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Table 2 Overview of articles included in the interpretive synthesis (n = 37)

From: Conceptual and relational advances of the PARIHS and i-PARIHS frameworks over the last decade: a critical interpretive synthesis

Type of article

First author

Year

Country

Setting

Purpose of the study/article

Approach

PARIHS or i-PARIHS used

Application of (i-)PARIHS

Contributions

Empirical study

Carlan [21]

2012

Canada

Other (construction industry)

Determine the most effective ways to disseminate ideas to reduce musculoskeletal disorders in the construction sector

Qualitative

PARIHS

Interpretation

Conceptual: context

Empirical study

Bergstrom [22]

2012

Uganda (Africa)

Acute care/hospitals

Examine the relevance of contextual elements perceived to influence knowledge translation

Qualitative

PARIHS

Measurement

Analysis

Interpretation

Conceptual: context

Empirical study

Westergren [36]

2012

Sweden

Long-term care

Explore staff’s views of participating in action-oriented study circles focused on eating and nutrition

Mixed

PARIHS

Analysis

Interpretation

Relational: dynamics among evidence, context, facilitation, and implementation success;

Conceptual: implementation success

Empirical study

Rycroft-Malone [35]

2013

Multiple European countries

Acute care/hospitals

Determine how the implementation interventions were received and how implementation processes played out

Qualitative

PARIHS

Analysis

Interpretation

Conceptual: implementation success, Conceptual: individual as a new element;

Relational: dynamics among evidence, context, facilitation, and implementation success

Empirical study

Slaughter [44]

2013

Canada

Long-term care

Assess the effect of the sit-to-stand activity on mobility outcomes, the effect of an audit-and-feedback intervention on uptake of the sit-to-stand activity, and the influence of contextual factors

Quantitative

PARIHS

Measurement

Analysis

Interpretation

Relational: relationships between context, facilitation, and implementation success

Empirical study

Watts [48]

2014

USA

US Veterans Affairs

Examine the effectiveness of Veterans Affairs efforts to promote use of evidence-based psychotherapies and evaluate how it impacts implementation

Mixed

PARIHS

Measurement

Relational: context and implementation success, facilitation and implementation success

Empirical study

Gagliardi [20]

2014

Canada

Multiple sectors

Explore how context influenced integrated knowledge translation, in three health services programs for cancer screening, diagnosis, and treatment

Qualitative

PARIHS

Interpretation

Conceptual: context;

Conceptual: implementation success;

Relational: context and implementation success

Empirical study

Tierney [39]

2014

UK

Primary care/community care

Evaluate how context affects the process of facilitating evidence-based practice

Qualitative

PARIHS

Interpretation

Relational: relationships between facilitation and context

Empirical study

McCullough [42]

2015

USA

US Veterans Affairs

Identify patterns among contextual elements that influence uptake of an anticoagulation initiative

Qualitative

PARIHS

Measurement

Analysis

Interpretation

Relational: sub-elements of context and implementation success

Empirical study

Sandstrom [17]

2015

Sweden

Primary care/community care

Investigate perceptions of decision-makers regarding implementation of evidence-based guidelines

Qualitative

PARIHS

Analysis

Interpretation

Conceptual: context

Empirical study

Brown [30]

2016

UK

Acute care settings/hospitals

Explore holistic facilitation as an approach to enabling healthcare teams to critically analyze practice and enhance patient care

Qualitative

Both

Interpretation

Conceptual: facilitation

Empirical study

Oye [23]

2016

Norway

Long-term care

Examine the influence of leadership when facilitating change

Qualitative

PARIHS

Analysis

Interpretation

Conceptual: context (leadership)

Empirical study

Mekki [40]

2017

Norway

Long-term care

Explore the interplay between external facilitation and context relative to intervention outcomes

Qualitative

PARIHS

Measurement

Analysis

Interpretation

Relational: relationships between facilitation and context/recipient

Empirical study

Ward [43]

2017

USA

Acute care settings/hospitals

Identify elements related to successful implementation of a quality improvement initiatives

Qualitative

PARIHS

Measurement

Analysis

Interpretation

Relational: relationships between implementation success and evidence/ facilitation/ context

Empirical study

Diffin [38]

2018

UK

Multiple sectors

Investigate components related to the successful implementation of a person-centered intervention in palliative and end-of-life care

Qualitative

PARIHS

Measurement

Interpretation

Relational: relationships between facilitation and evidence/context

Empirical study

Harvey [34]

2018

UK

Multiple sectors

Examine two different facilitation strategies employed by a national agency to support the implementation of insulin pump therapy

Qualitative

i-PARIHS

Analysis

Interpretation

Relational: relationships between facilitation and implementation success

Empirical study

Rycroft-Malone [46]

2018

Multiple European countries

Long-term care

Use a realist process to evaluate the process of implementing two facilitation interventions

Qualitative

PARIHS

Measurement

Analysis

Interpretation

Relational: relationships between context, facilitation, and implementation success

Empirical study

Lo [45]

2018

Canada

Long-term care

Explore the effect of clinical educators as facilitators of research use and how it is modified by context

Quantitative

PARIHS

Measurement

Interpretation

Relational: interactions between context and facilitation in impacting implementation success

Empirical study

Butow [29]

2019

Australia

Acute care settings/hospitals

Document barriers and facilitators to the sustainability of ConquerFear

Qualitative

PARIHS

Analysis

Interpretation

Conceptual: facilitation

Empirical study

Lachance [27]

2019

Canada

Primary care/community care

Examine mentoring as a type of facilitation supporting evidence use

Qualitative

Both

Intervention

Measurement

Analysis

Interpretation

Conceptual: facilitation

Empirical study

Connolly [28]

2020

USA

US Veterans Affairs

Examine how facilitation contributes to successful implementation of healthcare interventions

Qualitative

i-PARIHS

Measurement

Analysis

Interpretation

Conceptual: facilitation

Empirical study

Geerligs [19]

2020

Australia

Acute care settings/hospitals

Explore staff perspectives on the feasibility of strategies supporting the implementation of a clinical pathway

Qualitative

PARIHS

Measurement

Analysis

Interpretation

Conceptual: context;

Conceptual: facilitation

Empirical study

Niemeyer Hultstrand [18]

2020

Eswatini (Africa)

Primary care/community care

Evaluate the implementation of the Reproductive Life Plan in disadvantaged communities

Mixed

i-PARIHS

Analysis

Interpretation

Conceptual: context

Empirical study

Granberg [24]

2021

Sweden

Disability healthcare organizations

Explore managers' experiences of the implementation process when transferring new practices into care

Qualitative

i-PARIHS

Measurement

Interpretation

Conceptual: context (leadership)

Empirical study

Ritchie [32]

2021

USA

US Veterans Affairs

Explore how an expert transfers facilitation skills to support implementation

Qualitative

i-PARIHS

Analysis

Interpretation

Conceptual: facilitation

Empirical study

Steffen [33]

2021

USA

Acute care settings/hospitals

Examine pediatric intensive care unit-specific implementation barriers and facilitators

Qualitative

i-PARIHS

Measurement

Analysis

Interpretation

Conceptual: facilitation; Conceptual: recipients

Empirical study

Olmos-Ochoa [31]

2021

USA

US Veterans Affairs

Present a case study that illustrates two distinct elements of facilitation and propose an expanded conceptual framework

Qualitative

i-PARIHS

Measurement

Analysis

Interpretation

Conceptual: facilitation

Empirical study

Gustavson [41]

2021

USA

US Veterans Affairs

Explore fluctuations in barriers to medication treatment for opioid use disorder over the course of a 1-year external facilitation intervention

Qualitative

i-PARIHS

Analysis

Interpretation

Relational: temporal changes in innovation, recipients, and context in response to facilitation

Empirical study

Lo [47]

2021

Canada

Long-term care

Explore the dynamic relationships between context, facilitation, and research use

Quantitative

PARIHS

Measurement

Analysis

Interpretation

Relational: interactions between context and facilitation in impacting implementation success

Literature review

Watson [14]

2018

na

na

Identify external context constructs impacting implementation of complex evidence-based interventions

Integrative systematic review

Both

Interpretation

Conceptual: context

Literature review

Clavijo-Chamorro [16]

2020

na

na

Explore the nurses’ perceptions of context-related facilitators for the application of evidence

Meta-synthesis

PARIHS

Analysis

Interpretation

Conceptual: context

Literature review

Dryden-Palmer [50]

2020

na

na

Synthesize the literature about the impact of, and the potential relationship between context, complexity, and processes

Realist-informed review

PARIHS

An overall guiding framework

Relational: dynamics among context, evidence/innovation, and implementation process

Literature review

Clavijo-Chamorro [25]

2021

na

na

Explore nurse managers' perceptions of the factors supporting the implementation of evidence through leadership

Meta-synthesis

PARIHS

Measurement

Analysis

Interpretation

Conceptual: context (leadership)

Theory/methodology article

Stetler [26]

2011

USA

na

Develop a detailed reference guide to help researchers apply PARIHS

Other (e.g., discussion article)

PARIHS

Measurement

Analysis

Interpretation

Conceptual: evidence;

Conceptual: facilitation;

Conceptual: implementation success

Theory/methodology article

Kramer [37]

2013

Canada

na

Develop a theory-based knowledge-transfer and exchange method of evaluation (KEME) that synthesizes three theoretical frameworks including PARIHS

Mixed

PARIHS

Measurement

Analysis

Interpretation

Conceptual: implementation success

Theory/methodology article

Pfadenhauer [15]

2017

na

na

Develop a framework for structured/comprehensive conceptualization of context and implementation of complex interventions

Other (e.g., discussion article)

PARIHS

Measurement

Analysis

Interpretation

Conceptual: context; Relational: dynamics among context, intervention, and implementation

Theory/methodology article

Mills [49]

2019

UK

na

Assess logic models used in healthcare research from a complexity perspective

Other (e.g., discussion article)

PARIHS

Measurement

Analysis

Interpretation

Conceptual: context

Relational: dynamics among context, intervention, and facilitation

  1. Notes: aApplication of includes: Intervention—(i-)PARIHS was used to guide the development of implementation strategies to deliver a clinical intervention, Measurement—(i-)PARIHS was used to inform measurement or data collection, Analysis—(i-)PARIHS was used to inform data analysis, Interpretation—(i-)PARIHS was used to inform the interpretation or evaluation of study findings