Studies (N = 26) | Implementation strategies (N = 150) | Discrete ISc within cluster | |||||||
---|---|---|---|---|---|---|---|---|---|
ERIC thematic cluster | n | % | n | % | N | n | % | ERIC taxonomy of implementation strategiesd | |
1 | Use evaluative and iterative strategies | 17 | 65 | 31 | 21 | 10 | 9 | 90 | Assess for readiness and identify barriers and facilitators | Audit and provide feedback | Conduct cyclical small tests of change | Develop a formal implementation blueprint | Develop and implement tools for quality monitoring | Develop and organize quality monitoring systems | Obtain and use patients/consumers and family feedback | Purposefully reexamine the implementation | Stage implementation scale-up |
2 | Provide interactive assistance | 8 | 31 | 10 | 7 | 4 | 4 | 100 | Centralize technical assistance | Facilitation | Provide clinical supervision | Provide local technical assistance |
3 | Adapt and tailor to context | 6 | 23 | 8 | 5 | 4 | 3 | 75 | Promote adaptability | Tailor strategies | Use data experts |
4 | Develop stakeholder interrelationships | 12 | 46 | 23 | 15 | 17 | 14 | 82 | Build a coalition | Capture and share local knowledge | Conduct local consensus discussions | Develop academic partnerships | Identify and prepare champions | Identify early adopters | Inform local opinion leaders | Involve executive boards | Obtain formal commitments | Organize clinician implementation team meetings | Promote network weaving | Recruit, designate, and train for leadership | Use advisory boards and workgroups | Visit other sites |
5 | Train and educate stakeholders | 23 | 88 | 63 | 42 | 11 | 10 | 91 | Conduct educational meetings | Conduct educational outreach visits | Conduct ongoing training | Create a learning collaborative | Develop educational materials | Distribute educational materials | Make training dynamic | Provide ongoing consultation | Use train-the-trainer strategies | Work with educational institutions |
6 | Support clinicians | 8 | 31 | 8 | 5 | 5 | 2 | 40 | Develop resource sharing agreements | Remind clinicians |
7 | Engage consumers | 2 | 8 | 3 | 2 | 5 | 2 | 40 | Involve patients/consumers and family members | Prepare patients/consumers to be active participants |
8 | Change infrastructure | 2 | 8 | 2 | 1 | 8 | 2 | 25 | Change physical structure and equipment | Mandate change |
9 | Utilize financial strategies | 1 | 4 | 2 | 1 | 9 | 2 | 22 | Alter incentive allowance structures | Fund and contract for the clinical innovation |