The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature

Abstract Background The Promoting Action on Research Implementation in Health Services (PARIHS) framework was developed two decades ago and conceptualizes successful implementation (SI) as a function (f) of the evidence (E) nature and type, context (C) quality, and the facilitation (F), [SI = f (E,C...

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Main Authors: Anna Bergström, Anna Ehrenberg, Ann Catrine Eldh, Ian D. Graham, Kazuko Gustafsson, Gillian Harvey, Sarah Hunter, Alison Kitson, Jo Rycroft-Malone, Lars Wallin
Format: Article
Language:English
Published: BMC 2020-08-01
Series:Implementation Science
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13012-020-01003-0
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author Anna Bergström
Anna Ehrenberg
Ann Catrine Eldh
Ian D. Graham
Kazuko Gustafsson
Gillian Harvey
Sarah Hunter
Alison Kitson
Jo Rycroft-Malone
Lars Wallin
author_facet Anna Bergström
Anna Ehrenberg
Ann Catrine Eldh
Ian D. Graham
Kazuko Gustafsson
Gillian Harvey
Sarah Hunter
Alison Kitson
Jo Rycroft-Malone
Lars Wallin
author_sort Anna Bergström
collection DOAJ
description Abstract Background The Promoting Action on Research Implementation in Health Services (PARIHS) framework was developed two decades ago and conceptualizes successful implementation (SI) as a function (f) of the evidence (E) nature and type, context (C) quality, and the facilitation (F), [SI = f (E,C,F)]. Despite a growing number of citations of theoretical frameworks including PARIHS, details of how theoretical frameworks are used remains largely unknown. This review aimed to enhance the understanding of the breadth and depth of the use of the PARIHS framework. Methods This citation analysis commenced from four core articles representing the key stages of the framework’s development. The citation search was performed in Web of Science and Scopus. After exclusion, we undertook an initial assessment aimed to identify articles using PARIHS and not only referencing any of the core articles. To assess this, all articles were read in full. Further data extraction included capturing information about where (country/countries and setting/s) PARIHS had been used, as well as categorizing how the framework was applied. Also, strengths and weaknesses, as well as efforts to validate the framework, were explored in detail. Results The citation search yielded 1613 articles. After applying exclusion criteria, 1475 articles were read in full, and the initial assessment yielded a total of 367 articles reported to have used the PARIHS framework. These articles were included for data extraction. The framework had been used in a variety of settings and in both high-, middle-, and low-income countries. With regard to types of use, 32% used PARIHS in planning and delivering an intervention, 50% in data analysis, 55% in the evaluation of study findings, and/or 37% in any other way. Further analysis showed that its actual application was frequently partial and generally not well elaborated. Conclusions In line with previous citation analysis of the use of theoretical frameworks in implementation science, we also found a rather superficial description of the use of PARIHS. Thus, we propose the development and adoption of reporting guidelines on how framework(s) are used in implementation studies, with the expectation that this will enhance the maturity of implementation science.
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spelling doaj.art-ebf9e480b851499abe5d6d3269cb10822022-12-21T22:44:15ZengBMCImplementation Science1748-59082020-08-0115115110.1186/s13012-020-01003-0The use of the PARIHS framework in implementation research and practice—a citation analysis of the literatureAnna Bergström0Anna Ehrenberg1Ann Catrine Eldh2Ian D. Graham3Kazuko Gustafsson4Gillian Harvey5Sarah Hunter6Alison Kitson7Jo Rycroft-Malone8Lars Wallin9Department of Women’s and Children’s health, Uppsala Global Health Research on Implementation and Sustainability (UGHRIS)School of Education, Health, and Social Studies, Dalarna UniversityDepartment of Medicine and Health, Linköping UniversitySchool of Epidemiology and Public Health, University of OttawaSchool of Education, Health, and Social Studies, Dalarna UniversityAdelaide Nursing School, University of AdelaideCaring Futures Institute, College of Nursing and Health Sciences, Flinders UniversityCaring Futures Institute, College of Nursing and Health Sciences, Flinders UniversityDivision of Health Research, Faculty of Health and Medicine, Lancaster UniversitySchool of Education, Health, and Social Studies, Dalarna UniversityAbstract Background The Promoting Action on Research Implementation in Health Services (PARIHS) framework was developed two decades ago and conceptualizes successful implementation (SI) as a function (f) of the evidence (E) nature and type, context (C) quality, and the facilitation (F), [SI = f (E,C,F)]. Despite a growing number of citations of theoretical frameworks including PARIHS, details of how theoretical frameworks are used remains largely unknown. This review aimed to enhance the understanding of the breadth and depth of the use of the PARIHS framework. Methods This citation analysis commenced from four core articles representing the key stages of the framework’s development. The citation search was performed in Web of Science and Scopus. After exclusion, we undertook an initial assessment aimed to identify articles using PARIHS and not only referencing any of the core articles. To assess this, all articles were read in full. Further data extraction included capturing information about where (country/countries and setting/s) PARIHS had been used, as well as categorizing how the framework was applied. Also, strengths and weaknesses, as well as efforts to validate the framework, were explored in detail. Results The citation search yielded 1613 articles. After applying exclusion criteria, 1475 articles were read in full, and the initial assessment yielded a total of 367 articles reported to have used the PARIHS framework. These articles were included for data extraction. The framework had been used in a variety of settings and in both high-, middle-, and low-income countries. With regard to types of use, 32% used PARIHS in planning and delivering an intervention, 50% in data analysis, 55% in the evaluation of study findings, and/or 37% in any other way. Further analysis showed that its actual application was frequently partial and generally not well elaborated. Conclusions In line with previous citation analysis of the use of theoretical frameworks in implementation science, we also found a rather superficial description of the use of PARIHS. Thus, we propose the development and adoption of reporting guidelines on how framework(s) are used in implementation studies, with the expectation that this will enhance the maturity of implementation science.http://link.springer.com/article/10.1186/s13012-020-01003-0Citation analysisPARIHS frameworkImplementation scienceKnowledge translation
spellingShingle Anna Bergström
Anna Ehrenberg
Ann Catrine Eldh
Ian D. Graham
Kazuko Gustafsson
Gillian Harvey
Sarah Hunter
Alison Kitson
Jo Rycroft-Malone
Lars Wallin
The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
Implementation Science
Citation analysis
PARIHS framework
Implementation science
Knowledge translation
title The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
title_full The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
title_fullStr The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
title_full_unstemmed The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
title_short The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
title_sort use of the parihs framework in implementation research and practice a citation analysis of the literature
topic Citation analysis
PARIHS framework
Implementation science
Knowledge translation
url http://link.springer.com/article/10.1186/s13012-020-01003-0
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