Home > Institutionalization of evidence-informed practices in healthcare settings.

Novotná, Gabriela and Dobbins, Maureen and Henderson, Joanna [Biomed Central] . (2012) Institutionalization of evidence-informed practices in healthcare settings. BioMed Central. Implementation Science, 7 (112) https://doi.org/10.1186/1748-5908-7-112

URL: https://implementationscience.biomedcentral.com/ar...

BACKGROUND: The effective and timely integration of the best available research evidence into healthcare practice has considerable potential to improve the quality of provided care. Knowledge translation (KT) approaches aim to develop, implement, and evaluate strategies to address the research-practice gap. However, most KT research has been directed toward implementation strategies that apply cognitive, behavioral, and, to a lesser extent, organizational theories. In this paper, we discuss the potential of institutional theory to inform KT-related research.

DISCUSSION: Despite significant research, there is still much to learn about how to achieve KT within healthcare systems and practices. Institutional theory, focusing on the processes by which new ideas and concepts become accepted within their institutional environments, holds promise for advancing KT efforts and research. To propose new directions for future KT research, we present some of the main concepts of institutional theory and discuss their application to KT research by outlining how institutionalization of new practices can lead to their ongoing use in organizations. In addition, we discuss the circumstances under which institutionalized practices dissipate and give way to new insights and ideas that can lead to new, more effective practices.

SUMMARY: KT research informed by institutional theory can provide important insights into how knowledge becomes implemented, routinized, and accepted as institutionalized practices. Future KT research should employ both quantitative and qualitative research designs to examine the specifics of sustainability, institutionalization, and deinstitutionalization of practices to enhance our understanding of these complex constructs.


Item Type:Evidence resource
Publication Type:Report
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder, Education and training
Source:Biomed Central
Date:21 November 2012
Page Range:p. 112
Publisher:BioMed Central
Volume:7
Number:112
EndNote:View
Subjects:J Health care, prevention and rehabilitation > Health services, substance use research
J Health care, prevention and rehabilitation > Treatment and maintenance > Provider / worker / staff attitude toward treatment
J Health care, prevention and rehabilitation > Health care delivery
J Health care, prevention and rehabilitation > Health care administration > Health care quality control
MP-MR Policy, planning, economics, work and social services > Organisational development
MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training
N Communication, information and education > Information transfer > Information transfer from research to practice
R Research > Research outcome > Policy implications of research
R Research > Research dissemination

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