implementation Research (CFIR) 10 The Theoretical Domains Framework 11 Organization theory for implementation science 12 Exploration, Preparation, Implementation, Sustainment (EPIS) framework 13 Implementation science as process ecology: Normalization Process Theory 14 Diffusion of Innovation theory 15 Health-related quality of life 16 Shared decision-making: consider context 17 Core aspects of nudge as a behaviour change paradigm in implementation science 18 Pipeline and cyclical models of evidence building: the roles of implementation research Part II Methodology and methods of implementation science 19 Application 20 Plan, Do, Study, Act (PDSA) 21 Formative Evaluation Feedback Loops 22 Implementation or continuous design? The contribution of human factors and engineering to healthcare quality and patient safety 23 Core and variation components 24 Sensemaking: appreciating patterns and coherence in complexity 25 Methodological diversity 26 Applying the Theoretical Domains Framework: its uses and limitations 27 Ethnography 28 Walking methods 29 Modelling complex socio-technical systems: the Functional Resonance Analysis Method (FRAM) 30 Getting a handle on the social processes of implementation: social network research 31 Sentiment analysis for use within rapid implementation research: how far and fast can we go? 32 Mixed method designs 33 Simulation to improve patient care 34 In situ simulation 35 Emergency Implementation Science 36 Planning for implementation: why, who, and how 37 Consensus building: a key concept in implementation science 38 Nudge: finding clues and using cues to shift clinician behaviour 39 Design and implementation of dashboards in healthcare 40 Sensemaking: paying attention to the stories we tell to improve our ability to act 41 Adaptations Part III Challenges with evidence into practice: translation, evaluation, sustainability 42 Evidence synthesis: maximizing the potential 43 Theory-driven evaluation 44 Process evaluation of implementation strategies 45 Dissemination 46 A learning perspective on implementation 47 Alignment: impact on implementation processes and outcomes 48 Work-as-Imagined and Work-as-Done 49 Leading implementation by focusing on strategic implementation leadership 50 Agents of change: the example of an allied health professional 51 Clinical decision support 52 Interprofessional team working: the case of care pathways 53 Older people’s care 54 Implementation interventions to enhance patient self-management 55 Complex systems and unintended consequences 56 The nature and need for slack in healthcare services 57 Diagnosis errors 58 “Scaling-out” evidence-based practices 59 Implementation sustainability 60 De-implementation The long and winding road: navigating the field of implementation science Index