De-implementation: A concept analysis

Area of Science:

• Implementation Science
• Healthcare Practice Management
• Health Services Research

Background:

• De-implementation is understudied compared to new practice adoption.
• Harmful or unnecessary practices persist due to tradition, lacking scientific support.
• Terminology surrounding de-implementation is inconsistent, causing confusion.

Purpose of the Study:

• To clarify the concept of de-implementation.
• To establish a precise definition for researchers and clinicians.
• To facilitate evidence-based practice by defining de-implementation.

Main Methods:

• Concept analysis using Walker and Avant's method (2011).
• Systematic literature search of academic journals.
• Review and synthesis of 41 selected articles on de-implementation.

Main Results:

• De-implementation defined as identifying and removing practices lacking scientific support.
• Definition focuses on practices that are harmful, non-cost-effective, or ineffective.
• Analysis provides a distinct definition for de-implementation.

Conclusions:

• De-implementation is a critical concept for implementation science.
• Refined definition supports ongoing theory development.
• Facilitates the termination of outdated or detrimental practices in clinical settings.