Parihs Re-Visited
Abstract
In this chapter we review how the PARIHS framework has been applied over the last 15 years to guide and evaluate the implementation of evidence-based practice in healthcare. We also consider how PARIHS compares to other implementation frameworks and models by drawing on some recently completed reviews within the implementation science literature. We then summarise the key theories that have been influential in informing and developing our understanding and practice of facilitation since the original development of the PARIHS framework. Building on this preceding discussion, we will explain why and how we have revised the PARIHS framework from its original conception to what we are now calling the integrated-PARIHS or i-PARIHS framework. This revised framework includes a re-conceptualisation of the constructs to be considered during implementation and is more explicitly underpinned by relevant theories of innovation, behavioural and organisational change and improvement. By bringing together our own and others’ experiential and empirical evidence of using PARIHS with the wider theoretical literature, our intention has been to produce a more integrated conceptual framework to guide implementation. The core elements of i-PARIHS will be described, namely: the innovation to be implemented; the intended recipients of the innovation; the internal and external context in which implementation takes place; and the facilitation approach that is required to operationalise the framework.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The i-PARIHS framework continues the theoretical eclecticism of PARIHS but presents it in a more coherent way.
“In our deliberations with i-PARIHS, we have continued with the theoretical eclecticism but have tried to present it in a more coherent way [16].”
From PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice (2015) · cites this paper as [16]
Cites
Organizational learning II: Theory, method and practice
Marraffa, M. (1998) · Iris (Roma Tre University) · Cited by 2,309 · see citing works
Organizational learning II : theory, method, and practice
Argyris, C., & Schön, D. A. (1996) · Virtual Defense Library (Ministerio de Defensa) · Cited by 556 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Harvey, G., & Kitson, A. (2015) · Implementation Science · doi:10.1186/s13012-016-0398-2 · Cited by 1,271 · see citing works
Self-citationA scoping review of frameworks in empirical studies and a review of dissemination frameworks
Baumann, A. A., Hooley, C., Kryzer, E., Morshed, A. B., Gutner, C. A., Malone, S. M., Walsh‐Bailey, C., Pilar, M. R., Sandler, B., Tabak, R. G., et al. (2022) · Implementation Science · doi:10.1186/s13012-022-01225-4 · Cited by 78 · see citing works
Hagedorn, H., Kenny, M. E., Gordon, A. J., Ackland, P. E., Noorbaloochi, S., Yu, W., & Harris, A. H. S. (2018) · Addiction Science & Clinical Practice · doi:10.1186/s13722-018-0127-z · Cited by 54 · see citing works
Kinney, A. R., Stearns‐Yoder, K. A., Hoffberg, A. S., Middleton, A., Weaver, J., Roseen, E. J., Juckett, L., & Brenner, L. A. (2023) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2023.03.005 · Cited by 41 · see citing works
Sabesan, S. S., Malica, M., Gebbie, C., Scott, C. L., Thomas, D. M., & Zalcberg, J. R. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x211017805 · Cited by 35 · see citing works
Hawkins, E. J., Malte, C. A., Hagedorn, H., Berger, D. B., Frank, A. N., Lott, A. M. K., Achtmeyer, C. E., Mariano, A. J., & Saxon, A. J. (2016) · Pain Medicine · doi:10.1093/pm/pnw140 · Cited by 30 · see citing works
Thørrisen, M. M., Skogen, J. C., Kjeken, I., Jensen, I. B., & Aas, R. W. (2019) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-019-0217-2 · Cited by 20 · see citing works
Aifah, A. A., Hade, E. M., Colvin, C., Henry, D., Mishra, S., Rakhra, A., Onakomaiya, D., Ekanem, A., Shedul, G., Bansal, G. P., et al. (2023) · Implementation Science · doi:10.1186/s13012-023-01272-5 · Cited by 11 · see citing works
Sustainability of a rural volunteer program (Nav-CARE): a case study
Duggleby, W., Pesut, B., Warner, G., Nekolaichuk, C., Hällström, L., Elliott, B., Swindle, J., & Ghosh, S. (2020) · Rural and Remote Health · doi:10.22605/rrh6112 · Cited by 11 · see citing works
Sullivan, J. L., Montano, A.-R. L., Hughes, J. M., Davila, H. W., O’Malley, K. A., Engle, R. L., Hawley, C. E., Shin, M. H., Smith, J. G., & Pimentel, C. B. (2022) · The Gerontologist · doi:10.1093/geront/gnac096 · Cited by 11 · see citing works
Identifying the core components of a nursing home hospital avoidance programme
O’Neill, B. J., Dwyer, T., Parkinson, L., Reid‐Searl, K., & Jeffrey, D. (2022) · International Journal of Older People Nursing · doi:10.1111/opn.12493 · Cited by 7 · see citing works
Middleton, G., Johnson, B. J., Dutch, D. C., Trost, S. G., Byrne, R., Christian, H. E., Henry, A., Terranova, C. O., Williams, K. E., Chai, L. K., et al. (2024) · BMC Public Health · doi:10.1186/s12889-024-17703-x · Cited by 5 · see citing works
Ailabouni, N. J., Hanjani, L. S., Weir, K. R., Reeve, E., Abdulla, A., Bohill, R., & Brandt, N. (2025) · Journal of Alzheimer s Disease · doi:10.1177/13872877251406907 · Cited by 2 · see citing works
The art and science of clinicians leading change
Sabesan, S. S., & Roberts, L. J. (2022) · The Medical Journal of Australia · doi:10.5694/mja2.51404 · Cited by 2 · see citing works
Earle, R., Leedie, F., Littlewood, R., Nalatu, S., Yusif, S., & Walker, J. L. (2026) · Journal of Primary Care & Community Health · doi:10.1177/21501319261419935 · Cited by 1 · see citing works
Richardson, E., Hogan, T. P., Shimada, S. L., Sliwinski, S. K., & Kim, B. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-064450
Baumann, A. A., Hooley, C., Kryzer, E., Morshed, A. B., Gutner, C. A., Malone, S., Walsh‐Bailey, C., Pilar, M. R., Sandler, B., Tabak, R. G., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20462376
Davidson, A. A., Leake, J., & O’Connor, P. (2025) · Evaluation · doi:10.1177/13563890251395632
Specialist palliative care in aged care: repeated cross-sectional effectiveness evaluation
Smith, R., Merlo, G., Ezure, Y., Lovell, A., Lock, C., Broadbent, A. M., Mickan, S. M., & Morgan, N. (2026) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2025-005788
From Passion to Persistence: Nurturing Idealistic Roots to Extinguish Burnout
Sabesan, S. S., Oldenmenger, W. H., Crul, M., Keal, H., & Hlubocky, F. J. (2026) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk-26-525932
Heitzer, A. M., Kang, E., Tamboli, M., Brazley-Rodgers, M., Kolb-Quinn, A., Carroll, Y. M., Conklin, H. M., King, A. A., Hankins, J. S., Pears, K. C., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1862943
Whole-of-system approach for program implementation: Lessons from the Australian Teletrial Program
Sabesan, S. S., Pathmanathan, S., & Poxton, M. (2026) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x261475898
- Authors
- Harvey, G., & Kitson, A.
- Venue
- Implementing Evidence-Based Practice In Healthcare
- Publisher
- Routledge
- Published
- 2015-03-24
- Pages
- 25-46
- OpenAlex
- W2223053708
- Cited by
- 22
- References
- 2
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 1 · 2015: 1
- FWCI
- 7.13
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Routledge eBooks (publishedVersion)
- 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
- PARIHS framework, i-PARIHS framework, implementation research, evidence-based practice implementation, implementation framework, facilitation, innovation theory, organizational change, behavior change, implementation context
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
