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Table 3 Revised PARIHS framework for a task-oriented approach to implementation: SI = function of E, C, F

From: A Guide for applying a revised version of the PARIHS framework for implementation

Elements Sub-elements
E: Evidence and EBP Characteristics • Research and published guidelines
  • Clinical experiences and perceptions
  • Patient experiences, needs, and preferences
  • Local practice information
  • Characteristics of the targeted EBP:
     • Relative advantage
     • Observability
     • Compatibility
     • Complexity
     • Trialability
     • Design quality and packaging
     • Costs
C: Contextual Readiness for Targeted EBP Implementation • Leadership support
  • Culture
  • Evaluation capabilities
  • Receptivity to the targeted innovation/change
F: Facilitation Role of facilitator:
  • Purpose, external and/or internal role
  • Expectations and activities
  • Skills and attributes of facilitator
  Other implementation interventions suggested per site diagnostic assessment
or relevant sources (e.g., prior research/literature and supplementary theories)
and used by the Facilitator and others
  • Related to E
  • Related to C
  • Other
SI: Successful Implementation • Implementation plan and its realization
  • EBP innovation uptake: uptake of clinical interventions and/or delivery system interventions
  • Patient and organizational outcomes achievement
  1. PARIHS = Promoting Action on Research Implementation in Health Services; EBP = evidence-based practice.