Hearld Larry R, Pratt Madeline C, Smith Donna, Parman Mariel, Murphree Rendi, Michaels Kevin P, Woods-Crawford Stephanie, Rana Aadia I, Matthews Lynn T
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, United States.
Division of Infectious Diseases, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Ann Epidemiol. 2024 Dec;100:34-41. doi: 10.1016/j.annepidem.2024.10.005. Epub 2024 Oct 29.
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.
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.
在本手稿中，我们阐述了实施科学（IS）研究人员和从业者如何运用并整合现有及新颖的方法，以更全面地理解组织背景，尤其是组织惯例和流程，从而为循证干预措施的调整与实施提供参考。
此处报告的工作是对如何在阿拉巴马州莫比尔县的一个县卫生部门调整并实施一项由三个部分组成的联合干预措施进行更广泛调查的一部分。基于实施前评估当地背景和实施障碍的工作，我们首先描述三种可有效用于阐明组织惯例和流程的方法，接着描述这些方法在我们研究中的应用方式。最后，我们讨论了所吸取的经验教训以及关于其他IS研究人员如何应用和改进这些方法的建议。
结果/结论：与实施伙伴反复协作使用多种方法，能够增强我们对细微组织惯例的理解，并更好地为在复杂组织环境中调整和实施循证干预措施的工作提供参考。
