Three Implementation Science Models in Healthcare

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Table of Contents

Introduction
Change Management and Implementation Science
Three models of IS
Common Features
Differences
Best Suitable Model
Management Tool
Conclusion
References

Introduction

The central goal of the given presentation is to discuss the three implementation science models, such as Practical, Robust and Sustainability Model, Dynamic Sustainability Framework, and RE-AIM Framework. These concepts are vital for the improved understanding of positive change and how it can be managed regarding the peculiarities of every unit. The presentation contains the following sections: Discussion of change management and implementation science; Analysis of the three selected models; Outline of common features; Discussion of differences; Choice of the best suitable model; Presentation of management tool; Conclusion

Change Management and Implementation Science

Change management and implementation science are closely connected spheres. Thus, change management offers a set of methods that can be used by a unit to promote a positive change and improve its outcomes at the moment. At the same time, IS focuses on considering the current peculiarities and trends to attain the goal of change and enhance knowledge of the main implementation phases (3). In such a way, the correlation between these two issues becomes evident. IS promotes better change management by offering tools that can be later employed by specialists. A correct combination of these two frameworks is vital for the work of an organization and its ability to adapt to new practices.

Three models of IS

Implementation science has several models that can be used regarding the peculiarities of the existing environment and the nature of the unit. These are PRISM, Dynamic Sustainability Framework, and RE-AIM. The Practical, Robust Implementation and Sustainability Model is focused on the impacts an intervention has on employees and their functioning regarding the planned change. Dynamic Sustainability Framework devotes more attention to research that supports a hypothesis and can be used to facilitate change. Finally, RE-AIM is concerned with evaluating the results of the study and using them in real-life conditions.

Common Features

The major advantage of using the three IS models is the ability to transform the existing theoretical knowledge into a practical one and translate research into action. They employ accurate and relevant data about the current interventions, their effects, and possible influences on recipients. It means that there is an improved vision of how to adapt new models and manage employees regarding new conditions. Moreover, they outline steps needed to attain the desired goal and improve results.

Differences

However, there are several differences between the models that precondition their use in different situations, regarding the environment and the desired outcomes. Thus, RE-Aim is more focused on making research data applicable to existing cases or translating research into practice. PRISM is used to determine how a particular method can influence and cooperate with main recipients and provide information. Finally, Dynamic Sustainability Framework is needed to create the theoretical underpinnings for the research and select the most appropriate strategy. The differences between these strategies do not make them less or more effective in managing different situations; however, the correct choice of the approach might have a strong positive influence on final results.

Best Suitable Model

The choice of the appropriate model should be made regarding the peculiarities of the coronary care unit. It presupposes using EBP as the major framework for providing treatment to patients and improving their states. EBP also presupposes using scientific research to provide workers with the knowledge needed to succeed. Under these conditions, the planned positive change can be supported by the RE-AIM implementation strategy. It also helps to translate scientific knowledge into practice and, at the same time, the five stages, such as Research Effectiveness, Adoption, Implementation, and Maintenance, help to simplify the task and create the environment ready for change.

Management Tool

Tasks	Time	Progress
To improve the functioning of the coronary unit by using EBP strategies (RE-AIM model can be used)	6 months	Reach – response from the staff Effectiveness – achievement of high performance levels Adoption – acceptance of strategies by staff Implementation – costs, consistency, changes Maintenance – effects of intervention (5)
To implement new care delivery methods (PRISM model)	3 months	Major areas of quality improvement are outlined and affected (6)
Create the basis for the positive change and improvement (Dynamic Sustainability Framework)	3 months	Data from reports about change is collected and processed (2)

Conclusion

Using both IS and change management, it is possible to attain success during the integration of new models into practice and achieving the planned goal. The choice of IS models depends on the context, and other factors, such as culture, goals, working environment. Correctly using IS models change managers can attain success and transform the work of various units.

References

Cameron, E, Green, M. Making sense of change management: a complete guide to the models, tools and techniques of organizational change. 5th ed. New York: Kogan Page, 2019.
Davis, B. Mastering organizational change management. New York: J. Ross Publishing, 2017.
Fixsen, D, Blase, K, Van Dyk, M. Implementation practice & science null. New York: Independently Published, 2019.
Greenhalgh, T. How to implement evidence-based healthcare. New York: Wiley-Blackwell, 2017.
Jordan, L, Russell, D, Baik, D, Dooley, F, Cereber, R. The development and implementation of a cardiac home hospice program: results of a RE-AIM analysis.” Am J Hospice and Palliative Medicine. 2020; 31(11): 925-935.
Matlock, D, Fukunaga, M, Tan, A, Knoepke, C, McNeal, D, Mazor, K, Glasgow, R. Enhancing success of Medicare’s shared decision making mandates using implementation science: examples applying the pragmatic robust implementation and sustainability model (PRISM). MDM Policy & Practice. 2020.

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