Understanding the implementation of evidence-informed policies and practices from a policy perspective: a critical interpretive synthesis.
Understanding the implementation of evidence-informed policies and practices from a policy perspective: a critical interpretive synthesis.
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DOI：
10.1186/s13012-021-01082-7
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发表时间：
2021-02-15
期刊：
影响因子：
--
通讯作者：
Miatello A
中科院分区：
文献类型：
--
作者：
Bullock HL;Lavis JN;Wilson MG;Mulvale G;Miatello A
执行科学和知识转化领域的发展在某种程度上独立于政策执行研究领域，尽管有人呼吁更好地整合。因此，执行理论和实证工作往往不能从政策透镜反映执行经验，也不能从所有三个领域的学术研究中获益。这意味着政策制定者、研究人员和实践者可能会发现，从充分反映其实施工作的理论中汲取经验是一项挑战。我们开发了一个综合的理论框架的实施过程中，从政策的角度结合这些领域的研究结果，使用的关键解释性综合方法。我们从指南针问题开始：目前在实施理论和过程中如何描述政策，政策的哪些方面对实施成功很重要？然后，我们检索了12个数据库以及灰色文献，并补充了这些文件与其他来源，以填补概念空白。使用接地和解释性的方法来分析，我们建立了框架结构，主要是从理论文献，然后使用实证文献测试和完善的框架。共检索并评估了11，434份文件的资格，并通过其他来源确定了另外35份文件。86个独特的文件最终被纳入分析。我们的研究结果表明，政策被描述为（1）背景，（2）聚焦透镜，（3）创新本身，（4）影响力的杠杆，（5）推动者/促进者或障碍，或（6）结果。政策行为者也被确定为执行工作的重要参与者或领导者。我们的分析导致了一个两部分的概念框架，包括过程和决定因素的组成部分的发展。这个框架开始弥合学科之间的鸿沟，并提供了一个新的角度在系统级的实现过程。它为研究人员、政策制定者和执行者提供了一种新的执行思路，更好地整合了政策考虑因素，并可用于规划或评估执行工作。
The fields of implementation science and knowledge translation have evolved somewhat independently from the field of policy implementation research, despite calls for better integration. As a result, implementation theory and empirical work do not often reflect the implementation experience from a policy lens nor benefit from the scholarship in all three fields. This means policymakers, researchers, and practitioners may find it challenging to draw from theory that adequately reflects their implementation efforts. We developed an integrated theoretical framework of the implementation process from a policy perspective by combining findings from these fields using the critical interpretive synthesis method. We began with the compass question: How is policy currently described in implementation theory and processes and what aspects of policy are important for implementation success? We then searched 12 databases as well as gray literature and supplemented these documents with other sources to fill conceptual gaps. Using a grounded and interpretive approach to analysis, we built the framework constructs, drawing largely from the theoretical literature and then tested and refined the framework using empirical literature. A total of 11,434 documents were retrieved and assessed for eligibility and 35 additional documents were identified through other sources. Eighty-six unique documents were ultimately included in the analysis. Our findings indicate that policy is described as (1) the context, (2) a focusing lens, (3) the innovation itself, (4) a lever of influence, (5) an enabler/facilitator or barrier, or (6) an outcome. Policy actors were also identified as important participants or leaders of implementation. Our analysis led to the development of a two-part conceptual framework, including process and determinant components. This framework begins to bridge the divide between disciplines and provides a new perspective about implementation processes at the systems level. It offers researchers, policymakers, and implementers a new way of thinking about implementation that better integrates policy considerations and can be used for planning or evaluating implementation efforts.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1097/chi.0b013e3181684557
发表时间：
2008-05-01
影响因子：
13.3
作者：
Bruns, Eric J.;Hoagwood, Kimberly Eaton;Carter, Bill
通讯作者：
Carter, Bill
影响因子：
3.8
作者：
Flemming, Kate
通讯作者：
Flemming, Kate
DOI：
10.1080/1754730x.2008.9715730
发表时间：
2008-01-01
期刊：
ADVANCES IN SCHOOL MENTAL HEALTH PROMOTION
影响因子：
--
作者：
Domitrovich, Celene E.;Bradshaw, Catherine P.;Ialongo, Nicholas S.
通讯作者：
Ialongo, Nicholas S.
影响因子：
2.4
作者：
Entwistle V;Firnigl D;Ryan M;Francis J;Kinghorn P
通讯作者：
Kinghorn P