International Journal of Health Policy and Management

International Journal of Health Policy and Management

Translating Evidence into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?

Document Type : Editorial

Authors
Gill Harvey 1, 2
Alison Kitson 1, 3
1 School of Nursing, University of Adelaide, Adelaide, Australia
2 Manchester Business School, University of Manchester, Manchester
3 Central Adelaide Local Health Network (CALHN), Adelaide, Australia
10.15171/ijhpm.2015.54
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, multifaceted 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.

Highlights

Commentaries Published on this Paper

  • It’s More Complicated than That; Comment on “Translating Evidence into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”

            Abstract | PDF

  • “Horses for Courses”; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”

            Abstract | PDF

  • 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?”

            Abstract | PDF

  • 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?”

            Abstract | PDF

 

Authors’ Response to the Commentaries

  • Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question? A Response to Recent Commentaries and a Call to Action for Implementation Practitioners and Researchers

            Abstract | PDF

 

 

Watch the Video Summary here. 

 

Keywords
Knowledge Translation
Boundaries
Boundary Management
Evidence-Based Healthcare
Subjects

 

 

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  • Received Date 15 February 2015
  • Revised Date 05 March 2015
  • Accepted Date 04 March 2015
  • First Published Date 04 March 2015
  • Published Date 01 March 2015