Context and implementation: A concept analysis towards conceptual maturity

Pfadenhauer, Lisa Maria; Mozygemba, Kati; Gerhardus, Ansgar; Hofmann, Bjørn; Booth, Andrew; Lysdahl, Kristin Bakke; Tummers, Marcia; Burns, Jacob; Rehfuess, Eva Annette

doi:10.1016/j.zefq.2015.01.004

Cited by 197Health Policy Implementation ScienceClinical practice guidelines implementationHealth Sciences Research and Education

Context and implementation: A concept analysis towards conceptual maturity

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Pfadenhauer, Lisa Maria, Mozygemba, Kati, Gerhardus, Ansgar, Hofmann, Bjørn, Booth, Andrew, Lysdahl, Kristin Bakke, Tummers, Marcia, Burns, Jacob +1 more·2015·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen

DOI 10.1016/j.zefq.2015.01.004

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Abstract

Context and implementation of health interventions have received increasing attention over the past decade, in particular with respect to their influence on the effectiveness and reach of complex interventions. The underlying concepts are both considered partially mature, limiting their operationalization in research and practice. We conducted systematic literature searches and pragmatic utility (PU) concept analyses to provide a state-of-the-art assessment of the concepts of "context" and "implementation" in the health sciences to create a common understanding for their use within systematic reviews and HTA. We performed two separate searches, one for context (EMBASE, MEDLINE) and the other for implementation (Google Scholar) to identify relevant models, theories and frameworks. 17 publications on context and 35 articles on implementation met our inclusion criteria. PU concept analysis comprises three guiding principles: selection of the literature, organization and structuring of the literature, and asking analytic questions of the literature. Both concepts were analyzed according to four features of conceptual maturity, i.e., consensual definitions, clear characteristics, fully described preconditions and outcomes, and delineated boundaries. Context and implementation are highly intertwined, with both concepts influencing and interacting with each other. Context is defined as a set of characteristics and circumstances that surround the implementation effort. Implementation is conceptualized as a planned and deliberately initiated effort with the intention to put an intervention into practice. The concept of implementation presents largely consensual definitions and relatively well-defined boundaries, while distinguishing features, preconditions and outcomes are not yet fully articulated. In contrast, definitions of context vary widely, and boundaries with neighbouring concepts, such as setting and environment, are blurred; characteristics, preconditions and outcomes are ill-defined. Therefore, the maturity of both concepts should be further improved to facilitate operationalization in systematic reviews and HTAs.

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Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009) · Implementation Science · doi:10.1186/1748-5908-4-50 · Cited by 14,496 · see citing works
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GREENHALGH, T., ROBERT, G., MACFARLANE, F., BATE, P., & KYRIAKIDOU, O. (2004) · The Milbank Quarterly · doi:10.1111/j.0887-378x.2004.00325.x · Cited by 7,448 · see citing works
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Cane, J., O’Connor, D., & Michie, S. (2012) · Implementation Science · doi:10.1186/1748-5908-7-37 · Cited by 4,888 · see citing works
Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors
Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0327-7 · Cited by 3,240 · see citing works
Realist review - a new method of systematic review designed for complex policy interventions
Pawson, R., Greenhalgh, T., Harvey, G., & Walshe, K. (2005) · Journal of Health Services Research & Policy · doi:10.1258/1355819054308530 · Cited by 3,190 · see citing works
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Proctor, E. K., Powell, B. J., & McMillen, J. C. (2013) · Implementation Science · doi:10.1186/1748-5908-8-139 · Cited by 2,585 · see citing works
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Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007) · Implementation Science · doi:10.1186/1748-5908-2-40 · Cited by 2,559 · see citing works
Self-citation
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Glanz, K., & Bishop, D. B. (2010) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.012809.103604 · Cited by 2,336 · see citing works
Strategies for theory construction nursing
Hough, C. (1989) · Nurse Education Today · doi:10.1016/0260-6917(89)90137-8 · Cited by 2,324 · see citing works
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Weiner, B. J. (2009) · Implementation Science · doi:10.1186/1748-5908-4-67 · Cited by 2,268 · see citing works
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Klein, K. J., & Sorra, J. S. (1996) · The Academy of Management Review · doi:10.2307/259164 · Cited by 2,113 · see citing works
Enabling the implementation of evidence based practice: a conceptual framework.
Kitson, A., Harvey, G., & McCormack, B. (1998) · Quality in Health Care · doi:10.1136/qshc.7.3.149 · Cited by 1,985 · see citing works
Implementation Research in Mental Health Services: an Emerging Science with Conceptual, Methodological, and Training challenges
Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-008-0197-4 · Cited by 1,894 · see citing works
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May, C. R., Mair, F., Finch, T., MacFarlane, A., Dowrick, C., Treweek, S., Rapley, T., Ballini, L., Ong, B. N., Rogers, A., et al. (2009) · Implementation Science · doi:10.1186/1748-5908-4-29 · Cited by 1,409 · see citing works
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Brownson, R. C., Colditz, G. A., & Proctor, E. K. (2012) · doi:10.1093/acprof:oso/9780199751877.001.0001 · Cited by 1,355 · see citing works
Strategies for theory construction in nursing
Walker, L. O., & Avant, K. C. (1983) · Cited by 1,208 · see citing works
A checklist for identifying determinants of practice: A systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice
Flottorp, S. A., Oxman, A. D., Krause, J., Musila, N. R., Wensing, M., Godycki-Cwirko, M., Baker, R., & Eccles, M. P. (2013) · Implementation Science · doi:10.1186/1748-5908-8-35 · Cited by 1,138 · see citing works
Concept Development in Nursing: Foundations, Techniques, and Applications
Rodgers, B. L., & Knafl, K. A. (1994) · Medical Entomology and Zoology · Cited by 1,128 · see citing works
Core Implementation Components
Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009) · Research on Social Work Practice · doi:10.1177/1049731509335549 · Cited by 1,103 · see citing works
The Quality Implementation Framework: A Synthesis of Critical Steps in the Implementation Process
Meyers, D. C., Durlak, J. A., & Wandersman, A. (2012) · American Journal of Community Psychology · doi:10.1007/s10464-012-9522-x · Cited by 1,102 · see citing works
The PARIHS Framework—A Framework for Guiding the Implementation of Evidence-based Practice
Rycroft-Malone, J. (2004) · Journal of Nursing Care Quality · doi:10.1097/00001786-200410000-00002 · Cited by 923 · see citing works
Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures
Chaudoir, S. R., Dugan, A. G., & Barr, C. H. (2013) · Implementation Science · doi:10.1186/1748-5908-8-22 · Cited by 800 · see citing works
Understanding the implementation of complex interventions in health care: the normalization process model
May, C., Finch, T., Mair, F., Ballini, L., Dowrick, C., Eccles, M., Gask, L., MacFarlane, A., Murray, E., Rapley, T., et al. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-148 · Cited by 768 · see citing works
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McCormack, B., Kitson, A., Harvey, G., Rycroft‐Malone, J., Titchen, A., & Seers, K. (2002) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2002.02150.x · Cited by 765 · see citing works
The Influence of Context on Quality Improvement Success in Health Care: A Systematic Review of the Literature
Kaplan, H. C., Brady, P. W., Dritz, M. C., Hooper, D. K., Linam, W. M., Froehle, C. M., & Margolis, P. A. (2010) · Milbank Quarterly · doi:10.1111/j.1468-0009.2010.00611.x · Cited by 714 · see citing works
A Glossary for Dissemination and Implementation Research in Health
Rabin, B. A., Brownson, R. C., Haire-Joshu, D., Kreuter, M. W., & Weaver, N. L. (2008) · Journal of Public Health Management and Practice · doi:10.1097/01.phh.0000311888.06252.bb · Cited by 676 · see citing works
Theory and Nursing: A Systematic Approach
Pearson, B. D., Chinn, P. L., & Jacobs, M. K. (1983) · AJN American Journal of Nursing · doi:10.2307/3463398 · Cited by 663 · see citing works
Towards a general theory of implementation
May, C. (2013) · Implementation Science · doi:10.1186/1748-5908-8-18 · Cited by 656 · see citing works
Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework
Helfrich, C. D., Li, Y.-F., Sharp, N. D., & Sales, A. E. (2009) · Implementation Science · doi:10.1186/1748-5908-4-38 · Cited by 564 · see citing works
Process evaluations for cluster-randomised trials of complex interventions: a proposed framework for design and reporting
Grant, A., Treweek, S., Dreischulte, T., Foy, R., & Guthrie, B. (2013) · Trials · doi:10.1186/1745-6215-14-15 · Cited by 541 · see citing works
A guiding framework and approach for implementation research in substance use disorders treatment.
Damschroder, L. J., & Hagedorn, H. J. (2011) · Psychology of Addictive Behaviors · doi:10.1037/a0022284 · Cited by 427 · see citing works
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Klein, K. J., & Knight, A. P. (2005) · Current Directions in Psychological Science · doi:10.1111/j.0963-7214.2005.00373.x · Cited by 412 · see citing works
Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research
Mendel, P., Meredith, L. S., Schoenbaum, M., Sherbourne, C. D., & Wells, K. B. (2008) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-007-0144-9 · Cited by 407 · see citing works
Using organization theory to understand the determinants of effective implementation of worksite health promotion programs
Weiner, B. J., Lewis, M. A., & Linnan, L. A. (2008) · Health Education Research · doi:10.1093/her/cyn019 · Cited by 404 · see citing works
A Guide for applying a revised version of the PARIHS framework for implementation
Stetler, C. B., Damschroder, L. J., Helfrich, C. D., & Hagedorn, H. J. (2011) · Implementation Science · doi:10.1186/1748-5908-6-99 · Cited by 402 · see citing works
Characteristics of Departments, Positions, and Individuals: Contexts for Attitudes and Behavior
Rousseau, D. M. (1978) · Administrative Science Quarterly · doi:10.2307/2392578 · Cited by 320 · see citing works
Development and assessment of the Alberta Context Tool
Estabrooks, C. A., Squires, J. E., Cummings, G. G., Birdsell, J. M., & Norton, P. G. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-234 · Cited by 317 · see citing works
The role of evidence, context, and facilitation in an implementation trial: implications for the development of the PARIHS framework
Rycroft-Malone, J., Seers, K., Chandler, J., Hawkes, C. A., Crichton, N., Allen, C., Bullock, I., & Strunin, L. (2013) · Implementation Science · doi:10.1186/1748-5908-8-28 · Cited by 303 · see citing works
Exploring the theoretical basis of nursing using advanced techniques of concept analysis
Morse, J. M. (1995) · Advances in Nursing Science · doi:10.1097/00012272-199503000-00005 · Cited by 303 · see citing works
Intervention description is not enough: evidence from an in-depth multiple case study on the untold role and impact of context in randomised controlled trials of seven complex interventions
Wells, M., Williams, B., Treweek, S., Coyle, J., & Taylor, J. (2012) · Trials · doi:10.1186/1745-6215-13-95 · Cited by 297 · see citing works
Model for incorporating social context in health behavior interventions: applications for cancer prevention for working-class, multiethnic populations.
Sorensen, G., Emmons, K., Hunt, M., Barbeau, E. M., Goldman, R., Peterson, K., Kuntz, K., Stoddard, A., & Berkman, L. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00111-7 · Cited by 261 · see citing works
Criteria for concept evaluation
Morse, J. M., Mitcham, C., Hupcey, J. E., & Cerdas, M. (1996) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1996.18022.x · Cited by 255 · see citing works
Context Matters: The Experience of 14 Research Teams in Systematically Reporting Contextual Factors Important for Practice Change
Tomoaia‐Cotisel, A., Scammon, D. L., Waitzman, N. J., Cronholm, P. F., Halladay, J. R., Driscoll, D., Solberg, L. I., Hsu, C., Tai‐Seale, M., Hiratsuka, V. Y., et al. (2013) · The Annals of Family Medicine · doi:10.1370/afm.1549 · Cited by 244 · see citing works
Evidence-Based Health Care and the Implementation Gap
Dopson, S., Locock, L., Gabbay, J., Ferlie, E. B., & Fitzgerald, L. (2005) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199259014.003.0003 · Cited by 193 · see citing works
Nursing Theories and Models
McKenna, H. (2006) · Routledge eBooks · doi:10.4324/9780203135440 · Cited by 185 · see citing works
The Ontology of Concepts—Abstract Objects or Mental Representations?1
Margolis, E., & Laurence, S. (2007) · Noûs · doi:10.1111/j.1468-0068.2007.00663.x · Cited by 183 · see citing works
Overview of the VA Quality Enhancement Research Initiative (QUERI) and QUERI theme articles: QUERI Series
Stetler, C. B., Mittman, B. S., & Francis, J. (2008) · Implementation Science · doi:10.1186/1748-5908-3-8 · Cited by 176 · see citing works
Implementing Evidence-Based Practices in Community Corrections and Addiction Treatment
Taxman, F. S., & Belenko, S. (2011) · Springer eBooks · doi:10.1007/978-1-4614-0412-5 · Cited by 174 · see citing works
The Community Guide’s model for linking the social environment to health
Anderson, L. M., Scrimshaw, S. C. M., Fullilove, M. T., & Fielding, J. E. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00652-9 · Cited by 173 · see citing works
A theoretical and empirical analysis of context:
Frohlich, K. L., Potvin, L., Chabot, P., & Corin, E. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00122-8 · Cited by 161 · see citing works
Refinement of the concept of uncertainty
Penrod, J. (2001) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2001.01750.x · Cited by 157 · see citing works
Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project
Davidoff, F., Batalden, P. B., Stevens, D., Ogrinc, G. S., Mooney, S. E., & for the SQUIRE development group (2009) · BMJ · doi:10.1136/bmj.a3152 · Cited by 154 · see citing works
Concept Analysis: Examining the State of the Science
Hupcey, J. E., & Penrod, J. (2005) · Research and Theory for Nursing Practice · doi:10.1891/rtnp.19.2.197.66801 · Cited by 144 · see citing works
Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review
Hage, E., Roo, J. P., van Offenbeek, M. A., & Boonstra, A. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-19 · Cited by 137 · see citing works
Collaboration, Negotiation, and Coalescence for Interagency-Collaborative Teams to Scale-Up Evidence-Based Practice
Aarons, G. A., Fettes, D. L., Hurlburt, M. S., Palinkas, L. A., Gunderson, L. M., Willging, C. E., & Chaffin, M. J. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.876642 · Cited by 126 · see citing works
Development and Testing of the Context Assessment Index (CAI)
McCormack, B., McCarthy, G., Wright, J., & Coffey, A. (2009) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1741-6787.2008.00130.x · Cited by 126 · see citing works
Nursing concept analysis in North America: state of the art
Weaver, K., & Mitcham, C. (2008) · Nursing Philosophy · doi:10.1111/j.1466-769x.2008.00359.x · Cited by 123 · see citing works
Practical Implementation Science: Developing and Piloting the Quality Implementation Tool
Meyers, D. C., Katz, J., Chien, V. H., Wandersman, A., Scaccia, J., & Wright, A. (2012) · American Journal of Community Psychology · doi:10.1007/s10464-012-9521-y · Cited by 116 · see citing works
How do we know when research from one setting can be useful in another? A review of external validity, applicability and transferability frameworks
Burchett, H., Umoquit, M. J., & Dobrow, M. (2011) · Journal of Health Services Research & Policy · doi:10.1258/jhsrp.2011.010124 · Cited by 110 · see citing works
Proposed criteria for reporting the development and evaluation of complex interventions in healthcare (CReDECI): guideline development
Mohler, R. A., Bartoszek, G., Köpke, S., & Meyer, G. (2011) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2011.08.003 · Cited by 109 · see citing works
Knowledge translation within a population health study: how do you do it?
Kitson, A. A., Powell, K., Hoon, E. A., Newbury, J., Wilson, A., & Beilby, J. (2013) · Implementation Science · doi:10.1186/1748-5908-8-54 · Cited by 108 · see citing works
Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?
Beidas, R. S., Edmunds, J., Ditty, M. S., Watkins, J., Walsh, L., Marcus, S. C., & Kendall, P. C. (2013) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0529-x · Cited by 94 · see citing works
Nursing Theories and Models
Murphy, F. L. M., & Smith, C. A. (2013) · SAGE Publications Ltd eBooks · doi:10.4135/9781446286517 · Cited by 90 · see citing works
Essential components of public health evidence reviews: capturing intervention complexity, implementation, economics and equity
Waters, E., Hall, B. J., Armstrong, R., Doyle, J., Pettman, T. L., & de Silva-Sanigorski, A. (2011) · Journal of Public Health · doi:10.1093/pubmed/fdr064 · Cited by 89 · see citing works
The Role of Organizational Processes in Dissemination and Implementation Research
Aarons, G. A., Moullin, J. C., & Ehrhart, M. G. (2017) · Oxford University Press eBooks · doi:10.1093/oso/9780190683214.003.0008 · Cited by 84 · see citing works
Strengthening organizations to implement evidence-based clinical practices.
VanDeusen Lukas, C., Engle, R. L., Holmes, S. K., Parker, V. A., Petzel, R. A., Nealon Seibert, M., Shwartz, M., & Sullivan, J. L. (2010) · Health Care Management Review · doi:10.1097/hmr.0b013e3181dde6a5 · Cited by 75 · see citing works
The use of systems and organizational theories in the interprofessional field: Findings from a scoping review
Suter, E., Goldman, J., Martimianakis, M. A., Chatalalsingh, C., DeMatteo, D. J., & Reeves, S. (2012) · Journal of Interprofessional Care · doi:10.3109/13561820.2012.739670 · Cited by 75 · see citing works
Systems Antecedents for Dissemination and Implementation: A Review and Analysis of Measures
Emmons, K. M., Weiner, B., Fernandez, M. E., & Tu, S.-P. (2012) · Health Education & Behavior · doi:10.1177/1090198111409748 · Cited by 72 · see citing works
Development of a context model to prioritize drug safety alerts in CPOE systems
Riedmann, D., Jung, M., Hackl, W. O., Stühlinger, W., van der Sijs, H., & Ammenwerth, E. (2011) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-11-35 · Cited by 70 · see citing works
Wilsonian Methods of Concept Analysis: A Critique
Hupcey, J. E., Morse, J. M., Lenz, E. R., & Tason, M. (1996) · Research and theory for nursing practice · doi:10.1891/0889-7182.10.3.185 · Cited by 69 · see citing works
Annual Review of Public Health
(2017) · Annual Review of Public Health · doi:10.1146/publhealth.717 · Cited by 66 · see citing works
Knowledge to Action? Evidence-Based Health Care in Context
Williams, M. (2006) · BMJ · doi:10.1136/bmj.332.7539.495-a · Cited by 62 · see citing works
Knowledge translation in Uganda: a qualitative study of Ugandan midwives’ and managers’ perceived relevance of the sub-elements of the context cornerstone in the PARIHS framework
Bergström, A., Peterson, S., Namusoko, S., Waiswa, P., & Wallin, L. (2012) · Implementation Science · doi:10.1186/1748-5908-7-117 · Cited by 58 · see citing works
A framework for implementing sustainable oral health promotion interventions
Simpson, D. D. (2011) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2011.00234.x · Cited by 56 · see citing works
The Active Role of Context
Dopson, S., & Fitzgerald, L. (2005) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199259014.003.0005 · Cited by 55 · see citing works
An Agenda for Advancing the Science of Implementation of Evidence-Based HIV Prevention Interventions
Norton, W. E., Amico, K. R., Cornman, D. H., Fisher, W. A., & Fisher, J. D. (2009) · AIDS and Behavior · doi:10.1007/s10461-009-9556-8 · Cited by 53 · see citing works
Drivers and Barriers in Health IT Adoption
Litwin, A. S., Pronovost, P. J., & Avgar, A. C. (2012) · Applied Clinical Informatics · doi:10.4338/aci-2012-07-r-0029 · Cited by 47 · see citing works
Organizational Change: A Conceptual Framework to Advance the Evidence Base
Packard, T. (2013) · Journal of Human Behavior in the Social Environment · doi:10.1080/10911359.2013.739534 · Cited by 32 · see citing works
Clarifying concepts in nursing research
Pavahoo, K. (1997) · Clinical Effectiveness in Nursing · doi:10.1016/s1361-9004(97)80012-x · Cited by 31 · see citing works
An Introduction to the Multisystem Model of Knowledge Integration and Translation
Palmer, D., & Kramlich, D. L. (2011) · Advances in Nursing Science · doi:10.1097/ans.0b013e318209439f · Cited by 20 · see citing works
Clarifying concepts in nursing research
Gift, A. G. (1997) · Cited by 18 · see citing works
CULTURE, ENVIRONMENT, AND RESTRAINTS: A Conceptual Model for Research and Practice
Kayser-Jones, J. S. (1992) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-19921101-05 · Cited by 17 · see citing works
Using a Complex Systems Perspective to Achieve Sustainable Health Care Practice Change
Suter, E., Deutschlander, S., & Lait, J. (2011) · Journal of Research in Interprofessional Practice and Education · doi:10.22230/jripe.2011v2n1a53 · Cited by 16 · see citing works
The Quality, Implementation, and Evaluation Model
Talsma, A., McLaughlin, M., Bathish, M. A., Sirihorachai, R., & Kuttner, R. (2014) · Western Journal of Nursing Research · doi:10.1177/0193945914537121 · Cited by 4 · see citing works
Conceptual Model: Evidence Based Interagency Implementation Model
Taxman, F. S., & Belenko, S. R. (2011) · Springer eBooks · doi:10.1007/978-1-4614-0412-5_9 · Cited by 3 · see citing works

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Pfadenhauer, L. M., Gerhardus, A., Mozygemba, K., Lysdahl, K. B., Booth, A., Hofmann, B., Wahlster, P., Polus, S., Burns, J., Brereton, L., et al. (2017) · Implementation Science · doi:10.1186/s13012-017-0552-5 · Cited by 1,016 · see citing works
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Craig, P., Di Ruggiero, E., Frohlich, K. L., Mykhalovskiy, E., White, M., on behalf of the Canadian Institutes of Health Research (CIHR)–National Institute for Health Research (NIHR) Context Guidance Authors Group (listed alphabetically), Campbell, R., Cummins, S., Edwards, N., Hunt, K., et al. (2018) · doi:10.3310/cihr-nihr-01 · Cited by 370 · see citing works
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von Philipsborn, P., Stratil, J. M., Burns, J., Busert, L. K., Pfadenhauer, L. M., Polus, S., Holzapfel, C., Hauner, H., & Rehfuess, E. A. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012292.pub2 · Cited by 306 · see citing works
Self-citation
Understanding ‘context’ in realist evaluation and synthesis
Greenhalgh, J., & Manzano, A. (2021) · International Journal of Social Research Methodology · doi:10.1080/13645579.2021.1918484 · Cited by 285 · see citing works
Applying GRADE-CERQual to qualitative evidence synthesis findings–paper 6: how to assess relevance of the data
Noyes, J., Booth, A., Lewin, S. A., Carlsen, B., Glenton, C., Colvin, C. J., Garside, R., Bohren, M. A., Rashidian, A., Wainwright, M., et al. (2018) · Implementation Science · doi:10.1186/s13012-017-0693-6 · Cited by 266 · see citing works
Self-citation
Conceptual analysis of health systems resilience: A scoping review
Turenne, C. P., Gautier, L., Degroote, S., Guillard, É., Chabrol, F., & Ridde, V. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2019.04.020 · Cited by 181 · see citing works
Criteria for evaluating transferability of health interventions: a systematic review and thematic synthesis
Schloemer, T., & Schröder‐Bäck, P. (2018) · Implementation Science · doi:10.1186/s13012-018-0751-8 · Cited by 178 · see citing works
Using implementation science theories and frameworks in global health
Ridde, V., Pérez, D., & Robert, É. (2020) · BMJ Global Health · doi:10.1136/bmjgh-2019-002269 · Cited by 170 · see citing works
Cochrane Qualitative and Implementation Methods Group guidance series-paper 2: methods for question formulation, searching, and protocol development for qualitative evidence synthesis
Harris, J. L., Booth, A., Cargo, M., Hannes, K., Harden, A., Flemming, K., Garside, R., Pantoja, T., Thomas, J., & Noyes, J. (2018) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.10.023 · Cited by 165 · see citing works
Self-citation
Simple rules for evidence translation in complex systems: A qualitative study
Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2018) · BMC Medicine · doi:10.1186/s12916-018-1076-9 · Cited by 173 · see citing works
Defining and assessing context in healthcare implementation studies: a systematic review
Rogers, L., Brún, A. D., & McAuliffe, É. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05212-7 · Cited by 167 · see citing works
Assessing the complexity of interventions within systematic reviews: development, content and use of a new tool (iCAT_SR)
Lewin, S. A., Hendry, M., Chandler, J., Oxman, A. D., Michie, S., Shepperd, S., Reeves, B. C., Tugwell, P., Hannes, K., Rehfuess, E. A., et al. (2017) · BMC Medical Research Methodology · doi:10.1186/s12874-017-0349-x · Cited by 146 · see citing works
Self-citation
The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature
Bergström, A., Ehrenberg, A., Eldh, A. C., Graham, I. D., Gustafsson, K., Harvey, G., Hunter, S. C., Kitson, A. A., Rycroft‐Malone, J., & Wallin, L. (2020) · Implementation Science · doi:10.1186/s13012-020-01003-0 · Cited by 149 · see citing works
Developing an implementation strategy for a digital health intervention: an example in routine healthcare
Ross, J., Stevenson, F. A., Dack, C., Pal, K., May, C. R., Michie, S., Barnard, M., & Murray, E. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3615-7 · Cited by 142 · see citing works
Series: clinical epidemiology in South Africa. paper 3: logic models help make sense of complexity in systematic reviews and health technology assessments
Rohwer, A., Pfadenhauer, L., Burns, J., Brereton, L., Gerhardus, A., Booth, A., Oortwijn, W., & Rehfuess, E. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2016.06.012 · Cited by 121 · see citing works
Self-citation
Taking account of context in systematic reviews and guidelines considering a complexity perspective
Booth, A., Moore, G. F., Flemming, K., Garside, R., Rollins, N. C., Tunçalp, Ö., & Noyes, J. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2018-000840 · Cited by 119 · see citing works
Self-citation
The influence of contextual factors on healthcare quality improvement initiatives: what works, for whom and in what setting? Protocol for a realist review
Coles, E., Wells, M., Maxwell, M., Harris, F., Anderson, J. M., Gray, N. M., Milner, G., & MacGillivray, S. A. (2017) · Systematic Reviews · doi:10.1186/s13643-017-0566-8 · Cited by 112 · see citing works
Artificial intelligence for diabetes care: current and future prospects
Sheng, B., Pushpanathan, K., Guan, Z., Lim, Q. H., Lim, Z. W., Yew, S. M. E., Goh, J. H. L., Bee, Y. M., Sabanayagam, C., Sevdalis, N., et al. (2024) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(24)00154-2 · Cited by 106 · see citing works
Addressing complexity in population health intervention research: the context/intervention interface
Minary, L., Alla, F., Cambon, L., Kivits, J., & Potvin, L. (2018) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2017-209921 · Cited by 89 · see citing works
Adaptation with robustness: the case for clarity on the use of ‘resilience’ in health systems and global health
Abímbọ́lá, Ṣ., & Topp, S. M. (2018) · BMJ Global Health · doi:10.1136/bmjgh-2018-000758 · Cited by 86 · see citing works
Challenges in the design, planning and implementation of trials evaluating group interventions
Biggs, K., Hind, D., Gossage-Worrall, R., Sprange, K., White, D. A., Wright, J. T., Chatters, R., Berry, K., Papaioannou, D. E., Bradburn, M. J., et al. (2020) · Trials · doi:10.1186/s13063-019-3807-4 · Cited by 83 · see citing works
Using ethnography in implementation research to improve nutrition interventions in populations
Tumilowicz, A., Neufeld, L. M., & Pelto, G. H. (2015) · Maternal and Child Nutrition · doi:10.1111/mcn.12246 · Cited by 72 · see citing works
Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis for theory development
Johannessen, T., Ree, E., Aase, I., Bal, R. A., & Wiig, S. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05149-x · Cited by 70 · see citing works
Cochrane Qualitative and Implementation Methods Group guidance series—paper 4: methods for assessing evidence on intervention implementation
Cargo, M., Harris, J., Tomás Pantoja, C., Booth, A., Harden, A., Hannes, K., Thomas, J., Flemming, K., Garside, R., & Noyes, J. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.11.028 · Cited by 67 · see citing works
Self-citation
Understanding context: A concept analysis
Squires, J. E., Graham, I. D., Bashir, K., Penno, L. N., Lavis, J. N., Francis, J., Curran, J., Grimshaw, J., Brehaut, J., Ivers, N. M., et al. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14165 · Cited by 63 · see citing works
Harmonizing evidence-based practice, implementation context, and implementation strategies with user-centered design: a case example in young adult cancer care
Haines, E. R., Dopp, A. R., Lyon, A. R., Witteman, H. O., Bender, M., Vaisson, G., Hitch, D., & Birken, S. A. (2021) · Implementation Science Communications · doi:10.1186/s43058-021-00147-4 · Cited by 64 · see citing works
A new typology for understanding context: qualitative exploration of the model for understanding success in quality (MUSIQ)
Reed, J. E., Kaplan, H. C., & Ismail, S. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3348-7 · Cited by 57 · see citing works
Development of an integrative coding framework for evaluating context within implementation science
Rogers, L., De Brún, A., & McAuliffe, E. (2020) · BMC Medical Research Methodology · doi:10.1186/s12874-020-01044-5 · Cited by 48 · see citing works
Aquatic therapy for children with Duchenne muscular dystrophy: a pilot feasibility randomised controlled trial and mixed-methods process evaluation
Hind, D., Parkin, J., Whitworth, V., Rex, S., Young, T. A., Hampson, L. V., Sheehan, J., Maguire, C., Cantrill, H., Scott, E., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21270 · Cited by 53 · see citing works
Successful Healthcare Improvements From Translating Evidence in complex systems (SHIFT-Evidence): simple rules to guide practice and research
Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2018) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzy160 · Cited by 49 · see citing works
Structured lifestyle education to support weight loss for people with schizophrenia, schizoaffective disorder and first episode psychosis: the STEPWISE RCT
Holt, R. I. G., Hind, D., Gossage-Worrall, R., Bradburn, M. J., Saxon, D. H., McCrone, P., Morris, T., Etherington, A., Shiers, D., Barnard-Kelly, K. D., et al. (2018) · Health Technology Assessment · doi:10.3310/hta22650 · Cited by 49 · see citing works
Understanding dynamic complexity in context—Enriching contextual analysis in implementation science from a constructivist perspective
Mielke, J., Geest, S. D., Zúñiga, F., Brunkert, T., Zullig, L. L., Pfadenhauer, L. M., & Staudacher, S. (2022) · Frontiers in Health Services · doi:10.3389/frhs.2022.953731 · Cited by 47 · see citing works
Self-citation
Unraveling implementation context: the Basel Approach for coNtextual ANAlysis (BANANA) in implementation science and its application in the SMILe project
Mielke, J., Leppla, L., Valenta, S., Zullig, L. L., Zúñiga, F., Staudacher, S., Teynor, A., & Geest, S. D. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00354-7 · Cited by 48 · see citing works
The next phase in professional services research: From implementation to sustainability
Crespo-Gonzalez, C., Garcia-Cardenas, V., & Benrimoj, S. I. (2017) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2017.05.020 · Cited by 45 · see citing works
The Building Blocks of Implementation Frameworks and Models in Primary Care: A Narrative Review
Huybrechts, I., Declercq, A., Verté, E., Raeymaeckers, P., & Anthierens, S. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.675171 · Cited by 41 · see citing works
Methodological approaches to study context in intervention implementation studies: an evidence gap map
Mielke, J., Brunkert, T., Zúñiga, F., Simon, M., Zullig, L. L., & Geest, S. D. (2022) · BMC Medical Research Methodology · doi:10.1186/s12874-022-01772-w · Cited by 39 · see citing works
Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health
von Philipsborn, P., Stratil, J. M., Burns, J., Busert, L. K., Pfadenhauer, L. M., Polus, S., Holzapfel, C., Hauner, H., & Rehfuess, E. A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012292 · Cited by 37 · see citing works
Self-citation
Changes in bicycling frequency in children and adults after bicycle skills training: A scoping review
Sersli, S., DeVries, D. N., Gislason, M., Scott, N. A., & Winters, M. (2018) · Transportation Research Part A Policy and Practice · doi:10.1016/j.tra.2018.07.012 · Cited by 35 · see citing works
Contextual Barriers to Implementing Open-Source Electronic Health Record Systems for Low- and Lower-Middle-Income Countries: Scoping Review
Bostan, S., Johnson, O. A., Jaspersen, L. J., & Randell, R. (2024) · Journal of Medical Internet Research · doi:10.2196/45242 · Cited by 44 · see citing works
Effectiveness of the non-pharmaceutical public health interventions against COVID-19; a protocol of a systematic review and realist review
Iezadi, S., Aghdash, S. A., Ghiasi, A., Rezapour, A., Pourasghari, H., Pashazadeh, F., & Gholipour‎, K. (2020) · PLoS ONE · doi:10.1371/journal.pone.0239554 · Cited by 34 · see citing works
Translating evidence in complex systems: a comparative review of implementation and improvement frameworks
Reed, J. E., Green, S. A., & Howe, C. (2018) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzy158 · Cited by 32 · see citing works
A systematic review of the determinants of implementation of a locomotor training program using a powered exoskeleton for individuals with a spinal cord injury
Charette, C., Déry, J., Blanchette, A. K., Faure, C., Routhier, F., Bouyer, L. J., & Lamontagne, M. (2023) · Clinical Rehabilitation · doi:10.1177/02692155231164092 · Cited by 31 · see citing works
Improving the quality of self-management support in ambulatory cancer care: a mixed-method study of organisational and clinician readiness, barriers and enablers for tailoring of implementation strategies to multisites
Howell, D., Powis, M., Kirkby, R. L., Amernic, H., Moody, L., Bryant‐Lukosius, D., O’Brien, M. A., Rask, S., & Krzyzanowska, M. K. (2021) · BMJ Quality & Safety · doi:10.1136/bmjqs-2020-012051 · Cited by 32 · see citing works
Assessing the comparative effectiveness of implementation strategies for professional services to community pharmacy: A systematic review
Seda, V., Moles, R. J., Carter, S. R., & Schneider, C. R. (2022) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2022.03.019 · Cited by 22 · see citing works
Improving oral health in nursing home residents: A process evaluation of a shared oral care intervention
Aagaard, K., Meléndez‐Torres, G. J., & Overgaard, C. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15373 · Cited by 30 · see citing works
Street-level workers’ inadequate knowledge and application of exemption policies in Burkina Faso jeopardize the achievement of universal health coverage: evidence from a cross-sectional survey
Ridde, V., Leppert, G., Hien, H., Robyn, P. J., & Allegri, M. D. (2018) · International Journal for Equity in Health · doi:10.1186/s12939-017-0717-5 · Cited by 28 · see citing works
Framework for the Design Engineering and Clinical Implementation and Evaluation of mHealth Apps for Sleep Disturbance: Systematic Review
Aji, M., Gordon, C. J., Stratton, E., Calvo, R. A., Bartlett, D. J., Grunstein, R. R., & Glozier, N. (2021) · Journal of Medical Internet Research · doi:10.2196/24607 · Cited by 29 · see citing works
Community-based dengue control intervention in Ouagadougou: intervention theory and implementation fidelity
Saré, D., Pérez, D., Somé, P., Kafando, Y., Barro, A. S., & Ridde, V. (2018) · Global Health Research and Policy · doi:10.1186/s41256-018-0078-7 · Cited by 22 · see citing works
Ethnography and user-centered design to inform context-driven implementation
Haines, E. R., Kirk, M. A., Lux, L., Smitherman, A. B., Powell, B. J., Dopp, A. R., Stover, A. M., & Birken, S. A. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibab077 · Cited by 27 · see citing works
Exploring managers’ response to a quality and safety leadership intervention: findings from a multiple case study in Norwegian nursing homes and homecare services
Johannessen, T., Ree, E., Aase, I., Bal, R. A., & Wiig, S. (2021) · BMJ Open Quality · doi:10.1136/bmjoq-2021-001494 · Cited by 27 · see citing works
Do the key functions of an intervention designed from the same specifications vary according to context? Investigating the transferability of a public health intervention in France
Villeval, M., Gaborit, É., Bérault, F., Lang, T., & Kelly‐Irving, M. (2019) · Implementation Science · doi:10.1186/s13012-019-0880-8 · Cited by 26 · see citing works
Adapting Translational Research Methods to Water, Sanitation, and Hygiene
Setty, K., Cronk, R., George, S., Anderson, D. M., O’Flaherty, G., & Bartram, J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16204049 · Cited by 27 · see citing works
Context and implementation of advanced nursing practice in two countries: An exploratory qualitative comparative study
Jean, E., Guerra, S. S., Contandriopoulos, D., Perroux, M., Kilpatrick, K., & Zabalegui, A. (2019) · Nursing Outlook · doi:10.1016/j.outlook.2019.02.002 · Cited by 25 · see citing works
Creating pre-conditions for change in clinical practice: the influence of interactions between multiple contexts and human agency
Myall, M., May, C. R., Richardson, A. M., Bogle, S., Campling, N. C., Dace, S., & Lund, S. (2020) · Journal of Health Organization and Management · doi:10.1108/jhom-06-2020-0240 · Cited by 25 · see citing works
The Definitions and Conceptualizations of the Practice Context in the Health Professions: A Scoping Review
Thomas, A., Rochette, A., George, C., Iqbal, M. Z., Ataman, R., St‐Onge, C., Boruff, J., & Renaud, J. (2023) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000490 · Cited by 26 · see citing works
Community-Based Mental Health Intervention Skills: Task Shifting in Low- and Middle-Income Settings
Johns, L. D., Power, J., & MacLachlan, M. (2018) · International Perspectives in Psychology · doi:10.1037/ipp0000097 · Cited by 27 · see citing works
How to deal with context? A context-mapping tool for quality and safety in nursing homes and homecare (SAFE-LEAD Context)
Wiig, S., Aase, K., Johannessen, T., Holen-Rabbersvik, E., Thomsen, L. H., van de Bovenkamp, H., Bal, R. A., & Ree, E. (2019) · BMC Research Notes · doi:10.1186/s13104-019-4291-3 · Cited by 25 · see citing works
How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties
Wæhle, H. V., Haugen, A. S., Wiig, S., Søfteland, E., Sevdalis, N., & Harthug, S. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-4965-5 · Cited by 27 · see citing works
Prevention of Cardiovascular Diseases in Community Settings and Primary Health Care: A Pre-Implementation Contextual Analysis Using the Consolidated Framework for Implementation Research
Aerts, N., Anthierens, S., Bogaert, P. V., Peremans, L., & Bastiaens, H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148467 · Cited by 24 · see citing works
When complexity matters: a step-by-step guide to incorporating a complexity perspective in guideline development for public health and health system interventions
Movsisyan, A., Rehfuess, E. A., & Norris, S. L. (2020) · BMC Medical Research Methodology · doi:10.1186/s12874-020-01132-6 · Cited by 23 · see citing works
Self-citation
Conceptualizing Context and Intervention as a System in Implementation Science: Learning From Complexity Theory Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis"
Pfadenhauer, L. M. (2021) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.2021.147 · Cited by 24 · see citing works
Self-citation
A Model for Selecting Theoretical Framework through Epistemology of Research Paradigms
Omodan, B. I. (2022) · African Journal of Inter/Multidisciplinary Studies · doi:10.51415/ajims.v4i1.1022 · Cited by 21 · see citing works
Programme Reporting Standards (PRS) for improving the reporting of sexual, reproductive, maternal, newborn, child and adolescent health programmes
Kågesten, A., Tunçalp, Ö., Portela, A. G., Ali, M., Tran, N. T., & Gülmezoglu, A. M. (2017) · BMC Medical Research Methodology · doi:10.1186/s12874-017-0384-7 · Cited by 21 · see citing works
Addressing health equity during design and implementation of health system reform initiatives: a scoping review and framework
Bouckley, T., Peiris, D., Nambiar, D., Mishra, S., Sood, T., Purwar, P., Elshaug, A. G., Landon, B. E., Pearson, S., Schneider, C. H., et al. (2025) · International Journal for Equity in Health · doi:10.1186/s12939-025-02436-z · Cited by 24 · see citing works
Exploring the intersection of hermeneutics and implementation: a scoping review
MacLeod, M., McCaffrey, G., Wilson, E., Zimmer, L. V., Snadden, D., Zimmer, P., Jónatansdóttir, S., Fyfe, T., Koopmans, E., Ulrich, C., et al. (2023) · Systematic Reviews · doi:10.1186/s13643-023-02176-7 · Cited by 25 · see citing works
A systematic approach to context-mapping to prepare for health interventions: development and validation of the SETTING-tool in four countries
Brakema, E. A., van der Kleij, R., Poot, C. C., Chavannes, N. H., Tsiligianni, I., Walusimbi, S., An, P. L., Sooronbaev, T., Numans, M. E., Crone, M. R., et al. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2020-003221 · Cited by 18 · see citing works
Situational analysis of breast health care systems: Why context matters
Duggan, C. R., Dvaladze, A. L., Scheel, J. R., Stevens, L. M., & Anderson, B. O. (2020) · Cancer · doi:10.1002/cncr.32899 · Cited by 18 · see citing works
How context can impact clinical trials: a multi-country qualitative case study comparison of diagnostic biomarker test interventions
Haenssgen, M. J., Charoenboon, N., Do, N. T. T., Althaus, T., Zaw, Y. K., Wertheim, H. F. L., & Lubell, Y. (2019) · Trials · doi:10.1186/s13063-019-3215-9 · Cited by 18 · see citing works
Evidence-based practices in pressure ulcer prevention: Lost in implementation?
Balzer, K., & Kottner, J. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2015.08.006 · Cited by 16 · see citing works
En Route to Implementation Science 3.0
Albers, B., Shlonsky, A., & Mildon, R. L. (2020) · Springer eBooks · doi:10.1007/978-3-030-03874-8_1 · Cited by 15 · see citing works
Understanding resilience, self-reliance and increasing country voice: a clash of ideologies in global health
Shawar, Y. R., Neill, R., Kunnuji, M. O. N., Manoj, M., & Shiffman, J. (2023) · BMJ Global Health · doi:10.1136/bmjgh-2022-010895 · Cited by 14 · see citing works
Implementation of Complex Suicide Prevention Interventions: Insights into Barriers, Facilitators and Lessons Learned
Krishnamoorthy, S., Mathieu, S. L., Armstrong, G. T., Ross, V. L., Francis, J., Reifels, L., & Kõlves, K. (2024) · Archives of Suicide Research · doi:10.1080/13811118.2024.2368127 · Cited by 14 · see citing works
Assessing the maturity of the “Family Centered Care” concept: A review of concept analyses studies
Al‐Motlaq, M., Foster, M., Zgambo, M., & Neill, S. (2024) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2024.09.004 · Cited by 12 · see citing works
The health-related quality of life, mental health and mental illnesses of patients with inclusion body myositis (IBM): results of a mixed methods systematic review
Senn, K. C., Gumbert, L., Thiele, S., Krause, S., Walter, M. C., & Nagels, K. (2022) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-022-02382-x · Cited by 12 · see citing works
Adapting population health interventions for new contexts: qualitative interviews understanding the experiences, practices and challenges of researchers, funders and journal editors
Copeland, L., Littlecott, H., Couturiaux, D., Hoddinott, P., Segrott, J., Murphy, S., Moore, G. F., & Evans, R. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-066451 · Cited by 11 · see citing works
How to deal with context? Evaluation of the SAFE-LEAD Context Tool for quality and safety in nursing home and homecare services
Holen-Rabbersvik, E., Ullebust, B., Ree, E., Schibevaag, L., Hurup-Thomsen, L., Strømme, T., Aase, K., Aase, I., Ellis, L. A., & Wiig, S. (2020) · Tidsskrift for omsorgsforskning · doi:10.18261/issn.2387-5984-2020-02-07 · Cited by 11 · see citing works
Contextual factors influencing physicians’ perception of antibiotic prescribing in primary care in Germany — a prospective observational study
Queder, A., Arnold, C., Wensing, M., & Poß-Doering, R. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07701-3 · Cited by 10 · see citing works
Implementation between text and work—a qualitative study of a readmission prevention program targeting elderly patients
Lehn, S. F., Thuesen, J., Bunkenborg, G., Zwisler, A., & Rod, M. H. (2018) · Implementation Science · doi:10.1186/s13012-018-0730-0 · Cited by 11 · see citing works
Barriers and enablers for externally and internally driven implementation processes in healthcare: a qualitative cross-case study
Lyng, H. B., Ree, E., Strømme, T., Johannessen, T., Aase, I., Ullebust, B., Thomsen, L. H., Holen-Rabbersvik, E., Schibevaag, L., Bates, D. W., et al. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-10985-2 · Cited by 10 · see citing works
Core values and local guarantees of dignity in the care of older persons – Application, obstacles and further actions
Kihlgren, A. L., Pejner, M. N., & James, I. (2020) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12878 · Cited by 10 · see citing works
A scoping review of outer context constructs in dissemination and implementation science theories, models, and frameworks
Escoffery, C., Sekar, S., Allen, C. G., Madrigal, L., Haardöerfer, R., & Mertens, A. C. (2023) · Translational Behavioral Medicine · doi:10.1093/tbm/ibac115 · Cited by 11 · see citing works
Evaluation of interprofessional care processes for patients treated with oral anticancer drugs
Kinnaer, L., Kenis, I., Foulon, V., & Hecke, A. V. (2021) · Journal of Interprofessional Care · doi:10.1080/13561820.2021.1929103 · Cited by 9 · see citing works
Will the implementation process for goal-oriented primary care succeed? A qualitative study investigating five perceived attributes of goal-oriented care
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Defining and assessing context in healthcare implementation studies: a systematic review
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Understanding context: A concept analysis
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Additional file 3 of Defining and assessing context in healthcare implementation studies: a systematic review
Rogers, L., De Brún, A., & McAuliffe, É. (2020) · Figshare · doi:10.6084/m9.figshare.12586297
Additional file 1 of Defining and assessing context in healthcare implementation studies: a systematic review
Rogers, L., De Brún, A., & McAuliffe, É. (2020) · Figshare · doi:10.6084/m9.figshare.12586291
The Implementation in Context (ICON) Framework: A meta-framework of context domains, attributes and features in healthcare
Squires, J. E., Graham, I. D., Santos, W. J., Hutchinson, A. M., The ICON Team, Backman, C., Bergström, A., Brehaut, J., Brouwers, M. C., Burton, C. R., et al. (2023) · Health Research Policy and Systems · doi:10.1186/s12961-023-01028-z · Cited by 40 · see citing works

Authors: Pfadenhauer, L. M., Mozygemba, K., Gerhardus, A., Hofmann, B., Booth, A., Lysdahl, K. B., Tummers, M., Burns, J., & Rehfuess, E. A.
Affiliations: Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (DE)
University of Bremen (DE)
University of Oslo (NO)
University of Sheffield (GB)
Radboud University Medical Center (NL)
Corresponding author: Pfadenhauer, Lisa Maria
ORCID: Pfadenhauer, Lisa Maria
Mozygemba, Kati
Gerhardus, Ansgar
Hofmann, Bjørn
Booth, Andrew
Lysdahl, Kristin Bakke
Tummers, Marcia
Burns, Jacob
Rehfuess, Eva Annette
Venue: Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
Publisher: Elsevier BV
Published: 2015
Volume: 109
Issue: 2
Pages: 103-114
ISSN: 1865-9217 (ISSN-L)
DOI: 10.1016/j.zefq.2015.01.004
OpenAlex: W1998641377
Semantic Scholar: 93ddce6a560b6dc55062e4dc9a2f4794ee4d6531
Cited by: 189
References: 88
Citations by year: 2026: 7 · 2025: 11 · 2024: 29 · 2023: 18 · 2022: 29 · 2021: 28 · 2020: 23 · 2019: 13 · 2018: 17 · 2017: 9 · 2016: 3 · 2015: 2
FWCI: 19.00
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen (publishedVersion)
PubMed (publishedVersion)
White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords: context, implementation, health interventions, complex interventions, conceptual analysis, health technology assessment, operationalization
MeSH terms: Delivery of Health Care, Germany, Health Plan Implementation, Humans, Technology Assessment, Biomedical, Evidence-Based Medicine, Guideline Adherence

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Context and implementation: A concept analysis towards conceptual maturity

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