Using implementation science to facilitate evidence-based practice changes to promote optimal outcomes for...

Area of Science:

• Implementation Science
• Health Services Research

Background:

• The gap between research findings and clinical practice is a significant challenge in healthcare.
• Delirium significantly impacts hospitalized older adults, particularly in orthopedic settings.
• Evidence-based protocols exist but face barriers to widespread adoption.

Purpose of the Study:

• To evaluate the implementation of an evidence-based delirium management project in older orthopedic patients.
• To assess the alignment of implemented interventions with the revised Promoting Action on Research Implementation in Health Services (PARIHS) framework.
• To identify strategies for improving hospital-wide adoption and maintenance of delirium protocols.

Main Methods:

• The revised Promoting Action on Research Implementation in Health Services (PARIHS) framework was utilized.
• Interventions from a pilot project were compared against PARIHS core elements: evidence, context, facilitation, and implementation.
• Qualitative and quantitative data were likely collected to assess implementation fidelity and outcomes (implied).

Main Results:

• Successful implementation required adequate resources and clear role definitions.
• Facilitation strategies were crucial for integrating protocols into clinical workflow.
• The PARIHS framework provided a structure for evaluating implementation barriers and facilitators.

Conclusions:

• Enhancing training and integrating assessments/protocols into workflow are vital for hospital-wide adoption.
• Sustained implementation necessitates ongoing support and attention to context and facilitation.
• The PARIHS framework is a valuable tool for guiding and evaluating implementation efforts in healthcare settings.