Implementierungsstrategien im Gesundheitswesen : Die 50 wichtigsten Implementierungs-Frameworks in der Praxis - eine Literaturrecherche

Die Herausforderungen des 21. Jahrhunderts für das Gesundheitswesen verlangen nach neuen und innovativen Lösungen. Meist ist jedoch die Implementierung eben dieser neuen Prozesse die größte Herausforderung für Unternehmen und Gesundheitseinrichtungen. Sei es die Einführung einer neuen Technologie oder die Etablierung eines neuen Departments - nachweislich scheitern etwa 70 Prozent aller Projekte innerhalb von 36 Monaten. In einer immer schneller werdenden, transdisziplinären Wirtschaftswelt ist es von entscheidender Bedeutung, über die richtigen Implementierungs-Instrumente zu verfügen, um langfristige strategische Veränderungen nachhaltig umsetzen zu können. Das vorliegende Kompendium gibt Ihnen die wichtigsten Implementierungs-Frameworks an die Hand, um auf die Fragestellungen ihrer Organisation effiziente Lösungsprozesse für die Zukunft entwickeln zu können. Die Auswahl erfolgte auf Basis einer wissenschaftlichen Literaturrecherche. Mit zahlreichen Best-Practice-Beispielen aus der Gesundheitsbranche. Geleitwort Inhaltsverzeichnis Abbildungsverzeichnis 1 Einleitung – Was ist Implementation Science? 2 Case Studies – Beispiele für die erfolgreiche Nutzung von Implementierungs-Frameworks 3 50 Frameworks 3.1 Interventionen 3.1.1 „Translating research into practice: speeding the adoption of innovative health care programs“ (Bradley et al., 2004) 3.1.2 „Diffusion of innovations in service organizations: systematic review and recommendations“ (Greenhalgh et al., 2004) 3.1.3 „Building capacity and sustainable prevention innovations: a sustainability planning model“ (Johnson et al., 2004) 3.1.4 „Reliable effectiveness: a theory on sustaining and replicating worthwhile innovations“ (Racine, 2006) 3.1.5 „Determinants of implementation effectiveness: adapting a framework for complex innovations“ (Helfrich et al., 2007) 3.1.6 „Moving innovations into treatment: a stage-based approach to program change“ (Simpson & Flynn, 2007) 3.1.7 „Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation“ (Durlak & DuPre, 2008) 3.1.8 „A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice“ (Feldstein & Glasgow, 2008) 3.1.9 „Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services research“ (Mendel et al., 2008) 3.1.10 „Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation“ (Wandersman et al., 2008) 3.1.11 „Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science“ (Damschroder et al., 2009) 3.1.12 „Core implementation components“ (Fixsen er al., 2009) 3.1.13 „Implementing, embedding, and integrating practices: an outline of normalization process theory“ (May & Finch, 2009) 3.1.14 „Factors associated with success and breakdown of shared governance“ (Ballard, 2010) 3.1.15 „Advancing a conceptual model of evidence-based practice implementation in public service sectors“ (Aarons et al., 2011) 3.1.16 „Addiction Technology Transfer Center (ATTC) Network Technology Transfer Workgroup: Research to practice in addiction treatment: key terms and a field-driven model of technology transfer“ (ATTC, 2011) 3.1.17 „Key challenges in the development and implementation of telehealth projects“ (Joseph et al., 2011) 3.1.18 „Integration of treatment innovation planning and implementation: strategic process models and organizational challenges“ (Lehmann et al., 2011) 3.1.19 „An agenda for research on the sustainability of public health programs“ (Scheirer & Diering, 2011) 3.1.20 „Agency and implementation: understanding the embedding of healthcare innovations in practice“ (May, 2013a) 3.1.21 „Towards a general theory of implementation“ (May, 2013b) 3.1.22 „Public health program capacity for sustainability: a new framework“ (Schell et al., 2013) 3.1.23 „A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-side study“ (Becan et al., 2018) 3.2 Guidelines 3.2.1 „The contingencies of organizational learning in long-term care: factors that affect innovation adoption“ (Berta et al., 2005) 3.2.2 „Doctors’ views of clinical practice guidelines: a qualitative exploration using innovation theory“ (Hader et al., 2007) 3.2.3 „The cycle of change: implementing best-evidence clinical practice“ (Carey et al., 2009) 3.2.4 „How can we improve guideline use? A conceptual framework of implementability“ (Gagliardi et al., 2011) 3.3 Knowledge 3.3.1 „What drives change? Barriers to and incentives for achieving evidence-based practice“ Grol und Wensing (2004) 3.3.2 „Beyond knowledge transfer: a model of knowledge integration in a clinical setting“ (Gauthier et al., 2005) 3.3.3 „Lost in knowledge translation: Time for a map?“ (Graham et al., 2006) 3.3.4 „The joint venture model of knowledge utilization: a guide for change in nursing“ (Edgar et al., 2006) 3.3.5 „The knowledge-value chain: a conceptual framework for knowledge translation in health“ (Landry et al., 2006) 3.3.6 „Sticky knowledge: a possible model for investigating implementation in healthcare contexts“ (Elwyn et al., 2007) 3.3.7 „Translating evidence into practice: a model for large scale knowledge translation“ (Pronovost et al., 2008) 3.3.8 „Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges“ (Kitson et al., 2008) 3.3.9 „Knowledge integration: conceptualizing communications in cancer control systems“ (Best et al., 2008) 3.3.10 „Pursuing common agendas: a collaborative model for knowledge translation between research and practice in clinical settings“ (Baumbusch et al., 2008) 3.3.11 „Mapping new theoretical and methodological terrain for knowledge translation: contributions from critical realism and the arts“ (Kontos & Poland, 2009) 3.3.12 „Individual nurse and organizational context considerations for better knowledge use in pain care“ (Latimer et al., 2010) 3.3.13 „A Guide for applying a revised version of the PARIHS framework for implementation“ (Stetler et al., 2011) 3.3.14 „An introduction to the multisystem model of knowledge integration and translation“ (Palmer & Kramlich, 2011) 3.3.15 „The role of evidence, context, and facilitation in an implementation trial: implications for the development of the PARIHS framework“ (Rycroft-Malone et al., 2013) 3.4 Evidence-based practice 3.4.1 „Strategic collaborative model for evidence-based nursing practice“ (Olade 2004) 3.4.2 „A conceptual model for growing evidence-based practice“ (Vratny & Shriver, 2007) 3.4.3 „Nurses reclaiming ownership of their practice: implementation of an evidence-based practice model and process“ (Reavy & Tavernier, 2008) 3.4.4 „A leadership focus on evidence-based practice: tools for successful implementation“ (MacRobert, 2008) 3.4.5 „Evidence-based practice, step by step: sustaining evidence-based practice through organizational policies and an innovative model“ (Melnyk et al., 2011) 3.5 Implementation program 3.5.1 „The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments“ (Glisson & Schoenwald, 2005) 3.5.2 „Implementing evidence-based interventions in health care: application of the replicating effective programs framework“ (Kilbourne et al., 2007) 3.5.3 „The CHANGE approach to capacity-building assistance“ (Vega, 2009) 4 Learnings für erfolgreiche Implementierungen 4.1 Das Implementierungs-Dilemma – Erwartungshaltung und Management 4.2 Nicht alles passt in eine Schachtel – Einzelansatz versus Kombination 4.3 Wenn die Dinge mehr als nur kompliziert werden 4.4 Viele kleine Systeme stabilisieren – Systeme versus Peak-Events 4.5 Ein Update des Consolidated Frameworks als Resultat der CoVID-19-Pandemie (eCFIR) Literatur