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Cited by 732Health Sciences Research and EducationHealth Policy Implementation ScienceClinical practice guidelines implementation

The DOI matches its Crossref record; 54 of the 56 references it cites were found in a registry or an index.

Getting evidence into practice: the role and function of facilitation

Harvey, Gill, Loftus‐Hills, Alison, Rycroft‐Malone, Jo, Titchen, Angie, Kitson, Alison, McCormack, Brendan, Seers, Kate·2002·Journal of Advanced Nursing
DOI 10.1046/j.1365-2648.2002.02126.x
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Abstract

Getting evidence into practice: the role and function of facilitation Aim of paper. This paper presents the findings of a concept analysis of facilitation in relation to successful implementation of evidence into practice. Background. In 1998, we presented a conceptual framework that represented the interplay and interdependence of the many factors influencing the uptake of evidence into practice. One of the three elements of the framework was facilitation, alongside the nature of evidence and context. It was proposed that facilitators had a key role in helping individuals and teams understand what they needed to change and how they needed to change it. As part of the on‐going development and refinement of the framework, the elements within it have undergone a concept analysis in order to provide theoretical and conceptual clarity. Methods. The concept analysis approach was used as a framework to review critically the research literature and seminal texts in order to establish the conceptual clarity and maturity of facilitation in relation to its role in the implementation of evidence‐based practice. Findings. The concept of facilitation is partially developed and in need of delineation and comparison. Here, the purpose, role and skills and attributes of facilitators are explored in order to try and make distinctions between this role and other change agent roles such as educational outreach workers, academic detailers and opinion leaders. Conclusions. We propose that facilitation can be represented as a set of continua, with the purpose of facilitation ranging from a discrete task‐focused activity to a more holistic process of enabling individuals, teams and organizations to change. A number of defining characteristics of facilitation are proposed. However, further research to clarify and evaluate different models of facilitation is required.

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Research works printed but not linked: 9

  1. DeitrichA.J.(1994)External support can change primary care practice patterns. InDisseminating Research/Changing Practice Research Methods in Primary Care Vol. 6 (Dunn E.V.et al. eds) Sage Publications London.
  2. DopsonS. GabbayJ. LocockL.&ChambersD.(1999)Evaluation of the PACE Programme: final report Oxford Healthcare Management Institute. Templeton College University of Oxford & Wessex Institute for Health Research and Development University of Southampton Southampton.
  3. HarveyG.(1993)Nursing Quality: An Evaluation of Key Factors in the Implementation Process. Unpublished PhD Thesis. South Bank University London.
  4. Leventhal R.B., 1984, Working hard to make QWL look easy, Training and Development Journal, 38, 59
  5. MarshallJ.&McLeanA.(1988) InHuman Inquiry in Action. Developments in New Paradigm Research.(Reason P. ed.) Sage London pp. 00–00.
  6. MorrellC. HarveyG.&KitsonA.(1995)The Reality of Practitioner Based Quality Improvement – A Review of the Use of the Dynamic Standard Setting System in the NHS of the 1990s. Report no. 14. National Institute for Nursing Oxford.
  7. OxmanA.(1994)No Magic Bullets: A Systematic Review of 102 Trials of Interventions to Help Health Care Professionals Deliver Services More Effectively and Efficiently. North East Thames Regional Health Authority London.
  8. TitchenA.(2000)Professional Craft Knowledge in Patient‐Centred Nursing and the Facilitation of its Development.University of Oxford DPhil Thesis. Ashdale Press Kidlington.
  9. WalkerL.O.&AvantC.K.(1995)Concept analysis. InStrategies for Theory Construction in Nursing 3rd edn Appleton & Lange Norwalk Connecticut pp. 37–54.

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Metadata

Authors
Harvey, G., Loftus‐Hills, A., Rycroft‐Malone, J., Titchen, A., Kitson, A., McCormack, B., & Seers, K.
Affiliations
University of Ulster (GB)
ORCID
Venue
Journal of Advanced Nursing
Publisher
Wiley
Published
2002-03-06
Volume
37
Issue
6
Pages
577-588
ISSN
  • 0309-2402 (ISSN-L)
  • 1365-2648
DOI
10.1046/j.1365-2648.2002.02126.x
OpenAlex
W2143219402
Cited by
730
References
56
Citations by year
2026: 12 · 2025: 15 · 2024: 32 · 2023: 21 · 2022: 53 · 2021: 34 · 2020: 33 · 2019: 33 · 2018: 30 · 2017: 35 · 2016: 27 · 2015: 40 · 2014: 37 · 2013: 47 · 2012: 38
FWCI
5.05
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Advanced Nursing (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • Lancaster EPrints (Lancaster University) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
facilitation, evidence-based practice, change agents, opinion leaders, organizational change, conceptual analysis
MeSH terms
Diffusion of Innovation, Education, Medical, Continuing, Education, Nursing, Continuing, Humans, Patient Care Team, Professional Practice, Social Facilitation, Negotiating, Evidence-Based Medicine, Guideline Adherence

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