PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice
PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice
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DOI：
10.1186/s13012-016-0398-2
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发表时间：
2016-03-10
影响因子：
7.2
通讯作者：
Kitson, Alison
中科院分区：
文献类型：
--
作者：
Harvey, Gill;Kitson, Alison
背景：《促进卫生服务研究实施行动》或PARIHS框架于1998年首次发表。从那时起，进一步开发、完善和测试它的工作一直在进行中。PARIHS被广泛用作组织或概念框架，以帮助解释和预测为什么将证据落实到实践中是成功的或不成功的，PARIHS是首批明确实施的多层面和复杂性质以及强调背景的核心重要性的框架之一。讨论：在已发表的评论和大量实证研究的基础上，本文介绍了框架的修订版，称为整合框架或i-PARIHS框架。描述了该框架的理论先例，并概述了经修订的和新的要素，特别是对如何描述证据的修订；如何纳入个人和团队；以及如何进一步描述背景。我们描述了框架如何可操作，并利用案例研究数据来演示对修订框架的表面和内容有效性的初步测试。总结：本文提交给实现科学界进行审议和讨论。针对对原PARIHS框架效用的一系列批评和有益的反馈，我们就框架的拟议改进征求反馈意见。我们认为，I-PARIHS框架创造了一种更综合的方法，以理解执行科学从中得出其命题和工作假设的理论复杂性；新框架更加连贯和全面，同时保持其直觉吸引力；所描述的便利化模式使其能够更有效地运作。
Background: The Promoting Action on Research Implementation in Health Services, or PARIHS framework, was first published in 1998. Since this time, work has been ongoing to further develop, refine and test it. Widely used as an organising or conceptual framework to help both explain and predict why the implementation of evidence into practice is or is not successful, PARIHS was one of the first frameworks to make explicit the multi-dimensional and complex nature of implementation as well as highlighting the central importance of context. Several critiques of the framework have also pointed out its limitations and suggested areas for improvement.Discussion: Building on the published critiques and a number of empirical studies, this paper introduces a revised version of the framework, called the integrated or i-PARIHS framework. The theoretical antecedents of the framework are described as well as outlining the revised and new elements, notably, the revision of how evidence is described; how the individual and teams are incorporated; and how context is further delineated. We describe how the framework can be operationalised and draw on case study data to demonstrate the preliminary testing of the face and content validity of the revised framework.Summary: This paper is presented for deliberation and discussion within the implementation science community. Responding to a series of critiques and helpful feedback on the utility of the original PARIHS framework, we seek feedback on the proposed improvements to the framework. We believe that the i-PARIHS framework creates a more integrated approach to understand the theoretical complexity from which implementation science draws its propositions and working hypotheses; that the new framework is more coherent and comprehensive and at the same time maintains it intuitive appeal; and that the models of facilitation described enable its more effective operationalisation.