Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies - is there a simple answer to a complex question?

International Journal of Health Policy and Management
Gill Harvey, Alison Kitson

Abstract

How best to achieve the translation of research evidence into routine policy and practice remains an enduring challenge in health systems across the world. The complexities associated with changing behaviour at an individual, team, organizational and system level have led many academics to conclude that tailored, multi-faceted strategies provide the most effective approach to knowledge translation. However, a recent overview of systematic reviews questions this position and sheds doubt as to whether multi-faceted strategies are any better than single ones. In this paper, we argue that this either-or distinction is too simplistic and fails to recognize the complexity that is inherent in knowledge translation. Drawing on organizational theory relating to boundaries and boundary management, we illustrate the need for translational strategies that take account of the type of knowledge to be implemented, the context of implementation and the people and processes involved.

Citations

Sep 18, 2015·BMC Psychology·Mark S BauerAmy M Kilbourne
May 27, 2016·Australasian Journal on Ageing·Adrienne LewisGill Harvey
Jul 31, 2016·BMC Family Practice·Carianne M HuntAnne McBride
Dec 3, 2015·Worldviews on Evidence-based Nursing·Gill Harvey, Elizabeth McInnes
Apr 20, 2019·British Journal of Nursing : BJN·Sarah H Annesley
Apr 27, 2016·International Wound Journal·Lena N SchoepsLena Gunningberg
Sep 2, 2017·Leadership in Health Services·Kerstin NilssonMette Sandoff
Jul 2, 2019·The Journal of Trauma and Acute Care Surgery·John A HarvinJohn B Holcomb
Dec 25, 2019·Implementation Science : IS·Cassie Cunningham GoedkenHeather Schacht Reisinger
Apr 14, 2016·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Alison L Kitson, Gillian Harvey
Mar 9, 2021·Journal of Health Organization and Management·Lisa RogersEilish McAuliffe
Jun 22, 2021·Pediatric Neurology·Debopam Samanta, Sara J Landes
Aug 18, 2021·The Milbank Quarterly·Betsy Q CliffShoou-Yih Daniel Lee
Aug 30, 2021·Implementation Science : IS·Melissa A CarlsonChristine Paul

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