Development of an Implementation Framework and Application using the Precision Implementation Approach®

Development of an Implementation Framework and Application using the Precision Implementation Approach®

　Health care can feel chaotic when clinicians are juggling competing needs of patients in the complex health systems in which they work while improving quality. Still, there is a global call for evidence-based practice (EBP) to improve care quality (Hirata et al., 2023; World Health Organization, 2024). We are called to close the gap between the science or what we know and application or what we do in practice - the know-do gap. EBP process models are designed to address this know-do gap. A key step in the EBP process is implementation which may be the most challenging step (Dang et al., 2022; Dusin et al., 2023; Iowa Model Collaborative, 2017; Jordan et al., 2019; Melnyk et al., 2010). The original gap may be complicated by an additional “secondary gap” occurs when the EBP is known, but strategies used to implement are not evidence-based (Tucker et al., 2021). To close this gap, add an implementation framework to use with the EBP process model (Cullen, Hanrahan, et al., 2022; Powell et al., 2015).

　Health care can feel chaotic when clinicians are juggling competing needs of patients in the complex health systems in which they work while improving quality. Still, there is a global call for evidence-based practice (EBP) to improve care quality (Hirata et al., 2023; World Health Organization, 2024). We are called to close the gap between the science or what we know and application or what we do in practice - the know-do gap. EBP process models are designed to address this know-do gap. A key step in the EBP process is implementation which may be the most challenging step (Dang et al., 2022; Dusin et al., 2023; Iowa Model Collaborative, 2017; Jordan et al., 2019; Melnyk et al., 2010). The original gap may be complicated by an additional “secondary gap” occurs when the EBP is known, but strategies used to implement are not evidence-based (Tucker et al., 2021). To close this gap, add an implementation framework to use with the EBP process model (Cullen, Hanrahan, et al., 2022; Powell et al., 2015).