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Observation, Hypothesis, Laws and Theories in Science
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Advancing the use of organization theory in implementation science
Jennifer Leeman1, Barbara Baquero2, Miriam Bender3
1University of North Carolina at Chapel Hill, School of Nursing, 4005 Carrington Hall, CB #7460, Chapel Hill, NC 27599-7460, United States of America.
Preventive Medicine
|September 16, 2019
Summary
Understanding outer-setting factors is crucial for implementing cancer control interventions in healthcare. This study reviews organizational theories to improve implementation science and practice, focusing on colorectal cancer screening.
Area of Science:
- Implementation Science
- Health Services Research
- Cancer Control
Background:
- Healthcare systems face challenges in adopting effective cancer prevention and control interventions.
- The Consolidated Framework for Implementation Research (CFIR) guides implementation studies but has underdeveloped outer-setting determinants.
- Outer-setting factors significantly influence organizational adoption of new practices, necessitating further research.
Purpose of the Study:
- To review organizational theories to develop a framework for understanding outer-setting determinants of implementation.
- To enhance the application of implementation science in healthcare settings.
- To accelerate the adoption of evidence-based cancer control interventions.
Main Methods:
- Review of three organizational theories: Institutional Theory, Transaction Cost Economics, and Contingency Theory.
- Application of theoretical findings to case studies of colorectal cancer screening implementation.
- Analysis of implementation determinants within Federally Qualified Health Centers.
Main Results:
- Organizational theories offer valuable constructs for understanding outer-setting influences on implementation.
- The review provides a foundation for a more comprehensive implementation research framework.
- Case studies illustrate the practical relevance of outer-setting factors in cancer screening initiatives.
Conclusions:
- A deeper understanding of outer-setting determinants is critical for successful intervention implementation in cancer control.
- Integrating insights from organizational theory can advance implementation science.
- This work supports efforts to translate effective cancer interventions into practice within healthcare systems.
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