Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question?

Harvey, Gill; Kitson, Alison

doi:10.15171/ijhpm.2015.54

Cited by 103Health Policy Implementation ScienceHealth Sciences Research and EducationClinical practice guidelines implementation

Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question?

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Harvey, Gill, Kitson, Alison·2015·International Journal of Health Policy and Management

DOI 10.15171/ijhpm.2015.54PMC PMC4357977

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Abstract

How best to achieve the translation of research evidence into routine policy and practice remains an enduring challenge in health systems across the world. The complexities associated with changing behaviour at an individual, team, organizational and system level have led many academics to conclude that tailored, multi-faceted strategies provide the most effective approach to knowledge translation. However, a recent overview of systematic reviews questions this position and sheds doubt as to whether multi-faceted strategies are any better than single ones. In this paper, we argue that this either-or distinction is too simplistic and fails to recognize the complexity that is inherent in knowledge translation. Drawing on organizational theory relating to boundaries and boundary management, we illustrate the need for translational strategies that take account of the type of knowledge to be implemented, the context of implementation and the people and processes involved.

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Considering that most studies employed multiple or multifaceted strategies, there seems to be a benefit of using a targeted bundle of strategies that are purposefully aligned with site/clinic/population norms, rather than simply adding more strategies.
“Considering that most studies employed multiple or multifaceted strategies, it seems that there is a benefit of using a targeted bundle of strategies that are purposefully aligns with site/clinic/population norms, rather than simply adding more strategies [66].”
From A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022 (2024) · cites this paper as [66]

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Additional file 7 of A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022
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Additional file 2 of A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022
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Translating evidence into healthcare policy and practice: \nSingle versus multi-faceted implementation strategies – is \nthere a simple answer to a complex question?
Harvey, G., & Kitson, A. (n.d.) · Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences)
Self-citation
It Is Not That Simple nor Compelling! Comment on "Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?"
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It Is Not That Simple nor Compelling! \nComment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus \nMulti-faceted Implementation Strategies – Is There a Simple Answer to a Complex \nQuestion?”
Bucknall, T., & Mariann, F. (n.d.) · Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences)
How Single Is "Single" - Some Pragmatic Reflections on Single Versus Multifaceted Interventions to Facilitate Implementation Comment on "Translating Evidence Into Healthcare Policy and Practice: Single Versus Multifaceted Implementation Strategies – Is There a Simple Answer to a Complex Question?"
Eldh, A. C., & Wallin, L. (2015) · International Journal of Health Policy and Management · doi:10.15171/ijhpm.2015.133 · Cited by 8 · see citing works
How Single Is “Single” - Some Pragmatic Reflections on \nSingle Versus Multifaceted Interventions to Facilitate \nImplementation \nComment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus \nMultifaceted Implementation Strategies – Is There a Simple Answer to a Complex \nQuestion?”
Catrine Eldh, A., & Wallin, L. (n.d.) · Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences)

Authors: Harvey, G., & Kitson, A.
Affiliations: University of Manchester (GB)
Central Adelaide Local Health Network (AU)
ORCID: Harvey, Gill
Kitson, Alison
Venue: International Journal of Health Policy and Management
Publisher: Maad Rayan Publishing Company
Published: 2015-03-05
Volume: 4
Issue: 3
Pages: 123-126
ISSN: 2322-5939 (ISSN-L)
DOI: 10.15171/ijhpm.2015.54
PMC: PMC4357977
OpenAlex: W2164401888
Cited by: 103
References: 29
Citations by year: 2026: 5 · 2025: 4 · 2024: 16 · 2023: 6 · 2022: 12 · 2021: 10 · 2020: 10 · 2019: 8 · 2018: 7 · 2017: 12 · 2016: 5 · 2015: 8
FWCI: 19.50
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: cc-by
Locations: International Journal of Health Policy and Management (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (publishedVersion)
Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences) (acceptedVersion)
SSRN Electronic Journal (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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: knowledge translation, implementation strategies, evidence-based policy, organizational boundaries, boundary management, organizational theory, implementation context, health care system

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