Hunter Sarah C, Kim Bo, Kitson Alison L
College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, Adelaide, South Australia 5042 Australia.
Caring Futures Institute, Flinders University, Sturt Road, Bedford Park, Adelaide, South Australia 5042 Australia.
Implement Sci Commun. 2020 Jun 18;1:56. doi: 10.1186/s43058-020-00046-0. eCollection 2020.
Practice facilitation is a method used to address the complexity associated with implementation of innovations into primary care. To provide support, we propose that the i-PARIHS (Integrated Promoting Action on Research Implementation in Health Services) framework could support practice facilitators. The i-PARIHS framework positions facilitation as a core element for successful implementation. Therefore, the aim of this study was to provide support to practice facilitators whilst simultaneously gaining feedback on what facilitators in practice need in regard to support with operationalising the i-PARIHS framework in practice.
This study involved the delivery of a 1-h workshop on the i-PARIHS framework at the . The authors provided an overview of the i-PARIHS framework, how it can be used to support the facilitation of innovations into practice, and finally, attendees worked through facilitation scenarios and applied an i-PARIHS resource. At the end of the workshop, attendees were invited to participant in the research component, by completing a post-workshop survey on the workshop content and the i-PARIHS resource.
Participants were highly engaged and enthusiastic about the workshop. Participants reported that an introduction to implementation frameworks was valuable and the example of how the i-PARIHS framework had been used in a previous project was helpful. Overall, this study identifies how framework informed facilitation helped participants feel more equipped to conduct systematic facilitation and that the development of i-PARIHS resources would be helpful in their everyday work.
This study demonstrates that the existence of implementation frameworks is not sufficient to provide support to those who facilitate in the real world. The current study introduced practice facilitators to the i-PARIHS framework, and the findings demonstrate the need to develop and refine existing i-PARIHS resources to support facilitation. Specifically, the next steps stemming from this study will be to (i) continue to utilize workshops for sharing and refining tools, (ii) allocate development efforts to tools that assist with planning, (iii) focus on tool provision mechanisms that keep user-friendliness in mind, and (iv) translate the i-PARIHS facilitation checklist from academic language into more practical and user-friendly language.
实践促进是一种用于应对将创新措施应用于初级保健过程中所涉及的复杂性的方法。为提供支持，我们提出i-PARIHS（卫生服务研究实施综合促进行动）框架可为实践促进者提供支持。i-PARIHS框架将促进视为成功实施的核心要素。因此，本研究的目的是为实践促进者提供支持，同时获取关于促进者在实际运用i-PARIHS框架时所需支持的反馈。
本研究在……举办了一场关于i-PARIHS框架的1小时研讨会。作者概述了i-PARIHS框架、其如何用于支持将创新措施促进应用于实践，最后，与会者处理促进情景并应用了一份i-PARIHS资源。在研讨会结束时，邀请与会者通过完成关于研讨会内容和i-PARIHS资源的会后调查问卷参与研究部分。
参与者对研讨会高度投入且热情高涨。参与者报告称，实施框架的介绍很有价值，i-PARIHS框架在先前项目中的应用示例很有帮助。总体而言，本研究确定了基于框架的促进如何帮助参与者感觉更有能力进行系统促进，以及i-PARIHS资源的开发对他们的日常工作会有帮助。
本研究表明，实施框架的存在不足以向现实世界中的促进者提供支持。当前研究向实践促进者介绍了i-PARIHS框架，研究结果表明需要开发和完善现有的i-PARIHS资源以支持促进工作。具体而言，本研究产生的下一步将是：（i）继续利用研讨会来分享和完善工具；（ii）将开发工作分配给有助于规划的工具；（iii）关注牢记用户友好性的工具提供机制；（iv）将i-PARIHS促进检查表从学术语言翻译成更实用、更用户友好的语言。
