Research Scientist, Spinal Cord Injury QUERI, VA Puget Sound Health Care System, Seattle, WA.
Worldviews Evid Based Nurs. 2014 Feb;11(1):26-34. doi: 10.1111/wvn.12016. Epub 2013 Sep 18.
Limited understanding and application of theory in implementation research contributes to variable effectiveness of implementation studies. Better understanding of direct experiences with theory could improve implementation research and the potency of interventions.
This study was a conceptual exercise aimed at characterizing experiences with and applications of the Promoting Action on Research Implementation in Health Services (PARIHS) framework.
This was a structured, qualitative study involving document reviews and interviews used to answer the following overarching questions about nine implementation research centers: Why and how was PARIHS used? What strengths and weaknesses were identified for PARIHS?
PARIHS was being used for varied purposes, at varied levels, in varied ways, and to a varying extent within and across centers. Lack of implementation theory use in investigators' early years was common. Variability in the nature of theory use was attributable to characteristics of the centers, individual investigators, and features of PARIHS. Strengths and weaknesses of the PARIHS framework were identified.
The study provides information to researchers and theorists about the use of one well-known implementation framework. The information suggests areas for improvements in PARIHS as well as theory use in general, and should assist in the development of theory-based programs of research.
在实施研究中，对理论的理解和应用有限，导致实施研究的效果各不相同。更好地理解理论的直接经验可以改进实施研究和干预措施的效果。
本研究是一项概念性的研究，旨在描述在健康服务中促进研究实施行动（PARIHS）框架的应用和经验。
这是一项结构化的定性研究，包括文献回顾和访谈，旨在回答以下关于九个实施研究中心的总体问题：为什么以及如何使用 PARIHS？PARIHS 的优缺点是什么？
PARIHS 被用于不同的目的、不同的层次、不同的方式，并且在中心内部和之间的应用程度也不同。研究人员早期缺乏实施理论的应用是很常见的。理论应用的多样性归因于中心的特点、个别研究人员以及 PARIHS 的特点。确定了 PARIHS 框架的优缺点。
该研究为研究人员和理论家提供了有关使用一个著名的实施框架的信息。这些信息表明了 PARIHS 需要改进的领域以及理论应用的一般情况，这将有助于基于理论的研究计划的发展。
