Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis
Abstract Background The widely adopted integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework identifies facilitation as a ‘core ingredient’ for successful implementation. Indeed, most implementation scientists agree that a certain degree of facilitation is re...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s43058-020-00071-z |
| _version_ | 1819008515780378624 |
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| author | Sarah C. Hunter Jessica A. Young Michael T. Lawless Alison L. Kitson Rebecca Feo |
| author_facet | Sarah C. Hunter Jessica A. Young Michael T. Lawless Alison L. Kitson Rebecca Feo |
| author_sort | Sarah C. Hunter |
| collection | DOAJ |
| description | Abstract Background The widely adopted integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework identifies facilitation as a ‘core ingredient’ for successful implementation. Indeed, most implementation scientists agree that a certain degree of facilitation is required to translate research into clinical practice; that is, there must be some intentional effort to assist the implementation of evidence-based approaches and practices into healthcare. Yet understandings of what constitutes facilitation and how to facilitate effectively remain largely theoretical and, therefore, provide scant practical guidance to ensure facilitator success. Implementation Science theories and frameworks often describe facilitation as an activity accomplished in, and through, formal and informal communication amongst facilitators and those involved in the implementation process (i.e. ‘recipients’). However, the specific communication practices that constitute and enable effective facilitation are currently inadequately understood. Aim In this debate article, we argue that without effective facilitation—a practice requiring significant interactional and interpersonal skills—many implementation projects encounter difficulties. Therefore, we explore whether and how the application of Conversation Analysis, a rigorous research methodology for researching patterns of interaction, could expand existing understandings of facilitation within the Implementation Science field. First, we illustrate how Conversation Analysis methods can be applied to identifying what facilitation looks like in interaction. Second, we draw from existing conversation analytic research into facilitation outside of Implementation Science to expand current understandings of how facilitation might be achieved within implementation. Conclusion In this paper, we argue that conversation analytic methods show potential to understand and refine facilitation as a critical, and inherently interactional, component of implementation efforts. Conversation analytic investigations of facilitation as it occurs in real-time between participants could inform mechanisms to (1) improve understandings of how to achieve successful implementation through facilitation, (2) overcome difficulties and challenges in implementation related to interpersonal communication and interaction, (3) inform future facilitator training and (4) inform refinement of existing facilitation theories and frameworks (e.g. i-PARIHS) currently used in implementation interventions. |
| first_indexed | 2024-12-21T00:41:42Z |
| format | Article |
| id | doaj.art-0e9607e37b794ec489cee84de02e366e |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-12-21T00:41:42Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-0e9607e37b794ec489cee84de02e366e2022-12-21T19:21:39ZengBMCImplementation Science Communications2662-22112020-11-011111110.1186/s43058-020-00071-zIntroducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation AnalysisSarah C. Hunter0Jessica A. Young1Michael T. Lawless2Alison L. Kitson3Rebecca Feo4College of Nursing and Health Sciences, Flinders UniversityCollege of Nursing and Health Sciences, Flinders UniversityCollege of Nursing and Health Sciences, Flinders UniversityCollege of Nursing and Health Sciences, Flinders UniversityCollege of Nursing and Health Sciences, Flinders UniversityAbstract Background The widely adopted integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework identifies facilitation as a ‘core ingredient’ for successful implementation. Indeed, most implementation scientists agree that a certain degree of facilitation is required to translate research into clinical practice; that is, there must be some intentional effort to assist the implementation of evidence-based approaches and practices into healthcare. Yet understandings of what constitutes facilitation and how to facilitate effectively remain largely theoretical and, therefore, provide scant practical guidance to ensure facilitator success. Implementation Science theories and frameworks often describe facilitation as an activity accomplished in, and through, formal and informal communication amongst facilitators and those involved in the implementation process (i.e. ‘recipients’). However, the specific communication practices that constitute and enable effective facilitation are currently inadequately understood. Aim In this debate article, we argue that without effective facilitation—a practice requiring significant interactional and interpersonal skills—many implementation projects encounter difficulties. Therefore, we explore whether and how the application of Conversation Analysis, a rigorous research methodology for researching patterns of interaction, could expand existing understandings of facilitation within the Implementation Science field. First, we illustrate how Conversation Analysis methods can be applied to identifying what facilitation looks like in interaction. Second, we draw from existing conversation analytic research into facilitation outside of Implementation Science to expand current understandings of how facilitation might be achieved within implementation. Conclusion In this paper, we argue that conversation analytic methods show potential to understand and refine facilitation as a critical, and inherently interactional, component of implementation efforts. Conversation analytic investigations of facilitation as it occurs in real-time between participants could inform mechanisms to (1) improve understandings of how to achieve successful implementation through facilitation, (2) overcome difficulties and challenges in implementation related to interpersonal communication and interaction, (3) inform future facilitator training and (4) inform refinement of existing facilitation theories and frameworks (e.g. i-PARIHS) currently used in implementation interventions.http://link.springer.com/article/10.1186/s43058-020-00071-zEvidence-based practiceFacilitationKnowledge TranslationConversation AnalysisInteractioni-PARIHS |
| spellingShingle | Sarah C. Hunter Jessica A. Young Michael T. Lawless Alison L. Kitson Rebecca Feo Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis Implementation Science Communications Evidence-based practice Facilitation Knowledge Translation Conversation Analysis Interaction i-PARIHS |
| title | Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis |
| title_full | Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis |
| title_fullStr | Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis |
| title_full_unstemmed | Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis |
| title_short | Introducing an interactional approach to exploring facilitation as an implementation intervention: examining the utility of Conversation Analysis |
| title_sort | introducing an interactional approach to exploring facilitation as an implementation intervention examining the utility of conversation analysis |
| topic | Evidence-based practice Facilitation Knowledge Translation Conversation Analysis Interaction i-PARIHS |
| url | http://link.springer.com/article/10.1186/s43058-020-00071-z |
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