Translating evidence in complex systems: a comparative review of implementation and improvement frameworks.

ABSTRACT:

Purpose

An increasing number of implementation and improvement frameworks seek to describe and explain how change is made in healthcare. This paper aims to explore how existing frameworks conceptualize the influence of complexity in translating evidence into practice in healthcare.

Data sources

A database was interrogated using a search strategy to identify publications that present frameworks and models for implementation and improvement.

Study selection

Ten popular implementation and improvement frameworks were purposively selected.

Data extraction

Comparative analysis was conducted using an analytical framework derived from SHIFT-Evidence, a framework that conceptualizes complexity in implementation and improvement initiatives.

Results

Collectively th

SUBMITTER: Reed JE 

PROVIDER: S-EPMC6464095 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature