What strategic approaches or implementation interventions are used to a) facilitate implementation at the project level and b) create normalization of EBP within a health care system at multiple institutional levels? |
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1. WHY: What was/were the specific motivation/s for change/s, i.e., why did targeted departments/services and their embedded levels wish to/implement EBP? |
i. In terms of specific projects. |
ii. In general, within the department/service and other embedded levels. |
2. HOW: What was the process used to create an individual change to EBP, i.e., what was the method used to try to get EBP implemented? |
i. Which, if any, specific implementation interventions/strategies were used to try to enable the use of an individual, targeted piece or program of evidence? |
▪ E.g., use of a dedicated project lead? Use of a standard organizational approach to change project? Use of a facilitator/champion? Use of E-B change strategies, e.g., audit/feedback, opinion leadership, QI team, clinical reminder, etc.? |
3. WHAT: What was the content of related contextual change for generic, sustained EBP over time? |
i. What key contextual elements or other entities in the system were changed to enhance or support the routine use of evidence? |
▪ E.g., alignment of infrastructure with the new purpose, values, vision, strategy, priorities ...i.e., change in various operational structures, systems, roles, job descriptions, processes, and relations; budgeting; etc. |