Evidence map›Paper›PMID 37296453›Full record

SynthesisBMC health services research2023

Prospective application of theoretical implementation frameworks to improve health care in hospitals - a systematic review.

Rebecca Barnden, David A Snowdon, Natasha A Lannin, Elizabeth Lynch, Velandai Srikanth, Nadine E Andrew

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Use of the i-PARIHS framework in nutrition and dietetics research and practice: A citation analysis of the literature and case studies.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Using a multi-stakeholder co-design process to develop a health service organisation-wide patient reported outcome measure collection system.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rebecca BarndenAcademic Unit, Peninsula Health, Frankston, VIC, Australia. rebecca.barnden@monash.edu.
David A SnowdonAcademic Unit, Peninsula Health, Frankston, VIC, Australia.
Natasha A LanninDepartment of Neuroscience, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, VIC, Australia.
Elizabeth LynchCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Velandai SrikanthAcademic Unit, Peninsula Health, Frankston, VIC, Australia.
Nadine E AndrewAcademic Unit, Peninsula Health, Frankston, VIC, Australia.

Funding

Wellcome Trust 102055
6 · The paper itself

Abstract

backgroundHealth Service implementation projects are often guided by theoretical implementation frameworks. Little is known about the effectiveness of these frameworks to facilitate change in processes of care and patient outcomes within the inpatient setting. The aim of this review was to assess the effectiveness of the application of theoretical implementation frameworks in inpatient healthcare settings to change processes of care and associated patient outcomes.

methodWe conducted a search in CINAHL, MEDLINE, EMBASE, PsycINFO, EMCARE and Cochrane Library databases from 1

resultsTwenty-five studies met the inclusion criteria. Twenty-one used a pre-post (no comparison), two a pre-post with a comparison, and two a cluster randomised trial design. Eleven theoretical implementation frameworks were prospectively applied: six process models; five determinant frameworks; and one classic theory. Four studies used two theoretical implementation frameworks. No authors reported their justification for selecting a particular framework and implementation strategies were generally poorly described. No consensus was reached for a preferred framework or subset of frameworks based on meta-analysis results.

conclusionsRather than the ongoing development of new implementation frameworks, a more consistent approach to framework selection and strengthening of existing approaches is recommended to further develop the implementation evidence base.

trial registrationCRD42019119429.

Indexed as

Health FacilitiesHospitalsDelivery of Health CareHealth ServicesHumansProspective StudiesRandomized Controlled Trials as TopicImplementation frameworksImplementation modelsImplementation theoriesKnowledge translationTranslation medical research

Identifiers

PMID37296453
PMCPMC10257296

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.