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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.