Robin Newhouse, PhD, RN, NEA-BC, FAAN, Kathleen Bobay, PhD, RN, NEA-BC, Patricia C. Dykes, DNSc, RN, FAAN, FACMI, Kathleen R. Stevens, EdD, RN, ANEF, FAAN, Marita Titler, PhD, RN, FAAN
In our article, “Methodology Issues in Implementation Science,” we identified some of the methodological challenges experienced by INQRI teams in the conduct of their projects and provided recommendations for future methods development. Although evidence-based practices improve patient outcomes, they are often underused for a number of health conditions. This underuse adds to the proliferation of unexplained and unjustified variations in practices and we believe that implementation science holds promise for expanding what is known about improving health care delivery, outcomes, and value. Based on the four INQRI case studies we reviewed, we recommend the following strategies to advance methods in implementation science: 1) the development of a core set of implementation concepts and metrics; 2) the creation of standards for implementation methods; and 3) the endorsement of reporting standards for implementation studies. Implementation science is the link between effective interventions, practice, and patient outcomes. To generate usable knowledge needed to leverage health system change and realize broad health care improvements, the methodological issues identified must be addressed to build implementation science.
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