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Getting evidence into practice: the meaning of 'context'
Brendan McCormack1, Alison Kitson, Gill Harvey
1University of Ulster/Royal Hospitals Trust, Belfast, UK. brendan.mccormack@royalhospitals.n-i.nhs.uk
Journal of Advanced Nursing
|March 16, 2002
Summary
The concept of context in healthcare settings is complex and lacks clear definition, impacting evidence-based practice implementation. Further research is needed to understand its nuances and improve its application in practice.
Area of Science:
- Healthcare implementation science
- Nursing research
- Evidence-based practice
Background:
- A 1998 framework highlighted context as crucial for evidence uptake in practice.
- Context, defined as the implementation setting, significantly influences evidence adoption.
- Concept analysis refines framework elements for theoretical rigor.
Purpose of the Study:
- To perform a concept analysis of 'context' in relation to evidence implementation.
- To clarify the conceptual clarity and maturity of 'context' in evidence-based practice.
- To refine a conceptual framework for evidence implementation.
Main Methods:
- Utilized Morse's approach to concept analysis.
- Critically reviewed seminal texts and research literature.
- Examined 'context' within the framework of evidence-based practice.
Main Results:
- Context is the setting where practice occurs, but the term lacks nuance.
- Organizational culture and leadership are key characteristics of context.
- 'Measurement' within context is better described as 'evaluation'.
Conclusions:
- Inconsistent use of 'context' affects its perceived importance.
- Lack of clarity in 'context' hinders understanding of its impact.
- Further delineation and comparison of 'context' are necessary for research and practice.