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Identifying the domains of context important to implementation science: a study protocol

Squires, Janet E., Graham, Ian D., Hutchinson, Alison M., Michie, Susan, Francis, Jill J., Sales, Anne, Brehaut, Jamie, Curran, Janet, Ivers, Noah, Lavis, John, Linklater, Stefanie, Fenton, Shannon, Noseworthy, Thomas, Vine, Jocelyn and Grimshaw, Jeremy M. 2015, Identifying the domains of context important to implementation science: a study protocol, Implementation science, vol. 10, pp. 1-9, doi: 10.1186/s13012-015-0325-y.

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Title Identifying the domains of context important to implementation science: a study protocol
Author(s) Squires, Janet E.
Graham, Ian D.
Hutchinson, Alison M.ORCID iD for Hutchinson, Alison M. orcid.org/0000-0001-5065-2726
Michie, Susan
Francis, Jill J.
Sales, Anne
Brehaut, Jamie
Curran, Janet
Ivers, Noah
Lavis, John
Linklater, Stefanie
Fenton, Shannon
Noseworthy, Thomas
Vine, Jocelyn
Grimshaw, Jeremy M.
Journal name Implementation science
Volume number 10
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2015-09-28
ISSN 1748-5908
Keyword(s) Attitude of Health Personnel
Diffusion of Innovation
Evidence-Based Medicine
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Qualitative Research
Research Design
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
QUALITATIVE HEALTH RESEARCH
KNOWLEDGE TRANSLATION
CARE
FRAMEWORK
DELPHI
ORGANIZATIONS
DETERMINANTS
FACILITATION
INNOVATIONS
SERVICES
Summary BACKGROUND: There is growing recognition that "context" can and does modify the effects of implementation interventions aimed at increasing healthcare professionals' use of research evidence in clinical practice. However, conceptual clarity about what exactly comprises "context" is lacking. The purpose of this research program is to develop, refine, and validate a framework that identifies the key domains of context (and their features) that can facilitate or hinder (1) healthcare professionals' use of evidence in clinical practice and (2) the effectiveness of implementation interventions.
METHODS/DESIGN: A multi-phased investigation of context using mixed methods will be conducted. The first phase is a concept analysis of context using the Walker and Avant method to distinguish between the defining and irrelevant attributes of context. This phase will result in a preliminary framework for context that identifies its important domains and their features according to the published literature. The second phase is a secondary analysis of qualitative data from 13 studies of interviews with 312 healthcare professionals on the perceived barriers and enablers to their application of research evidence in clinical practice. These data will be analyzed inductively using constant comparative analysis. For the third phase, we will conduct semi-structured interviews with key health system stakeholders and change agents to elicit their knowledge and beliefs about the contextual features that influence the effectiveness of implementation interventions and healthcare professionals' use of evidence in clinical practice. Results from all three phases will be synthesized using a triangulation protocol to refine the context framework drawn from the concept analysis. The framework will then be assessed for content validity using an iterative Delphi approach with international experts (researchers and health system stakeholders/change agents).
DISCUSSION: This research program will result in a framework that identifies the domains of context and their features that can facilitate or hinder: (1) healthcare professionals' use of evidence in clinical practice and (2) the effectiveness of implementation interventions. The framework will increase the conceptual clarity of the term "context" for advancing implementation science, improving healthcare professionals' use of evidence in clinical practice, and providing greater understanding of what interventions are likely to be effective in which contexts.
Notes Article number: 135
Language eng
DOI 10.1186/s13012-015-0325-y
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Squires et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080179

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.