The Cultural Politics of ‘Implementation Science’

Boulton, Richard; Sandall, Jane; Sevdalis, Nick

doi:10.1007/s10912-020-09607-9

Cited by 35 publications

(28 citation statements)

References 49 publications

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“…29 Both the academia and the business community are in agreement that implementation is a discipline, a branch of knowledge. 29,30 But both communities seem to differ on how to approach this discipline.…”

Section: Getting Things Done In the Real Worldmentioning

confidence: 99%

Beyond the Science: Advancing the "Art and Craft" of Implementation in the Training and Practice of Global Health

Eboreime

Banke-Thomas

2020

Int J Health Policy Manag

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Interesting debates are ongoing on how to develop practical implementation science competencies that can bridge the "know-do" gap in global health. We advance these debates by arguing that apprenticeship and mentorship models drawn from "art and craft" used in industry is the missing piece of the puzzle that will bridge the persisting gap between academics and real-world practitioners. We propose examples of such models and how they can be applied to improve existing capacity building programs, as well as implementation in practice.

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Section: Getting Things Done In the Real Worldmentioning

confidence: 99%

Beyond the Science: Advancing the "Art and Craft" of Implementation in the Training and Practice of Global Health

Eboreime

Banke-Thomas

2020

Int J Health Policy Manag

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“…As we continue to define our implementation constructs and outcomes, and better understand the theories and conceptual approaches, we should incorporate the testing of the boundaries of our implementation science frameworks in LMICs, as the majority of the frameworks and measures were developed in HICs. Perhaps now it is time for us to consider how is implementation being conceptualized (19). That is, in addition to adapting the definitions of the constructs of our frameworks, we should also have an explicit conversation about what is context and how context defines the boundaries of these definitions, our evidence, and who judges the usefulness of the frameworks and theories in which context.…”

Section: Context and Lmicmentioning

confidence: 99%

Commentary: Adapting and Operationalizing the RE-AIM Framework for Implementation Science in Environmental Health: Clean Fuel Cooking Programs in Low Resource Countries

Baumann

2020

Front. Public Health

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“…This diversity can create challenges for collaboration between disciplines, as concepts, terms and principles can seem unfamiliar to the non-specialist. However, implementation science does not stem from an existing cultural historical framework; rather a uniquely pragmatic approach has been taken to promote interdisciplinary collaboration, with the common goal to change practice and enhance patient outcomes (Boulton et al, 2020). The emergence of implementation science into the mainstream health care agenda provides an opportunity to bridge discipline-specific approaches to improve health care quality, including those from health organisation and management.…”

Section: Discussionmentioning

confidence: 99%

“…Through the lens of a socio-ecological system (Figure 2), we can observe how different levels of the health system are interdependent; acknowledging that to address "wicked problems" such as care quality, patient safety and ensuring valuebased care, we require greater understanding of the social behaviours and complex processes involved in delivering health care, beyond the clinical effectiveness of interventions. Implementation science has begun to broaden the scope of evidence-based medicine to elucidate how this clinical practice change occurs, incorporating perspectives from diverse scientific disciplines and methodologies (Boulton et al, 2020;Brown et al, 2017).…”

Section: Implementation Science In Health Care Organisationsmentioning

confidence: 99%

Understanding implementation science from the standpoint of health organisation and management: an interdisciplinary exploration of selected theories, models and frameworks

Sarkies

Robinson

Ludwick

et al. 2021

JHOM

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PurposeAs a discipline, health organisation and management is focused on health-specific, collective behaviours and activities, whose empirical and theoretical scholarship remains under-utilised in the field of implementation science. This under-engagement between fields potentially constrains the understanding of mechanisms influencing the implementation of evidence-based innovations in health care. The aim of this viewpoint article is to examine how a selection of theories, models and frameworks (theoretical approaches) have been applied to better understand phenomena at the micro, meso and macro systems levels for the implementation of health care innovations. The purpose of which is to illustrate the potential applicability and complementarity of embedding health organisation and management scholarship within the study of implementation science.Design/methodology/approachThe authors begin by introducing the two fields, before exploring how exemplary theories, models and frameworks have been applied to study the implementation of innovations in the health organisation and management literature. In this viewpoint article, the authors briefly reviewed a targeted collection of articles published in the Journal of Health Organization and Management (as a proxy for the broader literature) and identified the theories, models and frameworks they applied in implementation studies. The authors then present a more detailed exploration of three interdisciplinary theories and how they were applied across three different levels of health systems: normalization process theory (NPT) at the micro individual and interpersonal level; institutional logics at the meso organisational level; and complexity theory at the macro policy level. These examples are used to illustrate practical considerations when implementing change in health care organisations that can and have been used across various levels of the health system beyond these presented examples.FindingsWithin the Journal of Health Organization and Management, the authors identified 31 implementation articles, utilising 34 theories, models or frameworks published in the last five years. As an example of how theories, models and frameworks can be applied at the micro individual and interpersonal levels, behavioural theories originating from psychology and sociology (e.g. NPT) were used to guide the selection of appropriate implementation strategies or explain implementation outcomes based on identified barriers and enablers to implementing innovations of interest. Projects aiming to implement change at the meso organisational level can learn from the application of theories such as institutional logics, which help elucidate how relationships at the macro and micro-level have a powerful influence on successful or unsuccessful organisational action. At the macro policy level, complexity theory represented a promising direction for implementation science by considering health care organisations as complex adaptive systems.Originality/valueThis paper illustrates the utility of a range of theories, models and frameworks for implementation science, from a health organisation and management standpoint. The authors’ viewpoint article suggests that increased crossovers could contribute to strengthening both disciplines and our understanding of how to support the implementation of evidence-based innovations in health care.

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The Cultural Politics of ‘Implementation Science’

Cited by 35 publications

References 49 publications

Beyond the Science: Advancing the "Art and Craft" of Implementation in the Training and Practice of Global Health

Beyond the Science: Advancing the "Art and Craft" of Implementation in the Training and Practice of Global Health

Commentary: Adapting and Operationalizing the RE-AIM Framework for Implementation Science in Environmental Health: Clean Fuel Cooking Programs in Low Resource Countries

Understanding implementation science from the standpoint of health organisation and management: an interdisciplinary exploration of selected theories, models and frameworks

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