Translation Science and Context
- 1 February 2010
- journal article
- research article
- Published by Springer Publishing Company in Research and Theory for Nursing Practice
- Vol. 24 (1), 35-55
- https://doi.org/10.1891/1541-6577.24.1.35
Abstract
Evidence-based health care practices are available for a number of conditions such as asthma, smoking cessation, heart failure, and management of diabetes. However, these practices are not routinely implemented in care delivery and variations in practices abound. Implementing evidence-based practices (EBPs) is challenging, and difficulties implementing evidence may be largely explained by contextual factors. Thus, strategies are needed that address the complexity and systems of care, individual practitioners, senior leadership, and ultimately changing health care cultures to promote an evidence-based practice environment. To advance knowledge about promoting and sustaining adoption of EBPs in health care, translation science needs more studies that test translating research into practice (TRIP) interventions; studies are needed that investigate what TRIP interventions work, for whom, in what circumstances, in what types of settings, and studies that explain the underlying mechanisms of effective TRIP interventions. According to the Translation Research Model, adoption of innovations, such as EBPs, are influenced by the nature of the innovation (e.g., the type and strength of evidence; the clinical topic), and the manner in which it is communicated (disseminated) to members (e.g., physicians, nurses) of a social system (organization, nursing profession). This article discusses the importance of context in translation using this framework as a guide.Keywords
This publication has 51 references indexed in Scilit:
- Evolving the theory and praxis of knowledge translation through social interaction: a social phenomenological studyImplementation Science, 2009
- Effect of Evidence-Based Acute Pain Management Practices on Inpatient CostsHealth Services Research, 2009
- Translating Research into Practice Intervention Improves Management of Acute Pain in Older Hip Fracture PatientsHealth Services Research, 2009
- Strategies for Promoting Organizational and Practice Change by Advancing Implementation ResearchJournal of General Internal Medicine, 2006
- Priorities and Strategies for the Implementation of Integrated Informatics and Communications Technology to Improve Evidence-Based PracticeJournal of General Internal Medicine, 2006
- Using Complexity Theory to Build Interventions that Improve Health Care Delivery in Primary CareJournal of General Internal Medicine, 2006
- Understanding Health Care Organization Needs and Context.Journal of General Internal Medicine, 2006
- Lessons Learned about Implementing Research Evidence into Clinical Practice.Journal of General Internal Medicine, 2006
- Toward Evidence-Based Quality Improvement.Journal of General Internal Medicine, 2006
- The Role of Formative Evaluation in Implementation Research and the QUERI ExperienceJournal of General Internal Medicine, 2006