3.7b. Tips on implementation

  1. Sharon E. Straus MD, FRCPC, MSc2,
  2. Jacqueline Tetroe MA3 and
  3. Ian D. Graham PhD, FCAHS4
  1. Judith A. Ritchie

Published Online: 9 JUN 2013

DOI: 10.1002/9781118413555.ch25

Knowledge Translation in Health Care: Moving from Evidence to Practice

Knowledge Translation in Health Care: Moving from Evidence to Practice

How to Cite

Ritchie, J. A. (2013) Tips on implementation, in Knowledge Translation in Health Care: Moving from Evidence to Practice (eds S. E. Straus, J. Tetroe and I. D. Graham), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118413555.ch25

Editor Information

  1. 2

    Li Ka Shing Knowledge Institute, St. Michael's Hospital; Department of Medicine, University of Toronto, Toronto, ON, Canada

  2. 3

    Knowledge Translation Portfolio, Canadian Institutes of Health Research, Ottawa, ON, Canada

  3. 4

    School of Nursing, University of Ottawa; Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, ON, Canada

Author Information

  1. McGill University Health Centre and Ingram School of Nursing, McGill University

Publication History

  1. Published Online: 9 JUN 2013
  2. Published Print: 12 AUG 2013

ISBN Information

Print ISBN: 9781118413548

Online ISBN: 9781118413555



  • implementation strategies;
  • knowledge Translation (KT);
  • sustainability


Knowledge Translation (KT) is a continuous and iterative process that involves reassessment of goals, barriers and facilitators, and implementation and sustainability strategies. This chapter talks about some of the aspects that might be considered the art of implementations, and provides“tips” on moving through the phases of the Knowledge-to-Action cycle from the“real world” clinical perspective. There are many possible approaches to stating goals and targets such as “PICO framework,” PIPOH, and SMART. Different assessment strategies may be appropriate for different contexts, professionals, or clinical issues. It is often helpful to use multiple strategies to assess barriers to uptake to determine the most important barriers. When planning implementation strategies for a specific practice change, the sustainability of the strategies and of the practice changes, should also be considered. Despite great efforts, early results can reveal new barriers or facilitators. In such cases, alternative plans should be ready.