Metz Allison, Kainz Kirsten, Boaz Annette
School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, England.
Front Health Serv. 2023 Jan 18;2:959386. doi: 10.3389/frhs.2022.959386. eCollection 2022.
This paper presents a rationale for tailoring implementation strategies within a values-driven implementation approach. Values-driven implementation seeks to organize implementers around clarifying statements of their shared values in ways that harmonize implementation dynamics related to individual and group mental models, relationships among implementers, and the implementation climate. The proposed approach to tailoring strategies is informed by systems theory and emphasizes the need to focus on both tangible events and behaviors, as well deeper patterns, structures, relationships, and mental models, in order to increase the likelihood of sustaining implementation efforts and improving outcomes for people and communities. We offer for consideration three specific sets of context determinants that are under-represented in the implementation literature and that emerge as especially relevant within a systems approach to identifying and successfully tailoring implementation strategies in the implementation setting including relationships, mental models, and implementation climate.
本文提出了在基于价值观的实施方法中定制实施策略的基本原理。基于价值观的实施旨在围绕阐明实施者的共同价值观来组织实施者,其方式要协调与个人和群体心智模式、实施者之间的关系以及实施氛围相关的实施动态。所提议的定制策略方法以系统理论为依据,并强调需要关注有形的事件和行为,以及更深层次的模式、结构、关系和心智模式,以提高维持实施工作并改善个人和社区成果的可能性。我们提出三组特定的情境决定因素以供考虑,这些因素在实施文献中未得到充分体现,并且在系统方法中,对于在实施环境中识别并成功定制实施策略而言显得尤为重要,包括关系、心智模式和实施氛围。