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Implementation Science
Scopus
ISSN 1748-5908 · BMC · 1.549 artikel di indeks
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Artikel Jurnal
A cluster randomised controlled trial, process and economic evaluation of two large-scale quality improvement interventions embedded with a national clinical audit to improve the care for young adults with type 2 diabetes (EQUIPD2): study protocol
Abstract Background Young adults (18–39 years) with type 2 diabetes have an increased loss of life expectancy and a greater risk of complications such as retinopathy, sexual health problems and foot disease than people diagnosed with type 2 diabetes later in life. Globally, there are increasing…
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Artikel Jurnal
Testing normalization process theory in a randomized trial of mental health clinics implementing digital measurement-based care
Abstract Background Normalization process theory (NPT) is one of the most highly cited implementation theories that explains the mechanisms by which new complex health interventions become embedded and sustained in healthcare settings; however, few of its predictions have been subjected to…
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Artikel Jurnal
Learning health system for implementation, scale-up, and sustainment: a systematic review to consolidate guidance for improvement
Abstract Background Learning Health Systems (LHSs) link research and health service delivery by generating evidence to guide decision-making and continuous improvement. Although various LHS frameworks exist, there is limited practical guidance for how LHSs can improve implementation. This…
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Artikel Jurnal
Rethinking qualitative inquiry in implementation science: clarifying purpose, design, and rigor
Abstract Qualitative methods are now central to implementation science, but they are used to do different kinds of work that are not always clearly distinguished. Some studies are designed to develop contextual or conceptual understanding, while others are expected to inform near-term decisions…
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Artikel Jurnal
Patterns of CDSS adoption in primary care: a cluster analysis and predictive modelling study from a stepped wedge trial
Abstract Background Despite the potential of eHealth solutions to enhance medication management and patient safety, the integration of clinical decision support systems (CDSSs) into primary care remains challenging for healthcare systems worldwide. In Germany, the Digital Healthcare Act created a…
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Artikel Jurnal
Monitoring systems for public health program and policy implementation in community settings: features and suggested actions from a scoping review
Abstract Background Monitoring systems are important for evaluating key outcome measures, identifying opportunities for improvement, and informing public health investment. While disease surveillance systems are highly developed and widely used, monitoring systems for the implementation of public…
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Artikel Jurnal
Deimplementation of inappropriate feeding practices in early care and education: a Hybrid Type 3 cluster-randomized trial
Abstract Background The science of deimplementation—reducing harmful or ineffective practices—has focused almost exclusively on clinical prescribing, with no studies conducted in community or educational settings. Early care and education (ECE) settings offer a strategic venue for shaping eating…
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Artikel Jurnal
Development and validation of a clinical practice guidelines implementability assessment tool (CPG-IAT) based on the COSMIN framework
Abstract Introduction We define guideline implementability as the characteristics of the guideline that reflect the extent to which it is likely to be adopted in clinical practice. Improving the intrinsic quality (e.g., context, format, language etc.) of clinical practice guidelines (CPGs) may be a…
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Artikel Jurnal
Clarifying dissemination outcomes: a taxonomy to advance dissemination science
Abstract Background Dissemination science lacks shared language for specifying what dissemination strategies are designed to achieve. Without clearly defined outcomes, researchers cannot design studies that explain why dissemination strategies succeed or fail, compare findings, or build cumulative…
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Artikel Jurnal
Implementation timelines across conditions: a universal Stages of Implementation Completion® (SIC) comparison of research-led and real-world implementations
Abstract Background Despite ongoing efforts, achieving consistent success in implementing evidence-based practices remains challenging due to diverse, context-specific implementation needs. This analysis examined the time required to implement practices currently represented in the Universal Stages…
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Artikel Jurnal
Implementation evaluation of nurse-initiated care in 29 Australian emergency departments: a RE-AIM multi-method evaluation
Abstract Background Nurse-initiated care improves timely treatment access, but adoption varies. The Ministry of Health introduced 73 Emergency Care Assessment and Treatment (ECAT) protocols for public emergency departments (EDs) to standardise nurse-initiated care. A behaviour change strategy was…
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Artikel Jurnal
Sustaining the 4 youth by youth HIV prevention intervention in Nigeria: a cluster randomized controlled trial protocol
Abstract Background Sustaining evidence-based HIV prevention interventions remains a challenge, particularly among at-risk youth in Africa. The 4 Youth by Youth (4YBY) sustainment study is a hybrid type 2 cluster randomized controlled trial that evaluates the sustainability and cost-effectiveness…
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Artikel Jurnal
Five years of the Implementation Research Logic Model: a citation analysis and systematic scoping review of its use in implementation research and practice
Abstract Background The Implementation Research Logic Model (IRLM) was developed to enhance the rigor, transparency, and reproducibility of implementation research by integrating key elements of implementation research and practice—contextual factors/determinants, implementation strategies…
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Artikel Jurnal
Implementation of co-designed strategies enhances referral to pulmonary rehabilitation for people with COPD in tertiary care: an interrupted time series study
Abstract Background Pulmonary rehabilitation programs (PRPs) are a core component of care for people with chronic obstructive pulmonary disease (COPD), yet referral is low. The aims of this study were to; (i) engage with people with COPD receiving care at a tertiary hospital and HCPs involved in…
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Artikel Jurnal
Embracing complexity by reducing rigidity: guiding principles for the intersection of implementation science and qualitative research
Abstract In this editorial we reflect on recent contributions that have focused on how researchers should involve qualitative research in implementation science. Implementation science as a discipline has firmly entered the zeitgeist and is now attracting a wealth of qualitative inquiry. We welcome…
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Artikel Jurnal
Nudging implementation of low tidal volume ventilation: a stepped wedge, cluster randomized trial
Abstract Background “Nudges” embedded in the electronic health record (EHR) facilitate desired decisions while preserving autonomy and may provide a scalable strategy to overcome the common implementation barrier of lack of knowledge about a best practice. We sought to test whether EHR-based nudges…
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Artikel Jurnal
How power is conceptualized and operationalized in evidence-based intervention implementation: a scoping review
Abstract Background The potential for implementation science (IS) to address health inequities is limited by insufficient attention to power. Although the field emphasizes context, it remains unclear how best to examine and intervene on power relations related to the implementation of…
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Artikel Jurnal
Nudging provider adoption of clinical decision support: study protocol for a stepped-wedge cluster randomized, hybrid type III trial of an electronic health record-agnostic pulmonary embolism risk tool
Abstract Background About one-third of the computed tomography (CT) scans ordered yearly to evaluate for pulmonary embolism (PE) in emergency departments (ED) in the U.S. are avoidable. Clinical guidelines recommend the use of validated PE prediction rules which reduce CT scan ordering without an…
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