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Understanding context: A concept analysis.

Janet E Squires1,2, Ian Graham2,3, Kainat Bashir4

  • 1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.

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|July 31, 2019
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Summary
This summary is machine-generated.

This study analyzed clinical practice contexts in healthcare, identifying six domains and 21 attributes of context. Understanding these elements can improve healthcare research implementation.

Keywords:
concept analysiscontexthealth careimplementationknowledge translationwork organization

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Area of Science:

  • Health Services Research
  • Nursing Science
  • Implementation Science

Background:

  • Context is crucial for healthcare implementation strategies.
  • Lack of conceptual clarity regarding 'context' hinders research.
  • This study addresses the need for a defined understanding of clinical practice contexts.

Purpose of the Study:

  • To perform a concept analysis of clinical practice contexts (work environments) in healthcare.
  • To establish a clear conceptual definition of context in health care settings.
  • To identify the defining attributes and empirical referents of clinical practice contexts.

Main Methods:

  • A modified Walker and Avant concept analysis was employed.
  • Systematic literature search across multiple databases up to August 2014.
  • Iterative analysis of empirical and theoretical articles to develop a contextual framework.

Main Results:

  • 70 articles met inclusion criteria from over 15,000 references.
  • Identified 201 unique features of context, with 89 shared across studies.
  • Organized shared features into 21 attributes within six distinct domains of context.

Conclusions:

  • A comprehensive framework of context domains, attributes, and features was developed.
  • Assessing and tailoring implementation activities based on context attributes can enhance research uptake.
  • This framework offers potential for improved research implementation in clinical practice.