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De-implementation: A concept analysis.

Michele J Upvall¹, Annette M Bourgault¹

¹College of Nursing, University of Central Florida, Orlando, FL.

|April 26, 2018

Summary

This summary is machine-generated.

De-implementation, the process of removing ineffective or harmful practices, needs clear definition. This analysis defines de-implementation to support evidence-based practice and advance implementation science.

Keywords:

concept analysis de-adoption de-implementation un-diffusion

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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Facilitates the termination of outdated or detrimental practices in clinical settings.