Use of Implementation Theory: A Focus on PARIHS
Version of Record online: 18 SEP 2013
Published 2013. This article is a U.S. Government work and is in the public domain in the USA.
Worldviews on Evidence-Based Nursing
Volume 11, Issue 1, pages 26–34, February 2014
How to Cite
- Issue online: 24 FEB 2014
- Version of Record online: 18 SEP 2013
- Manuscript Accepted: 23 JUN 2013
- U.S. Department of Veterans Affairs
- Development Health Services R&D Program
- health services;
Limited understanding and application of theory in implementation research contributes to variable effectiveness of implementation studies. Better understanding of direct experiences with theory could improve implementation research and the potency of interventions.
This study was a conceptual exercise aimed at characterizing experiences with and applications of the Promoting Action on Research Implementation in Health Services (PARIHS) framework.
This was a structured, qualitative study involving document reviews and interviews used to answer the following overarching questions about nine implementation research centers: Why and how was PARIHS used? What strengths and weaknesses were identified for PARIHS?
PARIHS was being used for varied purposes, at varied levels, in varied ways, and to a varying extent within and across centers. Lack of implementation theory use in investigators’ early years was common. Variability in the nature of theory use was attributable to characteristics of the centers, individual investigators, and features of PARIHS. Strengths and weaknesses of the PARIHS framework were identified.
Linking Evidence to Action
The study provides information to researchers and theorists about the use of one well-known implementation framework. The information suggests areas for improvements in PARIHS as well as theory use in general, and should assist in the development of theory-based programs of research.