Independent Consultant, Amherst, Massachusetts, USA; Health Services Department, Boston University School of Public Health, Boston, MA, USA.
Implement Sci. 2011 Aug 30;6:99. doi: 10.1186/1748-5908-6-99.
Based on a critical synthesis of literature on use of the Promoting Action on Research Implementation in Health Services (PARIHS) framework, revisions and a companion Guide were developed by a group of researchers independent of the original PARIHS team. The purpose of the Guide is to enhance and optimize efforts of researchers using PARIHS in implementation trials and evaluations.
Authors used a planned, structured process to organize and synthesize critiques, discussions, and potential recommendations for refinements of the PARIHS framework arising from a systematic review. Using a templated form, each author independently recorded key components for each reviewed paper; that is, study definitions, perceived strengths/limitations of PARIHS, other observations regarding key issues and recommendations regarding needed refinements. After reaching consensus on these key components, the authors summarized the information and developed the Guide.
A number of revisions, perceived as consistent with the PARIHS framework's general nature and intent, are proposed. The related Guide is composed of a set of reference tools, provided in Additional files. Its core content is built upon the basic elements of PARIHS and current implementation science.
We invite researchers using PARIHS for targeted evidence-based practice (EBP) implementations with a strong task-orientation to use this Guide as a companion and to apply the revised framework prospectively and comprehensively. Researchers also are encouraged to evaluate its use relative to perceived strengths and issues. Such evaluations and critical reflections regarding PARIHS and our Guide could thereby promote the framework's continued evolution.
基于对 Promoting Action on Research Implementation in Health Services（PARIHS）框架应用文献的批判性综合，一组独立于原始 PARIHS 团队的研究人员对其进行了修订并编写了配套指南。该指南的目的是增强和优化使用 PARIHS 进行实施试验和评估的研究人员的工作。
作者使用计划的、结构化的流程来组织和综合批判性评论、讨论以及对 PARIHS 框架的修订建议，这些建议源自系统审查。每位作者使用模板表格独立记录了每篇被审查文献的关键要素；即研究定义、对 PARIHS 的感知优势/局限性、对关键问题的其他观察以及对需要修订的建议。在就这些关键要素达成共识后，作者总结了信息并编写了指南。
提出了一些修订建议，这些建议被认为与 PARIHS 框架的一般性质和意图一致。相关指南由一套参考工具组成，提供在附加文件中。其核心内容建立在 PARIHS 和当前实施科学的基本要素之上。
我们邀请使用 PARIHS 进行具有强烈任务导向的有针对性的循证实践（EBP）实施的研究人员将本指南用作伴侣，并前瞻性和全面地应用修订后的框架。还鼓励研究人员评估其相对于感知优势和问题的使用情况。对 PARIHS 和我们指南的这种评估和批判性反思可以促进框架的持续发展。
