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Balancing yin and yang: the development of a framework using participatory action research for the translation and implementation (Part 1) of new practices


Fitzgerald, A and Ogrin, R and Hayes, K and Curry, J and Eljiz, K and Radford, K, Balancing yin and yang: the development of a framework using participatory action research for the translation and implementation (Part 1) of new practices, Asia Pacific Journal of Health Management, 11, (1) pp. 14-24. ISSN 1833-3818 (2016) [Refereed Article]

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Context: Despite the demonstrable benefits of many healthcare innovations, embedding research findings into practice has been slow and sporadic. [1,2] Many implementation frameworks exist, however most have been criticised for not having a strong theoretical underpinning. This study addresses this gap by reviewing the current models to propose a new, theoretically driven framework for change management and translation. Methods: This study is reported in two parts. In part 1, a systematically-based literature review was undertaken. Following this, part 2 included conducting focus groups with academics to verify the model and provide feedback on the new framework. Findings: The gaps in current implementation frameworks identified include deficiencies in the areas of individual and social behaviour, participatory action, operationalisation and evaluation of the frameworks. The Quality Implementation Framework (QIF) [3] was used to provide the basis to develop a robust extended model, which addressed those areas that were identified as deficient in the current frameworks. By combining the best parts of extant models with a translation and implementation foci, we developed the PARTI model that is underpinned by commitment to change (Ying) and change fidelity (Yang) at each of its four stages, which included a behavioural questionnaire and implementation checklist. PARTI stands for Participatory Action Research, Translation and Implementation. Conclusions: The implementation of change in healthcare delivery is difficult and demanding, and healthcare managers look to change frameworks for guidance. The PARTI model has been developed to provide a systematic approach to implementing changed practices that is repeatable, reliable and scalable.

Item Details

Item Type:Refereed Article
Keywords:knowledge translation; evidence-based practice; organisation innovation; implementation framework; managing change; healthcare.
Research Division:Economics
Research Group:Applied economics
Research Field:Health economics
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Eljiz, K (Dr Kathy Eljiz)
ID Code:108350
Year Published:2016
Deposited By:TSBE
Deposited On:2016-04-18
Last Modified:2017-11-23

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