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Table 3 Implementability domains and elements of interest

From: The guideline implementability research and application network (GIRAnet): an international collaborative to support knowledge exchange: study protocol

Implementability domain/elements

Definition

Examples of tools

Knowledge to Action phase*

Accommodation

• Technical

• Regulatory

• Human resources

• Professional

• Workflow process

• Costs

Equipment or technology needed; industrial standards; policies governing their use; type and number of health professionals needed to deliver services; education, training, or competencies needed by staff to deliver services; anticipated changes in workflow or processes during or after adoption

• Literature search strategies for identifying these elements for condition-specific guidelines

• Template statement for inclusion in guidelines

• Strategy for whom to engage in guideline development to enable use of an integrated knowledge-translation strategy and governance structure

Adapting Knowledge to Local Context; Assessing Barriers, Facilitators of Knowledge Use (phases 2, 3)

Implementation

• Barriers and facilitators

• Strategies

• Tailoring

Identifying individual, organisational, and system barriers associated with adoption; selecting and tailoring implementation strategies that address barriers

• Literature search strategies for identifying barriers

• Criteria and algorithms for selecting interventions

• Options for tailoring interventions

• Template statement for inclusion in guidelines

• Surveys to facilitate systematic barrier analysis and mitigation

Assessing Barriers, Facilitators of Knowledge Use; Selecting, Tailoring, and Implementing Interventions (phases 3,4)

Evaluation

• Performance measures

• Benchmarks

• Evaluation processes

Tools based on performance measures that can be used by organisations or individuals to assess their baseline and postintervention compliance with recommendations

• Program evaluation kit

• Self-audit kit

Monitoring Knowledge Use, Evaluating Outcomes, Sustaining Knowledge Use (phases 5, 6, 7)

  1. *From: Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell et al.: Lost in knowledge translation: time for a map? J Cont Ed Health Prof 2006; 26:13-24.