Implementation Science : The Key Concepts book cover
1st Edition

Implementation Science
The Key Concepts

ISBN 9780367626112
Published June 7, 2022 by Routledge
270 Pages 39 B/W Illustrations

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Book 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.

Table of Contents

Part I Principles and Concepts of Implementation Science

1 Complexity Science

Jeffrey Braithwaite

2 Taking a Systems View

Moriah E. Ellen and Saritte Perlman

3 Resilience Changes the Lens for Healthcare Implementation Systems

David D. Woods and Michael F. Rayo

4 Implementation Systems that Support Resilient Performance

Michael F. Rayo

5 Principles of Implementation Science

Amy M. Kilbourne

6 Medical Humanism: The Role of Character in Implementation Science

Mark Clark

7 Theorizing

Roman Kislov and Paul Wilson

8 Theories, Models, and Frameworks in Implementation Science: A Taxonomy

Per Nilsen

9 The Consolidated Framework for Implementation Research (CFIR)

Laura Damschroder

10 The Theoretical Domains Framework

Fabiana Lorencatto

11 Organization Theory for Implementation Science

Sarah A. Birken and Emily R. Haines

12 Exploration, Preparation, Implementation, Sustainment (EPIS) Framework

Joanna C. Moullin and Gregory A. Aarons

13 Implementation Science as Process Ecology: Normalization Process Theory

Carl May

14 Diffusion of Innovation Theory

Ping Yu

15 Health-related Quality of Life

Ben Smith and Ivana Durcinoska

16 Shared Decision-Making: Consider Context

Glyn Elwyn

17 Core Aspects of Nudge as a Behaviour Change Paradigm in Implementation Science

Klay Lamprell

18 Pipeline and Cyclical Models of Evidence Building: The Roles of Implementation Research

Carolyn J. Hill and Virginia Knox

Part II Methodology and Methods of Implementation Science

19 Application

Nick Sevdalis and Louise Hull

20 Plan, Do, Study, Act (PDSA)

Jeffrey Braithwaite

21 Formative Evaluation Feedback Loops

Jeffrey Braithwaite

22 Implementation or Continuous Design? The Contribution of Human Factors and Engineering to Healthcare Quality and Patient Safety

Pascale Carayon

23 Core and Variation Components

Terje Ogden

24 Sensemaking: Appreciating Patterns and Coherence in Complexity

David C. Aron and Luci K. Leykum

25 Methodological Diversity

Frances Rapport and Yvonne Zurynski

26 Applying the Theoretical Domains Framework: Its Uses and Limitations

Fabiana Lorencatto

27 Ethnography

Justin Waring and Jenelle Clarke

28 Walking Methods

Frances Rapport

29 Modelling Complex Socio-Technical Systems: The Functional Resonance Analysis Method (FRAM)

Erik Hollnagel and Robyn Clay-Williams

30 Getting a handle on the social processes of implementation: Social network research

Janet C. Long

31 Sentiment Analysis for Use within Rapid Implementation Research: How Far and Fast Can We Go?

James Smith

32 Mixed Methods Design

Lawrence A. Palinkas

33 Simulation to Improve Patient Care

Mary D. Patterson and Ellen S. Deutsch

34 In Situ Simulation

Kyota Nakamura and Kazue Nakajima

35 Emergency Implementation Science

John Øvretveit

36 Planning for Implementation: Why, Who, and How

Andrea Smith and Karen Hutchinson

37 Consensus Building: A Key Concept in Implementation Science

Lawrence Susskind

38 Nudge: Finding Clues and Using Cues to Shift Clinician Behaviour

Klay Lamprell

39 Design and Implementation of Dashboards in Healthcare

Kristiana Ludlow and Johanna Westbrook

40 Sensemaking: Paying Attention to the Stories We Tell to Improve Our Ability to Act

Luci K. Leykum and David C. Aron

41 Adaptations

Ulrica von Thiele Schwarz, Henna Hasson, and Gregory A. Aarons

Part III Challenges with Evidence into Practice: Translation, Evaluation, Sustainability

42 Evidence Synthesis: Maximizing the Potential

Jo Rycroft-Malone

43 Theory-driven Evaluation

Huey T. Chen

44 Process Evaluation of Implementation Strategies

Michel Wensing

45 Dissemination

David Chambers

46 A Learning Perspective on Implementation

Per Nilsen, Margit Neher, Per-Erik Ellström, and Benjamin Gardner

47 Alignment: Impact on Implementation Processes and Outcomes

Mark G. Ehrhart and Gregory A. Aarons

48 Work-as-Imagined and Work-as-Done

Erik Hollnagel and Robyn Clay-Williams

49 Leading Implementation by Focusing on Strategic Implementation Leadership

Gregory A. Aarons and Mark G. Ehrhart

50 Agents of Change: The Example of an Allied Health Professional
Kate Laver

51 Clinical Decision Support
David W. Bates

52 Interprofessional Team Working: The Case of Care Pathways

Kris Vanhaecht and Ellen Coeckelberghs

53 Older People’s Care

Jackie Bridges

54 Implementation Interventions to Enhance Patient Self-management

Michel Wensing

55 Complex Systems and Unintended Consequences

Robyn Clay-Williams

56 The Nature and Need for Slack in Healthcare Services

Tarcisio A. Saurin

57 Diagnosis Errors

Gordon D. Schiff

58 "Scaling-Out" Evidence-based Practices
Marisa Sklar and Gregory A. Aarons

59 Implementation Sustainability

Sharon E. Straus

60 De-implementation

Iestyn Williams and Russell Mannion

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Frances Rapport is Professor of Health Implementation Science at Macquarie University’s Centre for Healthcare Resilience and Implementation Science, Sydney, Australia, is Academic Lead, MD Research, Macquarie University, and holds an Honorary Chair as Professor of Qualitative Health Research at Swansea University’s Medical School, UK. She currently leads a team of implementation scientists examining new models of implementation to support the translation of research outcomes into practical solutions for healthcare delivery and improvement. Rapport has a visiting professorship in Bournemouth University, UK, and was previously a visiting professor at Harvard University (Psychiatry), Texas University, Galveston (Medical Board), and the University of Tromsø (Medical Humanities) in Norway.

Robyn Clay-Williams is Associate Professor of Human Factors and Resilience and an internationally regarded health services researcher, who leads a research stream at the Australian Institute of Health and Innovation (AIHI), Macquarie University, Sydney, Australia. Her expertise is in creating health systems that can function effectively in the presence of complexity and uncertainty. Dr Clay-Williams’ research bridges the gap between theory and practice by developing products and processes that are usable and ready for implementation. She has a background in aviation and, prior to her academic career, was a military test pilot with the Royal Australian Air Force.

Jeffrey Braithwaite is Founding Director of the AIHI, Director of the Centre for Healthcare Resilience and Implementation Science, and Professor of Health Systems Research, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia. He has appointments at six other universities internationally, and he is a board member and President of the International Society for Quality in Health Care (ISQua) and consultant to the World Health Organization (WHO). Working with 152 countries on their reform initiatives, his research on safer, higher quality, and more resilient care examines health systems and their capacity to implement change and improvement, attracting funding of more than AUD 171 million. He is particularly interested in healthcare as a Complex Adaptive System and applying complexity science to healthcare problems.