Medical Care

Skip Navigation LinksHome > April 2013 - Volume 51 - Issue > Methodology Issues in Implementation Science
Medical Care:
doi: 10.1097/MLR.0b013e31827feeca
Original Articles

Methodology Issues in Implementation Science

Newhouse, Robin PhD, RN, NEA-BC, FAAN*; Bobay, Kathleen PhD, RN, NEA-BC; Dykes, Patricia C. DNSc, RN, FAAN, FACMI; Stevens, Kathleen R. EdD, RN, ANEF, FAAN§; Titler, Marita PhD, RN, FAAN

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Background: Putting evidence into practice at the point of care delivery requires an understanding of implementation strategies that work, in what context and how.

Objective: To identify methodological issues in implementation science using 4 studies as cases and make recommendations for further methods development.

Research Design: Four cases are presented and methodological issues identified. For each issue raised, evidence on the state of the science is described.

Results: Issues in implementation science identified include diverse conceptual frameworks, potential weaknesses in pragmatic study designs, and the paucity of standard concepts and measurement.

Conclusions: Recommendations to advance methods in implementation include developing a core set of implementation concepts and metrics, generating standards for implementation methods including pragmatic trials, mixed methods designs, complex interventions and measurement, and endorsing reporting standards for implementation studies.

© 2013 Lippincott Williams & Wilkins, Inc.


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