How do health care organizations take on best practices? A scoping literature review

Innis, Jennifer; Dryden-Palmer, Karen; Perreira, Tyrone; Berta, Whitney

doi:10.1097/xeb.0000000000000049

Cited by 23 publications

(22 citation statements)

References 45 publications

(110 reference statements)

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“…These themes are used in this paper to drive a new conceptualisation of how the construct of absorptive capacity, and the use of routines, can facilitate the uptake and use of evidence-based practice within health-care organisations. A full report on the results of this scoping review is available (Innis et al 2015).…”

Section: Methodsmentioning

confidence: 99%

Routines for change: how managers can use absorptive capacity to adopt and implement evidence-based practice

Innis

Berta

2016

J Nurs Manag

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Section: Methodsmentioning

confidence: 99%

Routines for change: how managers can use absorptive capacity to adopt and implement evidence-based practice

Innis

Berta

2016

J Nurs Manag

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“…Establishing an environment that is conducive to use of evidence includes appropriate infrastructure, facilitating "push" efforts by knowledge brokers to disseminate research evidence to potential users, "pull" efforts by health system decisionmakers, "linkage and exchange" efforts facilitating relationships between researchers and knowledge users, and evaluation of knowledge translation efforts. Innis 2015 48 also reported on such barriers and facilitators in a scoping review that emphasized the importance of organizational culture, leadership, linkage of evidence use to the organization's strategic direction, presence of champions and appropriate infrastructure.…”

Section: Tools For Promoting Use Of Evidence In Health System Decisionsmentioning

confidence: 99%

A Framework for Conceptualizing Evidence Needs of Health Systems

Schoelles¹,

Umscheid²,

Lin³

et al. 2017

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PrefaceThe Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public-and private-sector organizations in their efforts to improve the quality of health care in the United States.The reports and assessments provide organizations with comprehensive, science-based information on common, costly medical conditions and new health care technologies and strategies. The EPCs systematically review the relevant scientific literature on topics assigned to them by AHRQ and conduct additional analyses when appropriate prior to developing their reports and assessments.To improve the scientific rigor of these evidence reports, AHRQ supports empiric research by the EPCs to help understand or improve complex methodologic issues in systematic reviews. These methods research projects are intended to contribute to the research base in and be used to improve the science of systematic reviews. They are not intended to be guidance to the EPC program, although may be considered by EPCs along with other scientific research when determining EPC program methods guidance.AHRQ expects that the EPC evidence reports and technology assessments will inform individual health plans, providers, and purchasers as well as the health care system as a whole by providing important information to help improve health care quality. The reports undergo peer review prior to their release as a final report.If AcknowledgmentsThe authors gratefully acknowledge the input of the late Robert Lewis Kane, M.D., who was a member of our workgroup until his unexpected death on March 6, 2017. Dr. Kane stimulated the conversation of our workgroup with his ideas and challenges, and inspired creation of the initial framework for our efforts (See Appendix B).The authors also acknowledge two health system representatives, Lucy Savitz, Ph.D., and Charles P. Friedman, Ph.D. for their feedback on our initial framework and draft report. A Framework for Conceptualizing Evidence Needs of Health Systems Structured AbstractObjectives. To develop a framework for understanding the evidence needs of health systems to inform the AHRQ EPC Program future efforts.Data sources. Three data sources were used: (a) peer-reviewed literature from a systematic search of English-language publications in MEDLINE from January 2007-April 2017, (b) original data from four programs serving health system requests for evidence syntheses, and (c) input during a face-to-face meeting at AHRQ in June 2017 from health system stakeholders and EPC investigators.Methods. Data were synthesized narratively and thematically. We developed an initial framework to guide discussion and qualitative analysis. We built consensus around themes and refinement of the framework through weekly phone conferences, electronic communications, and a face-to-face meeting of workgroup members and health systems experts. Results.From the literature review, we found that health systems seek evidence to ...

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“…The results of their research often serve as the basis for evidence-based interventions. Re- searchers may need to provide different kinds of evidence information for decision makers and implementers at various points in the implementation process (29,30).…”

Section: Second Circle -Actors Involved In Evidence Implementationmentioning

confidence: 99%

“…Not only is it important to involve all the stakeholders early in the knowledge transfer process to enhance the opportunity for evidence implementation, but maintenance of that involvement throughout the process increases the likelihood of success (1,28). For example, continued engagement of researchers to support the accurate translation of research evidence during the formation of targeted tools and their communication, dissemination and application is an important action beyond peer reviewed publication (29,31). Active engagement of all actors in all stages of knowledge transfer should broaden the knowledge, understanding, values and perspectives of the key actors regarding the evidence-based intervention; support the management of barriers in the process that could derail the intended policy or practice; and guide collective work to enhance facilitators to support the uptake of the evidence-based intervention, described in the next circle of the model (10).…”

Section: Third Circle -Knowledge Transfermentioning

confidence: 99%

“…Each of these eight factors, identified through a systematic analysis of 32 case studies from 24 countries examining evidence uptake, implementation and monitoring of interventions to prevent child injury, can present potential barriers to the process, yet if effectively managed, can facilitate success (25). For example, the actions of a competent leader can bring together diverse stakeholders towards a common vision and targets, while the absence of leadership can leave policies and practice with no direction or momentum (29,31). Sound management and collaboration, including ensuring the right partners with clearly delineated roles and responsibilities, will support implementation (34).…”

Section: Fourth Circle -Barriers and Facilitators To Evidence Implemementioning

confidence: 99%

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Factors influencing implementation of evidence-based interventions in public health systems - a model

Vincenten¹,

MacKay²,

Schröder‐Bäck³

et al. 2019

Cent Eur J Public Health

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Objectives: Evidence that health interventions work is not enough to ensure implementation into policy and practice. The complexity of public health systems requires more diverse actions. This paper proposes a conceptual model to enhance understanding of interlinking factors that influence the evidence implementation process. Methods: A literature review was conducted to explore factors that influence the process of evidence implementation in complex public health systems, including research findings and observations from 32 case studies of injury prevention interventions underway in 24 countries and results from evidence research networks. Concepts and themes identified through a critical review were organised, ordered and interlinked to build the model. Results: An Evidence Implementation Model for Public Health Systems and four concepts or themes: Evidence implementation target; Actors involved in implementation; Knowledge transfer; and Barriers and facilitators to evidence implementation were developed to provide a simplified, yet broad framework that highlights multiple factors and back and forth inter-linkages within and between the concepts that influence the uptake of evidence into public health systems policy and practice. Conclusions: Understanding the factors discussed within and amongst the four concepts of this model should ultimately help to positively influence the uptake of evidence into real world public health systems. This model has relevance for decision makers, researchers, knowledge brokers, and implementers.

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How do health care organizations take on best practices? A scoping literature review

Cited by 23 publications

References 45 publications

Routines for change: how managers can use absorptive capacity to adopt and implement evidence-based practice

Routines for change: how managers can use absorptive capacity to adopt and implement evidence-based practice

A Framework for Conceptualizing Evidence Needs of Health Systems

Factors influencing implementation of evidence-based interventions in public health systems - a model

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