Evidence-Based Implementation of Evidence-Based Medicine
Abstract
Background The slow and haphazard process of translating research findings into clinical practice compromises the potential benefits of clinical research. Most quality improvement (QI) initiatives are based on the beliefs of decision makers rather than on the growing theoretical and empirical knowledge about organizational and provider behavior change. If future QI activities are to improve the translation of evidence into practice, they should be based on an understanding of the different models and strategies for implementing research evidence and the evidence base supporting their use. Evidence-based medicine should be complemented by evidence-based implementation. The evidence for different strategies of implementing change A general framework for changing practice based on theoretical perspectives and research evidence considers a variety of theoretical approaches and their contribution to an understanding of provider behavior change. The framework summarizes evidence from systematic reviews of provider behavior change, which suggest the potential of several dissemination and implementation strategies that are effective under certain conditions. Passive dissemination approaches are largely ineffective; specific strategies to implement research-based recommendations appear to be necessary to ensure practice change. Multifaceted interventions that address specific barriers to change are more likely to lead to changes in practice. PRACTICAL, FIVE-STAGE FRAMEWORK: A practica…
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Education is a key step when implementing change.
“Education is a key step when implementing change (Grol & Grimshaw, 1999).”
From Using SBAR to Communicate with Policymakers (2018) · cites this paper as Grol & Grimshaw, 1999
Cites
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098 · see citing works
Grilli, R., & Lomas, J. (1994) · Medical Care · doi:10.1097/00005650-199403000-00002 · Cited by 392 · see citing works
Cluster randomised trials: time for improvement
Campbell, M. K., & Grimshaw, J. M. (1998) · BMJ · doi:10.1136/bmj.317.7167.1171 · Cited by 154 · see citing works
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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
“…of effective implementation, as many different factors need to be addressed in sequence or in tandem for effective implementation that retains impact in community settings (Ferlie and Shortell 2001; Fixsen et al. 2009; Glisson and Schoenwald 2005; Grimshaw et al. 2001; Grol and Grimshaw 1999).”
BackgroundLocal opinion leaders: effects on professional practice and health care outcomes
Flodgren, G., Parmelli, E., Doumit, G., Gattellari, M., O'Brien, M. A., Grimshaw, J., & Eccles, M. P. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000125.pub4 · Cited by 1,070 · see citing works
Self-citationFeldstein, A. C., & Glasgow, R. E. (2008) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(08)34030-6 · Cited by 987 · see citing works
Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda
Powell, B. J., Fernandez, M. E., Williams, N. J., Aarons, G. A., Beidas, R. S., Lewis, C. C., McHugh, S. M., & Weiner, B. J. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00003 · Cited by 775 · see citing works
Getting evidence into practice: the meaning of `context'
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
Kontos, P. C., & Poland, B. D. (2009) · Implementation Science · doi:10.1186/1748-5908-4-1 · Cited by 760 · see citing works
Psychosocial interventions for supporting women to stop smoking in pregnancy
Chamberlain, C., O'Mara-Eves, A., Porter, J., Coleman, T., Perlen, S. M., Thomas, J., & McKenzie, J. E. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001055.pub5 · Cited by 650 · see citing works
An exploration of the factors that influence the implementation of evidence into practice
Rycroft‐Malone, J., Harvey, G., Seers, K., Kitson, A., McCormack, B., & Titchen, A. (2004) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2004.01007.x · Cited by 623 · see citing works
Developing a Framework for Transferring Knowledge Into Action: A Thematic Analysis of the Literature
Ward, V., House, A., & Hamer, S. (2009) · Journal of Health Services Research & Policy · doi:10.1258/jhsrp.2009.008120 · Cited by 511 · see citing works
Meta-Analysis: Audit and Feedback Features Impact Effectiveness on Care Quality
Hysong, S. J. (2009) · Medical Care · doi:10.1097/mlr.0b013e3181893f6b · Cited by 306 · see citing works
Psychosocial interventions for supporting women to stop smoking in pregnancy
Chamberlain, C., O'Mara-Eves, A., Oliver, S., Caird, J. R., Perlen, S. M., Eades, S. J., & Thomas, J. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001055.pub4 · Cited by 251 · see citing works
Implementation strategies for digital mental health interventions in health care settings.
Graham, A. K., Lattie, E. G., Powell, B. J., Lyon, A. R., Smith, J. D., Schueller, S. M., Stadnick, N. A., Brown, C. H., & Mohr, D. C. (2020) · American Psychologist · doi:10.1037/amp0000686 · Cited by 236 · see citing works
Schoenwald, S. K., Chapman, J. E., Kelleher, K., Hoagwood, K. E., Landsverk, J., Stevens, J., Glisson, C., Rolls-Reutz, J., & The Research Network on Youth Mental Health (2008) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-007-0147-6 · Cited by 149 · see citing works
Bekkering, G. E. (2005) · Quality and Safety in Health Care · doi:10.1136/qshc.2003.009357 · Cited by 138 · see citing works
Interagency collaborative team model for capacity building to scale-up evidence-based practice
Hurlburt, M., Aarons, G. A., Fettes, D., Willging, C., Gunderson, L., & Chaffin, M. J. (2014) · Children and Youth Services Review · doi:10.1016/j.childyouth.2013.10.005 · Cited by 132 · see citing works
Development and initial validation of the determinants of physical activity questionnaire
Taylor, N., Lawton, R., & Conner, M. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-74 · Cited by 96 · see citing works
Weingardt, K. R. (2004) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bph087 · Cited by 92 · see citing works
Hoomans, T., Evers, S. M. A. A., Ament, A. J. H. A., Hübben, M. W. A., van der Weijden, T., Grimshaw, J. M., & Severens, J. L. (2007) · Value in Health · doi:10.1111/j.1524-4733.2007.00175.x · Cited by 71 · see citing works
Self-citationPowell, B. J., Proctor, E. K., Glisson, C. A., Kohl, P. L., Raghavan, R., Brownson, R. C., Stoner, B. P., Carpenter, C. R., & Palinkas, L. A. (2013) · Implementation Science · doi:10.1186/1748-5908-8-92 · Cited by 71 · see citing works
Critical examination of knowledge to action models and implications for promoting health equity
Davison, C. M., Ndumbe-Eyoh, S., & Clement, C. (2015) · International Journal for Equity in Health · doi:10.1186/s12939-015-0178-7 · Cited by 72 · see citing works
Kritchevsky, S. B., Braun, B. I., Bush, A. J., Bozikis, M. R., Kusek, L., Burke, J. P., Wong, E. S., Jernigan, J., Davis, C. C., Simmons, B., et al. (2008) · Annals of Internal Medicine · doi:10.7326/0003-4819-149-7-200810070-00007 · Cited by 61 · see citing works
Finding order in heterogeneity: types of quality-improvement intervention publications
Rubenstein, L. V., Hempel, S., Farmer, M. M., Asch, S. M., Yano, E. M., Dougherty, D., & Shekelle, P. W. (2008) · Quality and Safety in Health Care · doi:10.1136/qshc.2008.028423 · Cited by 52 · see citing works
Tricco, A. C., Cogo, E., Ashoor, H., Perrier, L., McKibbon, K. A., Grimshaw, J. M., & Straus, S. E. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002970 · Cited by 36 · see citing works
Self-citationForsetlund, L., & Bjørndal, A. (2002) · Journal of Health Services Research & Policy · doi:10.1258/1355819021927629 · Cited by 33 · see citing works
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
Using SBAR to Communicate with Policymakers
Jurns, C. (2018) · OJIN The Online Journal of Issues in Nursing · doi:10.3912/ojin.vol24no01ppt47 · Cited by 5 · see citing works
- Authors
- Grol, R., & Grimshaw, J.
- Affiliations
- Radboud University Nijmegen (NL)
- University of Aberdeen (GB)
- Corresponding author
- Grol, Richard
- ORCID
- Grimshaw, Jeremy
- Venue
- The Joint Commission Journal on Quality Improvement
- Publisher
- Elsevier BV
- Published
- 1999-10
- Volume
- 25
- Issue
- 10
- Pages
- 503-513
- ISSN
- 1070-3241 (ISSN-L)
- OpenAlex
- W2417314194
- Cited by
- 421
- References
- 3
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 7 · 2023: 11 · 2022: 13 · 2021: 12 · 2020: 12 · 2019: 12 · 2018: 7 · 2017: 13 · 2016: 15 · 2015: 12 · 2014: 21 · 2013: 23 · 2012: 13
- FWCI
- 35.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Joint Commission Journal on Quality Improvement (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- evidence-based practice implementation, evidence-based medicine, research-to-practice translation, provider behavior change, dissemination strategy, multicomponent intervention, barriers to change, implementation framework, guideline implementation, primary care, quality improvement
- MeSH terms
- Health Services Administration, Information Services, Interpersonal Relations, Evidence-Based Medicine, Guideline Adherence
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