The Connections Matter: Bi-Directional Learning in Program Evaluation and Practice-Oriented Research

Area of Science:

• Health Services Research
• Program Evaluation
• Systems Science

Background:

• Practice-oriented research requires systematic evaluation integrated into clinical workflows.
• Existing evaluation methods may not fully capture the complexity of healthcare settings.
• A need exists for frameworks that bridge practice-based evidence and evidence-based practice.

Purpose of the Study:

• To propose a novel conceptual framework for embedded program evaluation in clinical settings.
• To leverage a human-centered systems lens to guide evaluation practices.
• To enhance the partnership between evaluators and practitioners for bi-directional learning.

Main Methods:

• Utilizing a human-centered systems lens, incorporating design thinking and systems thinking principles.
• Emphasizing evaluator-practitioner collaboration and mutual learning.
• Recommending tools such as systems mapping, program theory development, and logic models.

Main Results:

• The proposed framework facilitates the integration of evaluation into clinical routine.
• It promotes awareness of individual and systemic biases within healthcare institutions.
• Case examples from routine outcome monitoring and progress feedback illustrate the framework's application.

Conclusions:

• Embedded program evaluation, guided by a human-centered systems lens, is well-suited for practice-oriented research.
• Strengthening the evaluator-practitioner partnership is crucial for local and system-level healthcare improvement.
• Further research is needed to refine collaborative models and enhance evaluation's impact.