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Identifying the domains of context important to implementation science: a study protocol.

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This study develops a framework to understand how context influences healthcare professionals' use of research evidence and the effectiveness of implementation interventions. The framework clarifies context to advance implementation science and improve evidence-based practice.

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Area of Science:

  • Implementation Science
  • Healthcare Research
  • Evidence-Based Practice

Background:

  • Contextual factors significantly impact healthcare professionals' use of research evidence in clinical practice.
  • A lack of conceptual clarity exists regarding the specific components of
  • context
  • that influence implementation interventions.
  • Understanding context is crucial for effective healthcare delivery.

Purpose of the Study:

  • To develop, refine, and validate a comprehensive framework identifying key contextual domains and features.
  • To elucidate how these contextual elements facilitate or hinder evidence use by healthcare professionals.
  • To determine how context influences the effectiveness of implementation interventions.

Main Methods:

  • A multi-phased mixed-methods approach, including concept analysis, secondary analysis of qualitative data, and semi-structured interviews.
  • Constant comparative analysis of qualitative data from 312 healthcare professionals across 13 studies.
  • Triangulation of results and Delphi approach with international experts for framework refinement and validation.

Main Results:

  • A preliminary framework identifying important domains and features of context from existing literature.
  • Inductive analysis of qualitative data revealing perceived barriers and enablers to evidence application.
  • Synthesis of findings to refine the context framework, which will be validated by experts.

Conclusions:

  • The research will yield a validated framework detailing contextual domains influencing evidence use and intervention effectiveness.
  • This framework will enhance conceptual clarity of "context" within implementation science.
  • It aims to improve healthcare professionals' evidence-based practice and predict intervention success across different settings.