ReviewBMC health services research2020
Context, complexity and process in the implementation of evidence-based innovation: a realist informed review.
Review in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- Staff perspectives on the implementation of interventions for people with congenital disabilities: a mixed-methods systematic review.Systematic reviews · 2026Pooled it
- Strengthening vaccination delivery system resilience in the context of protracted humanitarian crisis: a realist-informed systematic review.BMC health services research · 2022Pooled it
- Strategies for Implementing Occupational eMental Health Interventions: Scoping Review.Journal of medical Internet research · 2022Guideline
- Mapping intervention components from a randomized controlled trial to scale-up of an early life nutrition and movement intervention: The INFANT program.Frontiers in public health · 2022Trial
- Using Implementation Science to Explore the Integration of Entrustable Professional Activities in Swiss Cardiology Residency Training: A Qualitative Study.Journal of graduate medical education · 2026Article
- Feasibility study of a revised intervention for addressing student sickness absence: a qualitative evaluation.BMC health services research · 2026Article
- Exploring innovation landscapes: a national cross-sectional study of Swedish primary care from the viewpoint of primary care managers.BMC health services research · 2026Article
- Article
- Barriers and Enablers in Implementing Technology-Enabled Care for Older Adults in Rural and Remote Settings: A Scoping Review.International journal of environmental research and public health · 2026Article
- Implementing quality improvement in vascular services: a qualitative study.BMJ open quality · 2026Article
- Article
- Exploring the Implementation of a New Nursing Role Using the CFIR-ERIC Approach: A Qualitative Study.Journal of nursing management · 2026Article
- Bridging the gap between guidelines and practice: neurologists' readiness for the updated McDonald criteria in Egypt.BMJ neurology open · 2026Article
- Dissemination and implementation science for global ophthalmology: closing the last-mile translational gap.Frontiers in public health · 2026Review
- Test Smart, Treat Smart-using clinician feedback to adapt a catheter-associated urinary tract infection intervention for spinal cord injury.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- The development and validation of the Research for Practice Tool (R4PT) for nursing and midwifery.BMC health services research · 2025Article
- Perspectives on how evidence-based practice changes over time: A qualitative exploration of occupational therapy and physical therapy graduates.Journal of evaluation in clinical practice · 2025Article
- Implementing a new clinical service - what's your elevator pitch?BMC health services research · 2025Article
- Managers and Hygiene Representatives' Perceptions of a Patient Safety Initiative to Reduce Healthcare-Associated Infections: A Mixed-Methods Study.Health science reports · 2025Article
- Exploring the implementation of national health and social care standards in Ireland: A qualitative descriptive study.Journal of advanced nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis review of scholarly work in health care knowledge translation advances understanding of implementation components that support the complete and timely integration of new knowledge. We adopt a realist approach to investigate what is known from the current literature about the impact of, and the potential relationships between, context, complexity and implementation process.
methodsInformed by two distinct pathways, knowledge utilization and knowledge translation, we utilize Rogers' Diffusion of Innovations theory (DOI) and Harvey and Kitson's integrated- Promoting Action on Research Implementation in Health Service framework (PARIHS) to ground this review. Articles from 5 databases; Medline, Scopus, PsycInfo, Web of Science, and Google Scholar and a search of authors were retrieved. Themes and patterns related to these implementation components were extracted. Literature was selected for inclusion by consensus. Data extraction was iterative and was moderated by the authors.
resultsA total of 67 articles were included in the review. Context was a central component to implementation. It was not clear how and to what extent context impacted implementation. Complexity was found to be a characteristic of context, implementation process, innovations and a product of the relationship between these three elements. Social processes in particular were reported as influential however; descriptions of how these social process impact were limited. Multiple theoretical and operational models were found to ground implementation processes. We offer an emerging conceptual model to illustrate the key discoveries.
conclusionsThe review findings indicate there are dynamic relationship between context, complexity and implementation process for enhancing uptake of evidence-based knowledge in hospital settings. These are represented in a conceptual model. Limited empiric evidence was found to explain the nature of the relationships.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.