Integrating existing and novel methods to understand organizational context: A case study of an academic-public health department partnership.

PURPOSE

In this manuscript we illustrate how implementation science (IS) researchers and practitioners can deploy and integrate existing and novel methods to develop a more comprehensive understanding of organizational context, particularly organizational routines and processes, to inform adaptation and implementation of evidence-based interventions.

METHODS

The work reported here was part of a broader investigation of how to adapt and implement a three-component combination intervention in a county health department in Mobile, Alabama. Based on pre-implementation efforts to assess local context and barriers to implementation, we first describe three approaches that can be effectively used to elucidate organizational routines and processes, followed by a description of how these approaches were applied in our study. We conclude with a discussion of lessons learned and recommendations for how these approaches can be applied and improved upon by other IS researchers.

RESULTS/CONCLUSIONS: Multiple methods used iteratively and collaboratively with implementation partners can enhance our understanding of nuanced organizational routines and better inform efforts to adapt and implement evidence-based interventions in complex organizational settings.