Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges

摘要: The PARiHS framework (Promoting Action on Research Implementation in Health Services) has proved to be a useful practical and conceptual heuristic for many researchers practitioners framing their research or knowledge translation endeavours. However, as it still remains untested therefore its contribution the overall development testing of theory field implementation science is largely unquantified. This being case, paper provides an integrated summary our theoretical thinking so far introduces typology (derived from social policy analysis) used distinguish between terms framework, model – important definitional issues trying refine methodological approaches translation. Secondly, describes next phase work, particular concentrating mapping that led generation hypothesis best utilised two-stage process: preliminary (diagnostic evaluative) measure elements sub-elements evidence (E) context (C), then using aggregated data these measures determine most appropriate facilitation method. exact nature intervention thus determined by specific actors at time place. In process refining this we have had consider wider around use theories inform shape activity; ongoing challenges developing robust sensitive measures; getting into practice; finally note how current debates practice are adopting notions fit innovations more generally. concludes suggesting future direction work develop diagnostic evaluative approach, where shaped moulded information gathered about situation participating stakeholders. order expedite new emerging theories, suggest formation international collaborative can systematically collect analyse experiences similar approaches. We also recommend further refinement definitions theory, model, discussion embraces multiple epistemological ontological perspectives.