Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/98344
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Type: Journal article
Title: PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice
Author: Harvey, G.
Kitson, A.
Citation: Implementation Science, 2016; 11(1):33-1-33-13
Publisher: BioMed Central
Issue Date: 2016
ISSN: 1748-5908
1748-5908
Statement of
Responsibility: 
Gill Harvey and Alison Kitson
Abstract: Background: The Promoting Action on Research Implementation in Health Services, or PARIHS framework, was first published in 1998. Since this time, work has been ongoing to further develop, refine and test it. Widely used as an organising or conceptual framework to help both explain and predict why the implementation of evidence into practice is or is not successful, PARIHS was one of the first frameworks to make explicit the multi-dimensional and complex nature of implementation as well as highlighting the central importance of context. Several critiques of the framework have also pointed out its limitations and suggested areas for improvement. Discussion: Building on the published critiques and a number of empirical studies, this paper introduces a revised version of the framework, called the integrated or i-PARIHS framework. The theoretical antecedents of the framework are described as well as outlining the revised and new elements, notably, the revision of how evidence is described; how the individual and teams are incorporated; and how context is further delineated. We describe how the framework can be operationalised and draw on case study data to demonstrate the preliminary testing of the face and content validity of the revised framework. Summary: This paper is presented for deliberation and discussion within the implementation science community. Responding to a series of critiques and helpful feedback on the utility of the original PARIHS framework, we seek feedback on the proposed improvements to the framework. We believe that the i-PARIHS framework creates a more integrated approach to understand the theoretical complexity from which implementation science draws its propositions and working hypotheses; that the new framework is more coherent and comprehensive and at the same time maintains it intuitive appeal; and that the models of facilitation described enable its more effective operationalisation.
Keywords: PARIHS i; PARIHS; Implementation framework; Facilitator role; Facilitation
Description: Published: 10 March 2016
Rights: © 2016 Harvey and Kitson. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
RMID: 0030045403
DOI: 10.1186/s13012-016-0398-2
Appears in Collections:Nursing publications

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