Values-driven evidence-based health care: concept analysis of core global values in implementation

Theories, models, and frameworks are essential resources for planning effective implementation. However, it is unclear whether the reporting of principles in the published implementation literature reflects their role as a core foundation for practice change.

Our aim was to evaluate manuscripts informed by the JBI Model of Evidence-based Healthcare to identify and describe the reporting frequency of the four core principles of Culture, Communication, Capacity, and Collaboration (4Cs) that underpin the model.

This was a retrospective descriptive study which used eight purposively selected published JBI implementation reports. We piloted and extracted data in the form of verbatim text, which was mapped to the CFIR-2 sub-domains and the JBI Model's 4C principles. Data were then condensed into related concepts for frequency counts.

There were 337 instances of the JBI 4C principles, with a mean of 42 reported per publication. Instances ranged from 17 to 147, with the highest frequencies occurring for Capacity (n = 147) and Culture (n = 142), and the lowest for Communication (n = 31) and Collaboration (n = 17).

The data suggest that the JBI 4Cs have intrinsic value and utility for authors, yet are used variably. Principles presented without operational definitions or descriptions are difficult for implementers to engage with. Therefore, further conceptual and operational studies are needed to increase the clarity and specificity of use case for the JBI 4Cs.

http://links.lww.com/IJEBH/A478.