Exploring the Use and Application of Implementation Science in Health Professions Education Proceedings of a Workshop (2023) / Chapter Skim
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Appendix E: Workshop Materials
Appendix E: Workshop Materials
Pages 59-68
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From page 59... ...
indicators of implementation success, (2) proximal indicators of implementation processes, and (3)
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√ Student Outcome Definition Knowledge Facts and information related to providing clinical care Self-Efficacy A student's belief in their ability to manage a specific type of care (related to the simulation) Problem Solving The process of defining a problem; determining the cause of the problem; identifying, prioritizing, and selecting alternatives for a solution; and implementing a solution Critical Thinking The ability to identify and analyze problems as well as seek and evaluate relevant information in order to reach an appropriate conclusion
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From page 61... ...
Implementation √ outcome Definition RE-AIM Framework (www.re-aim.org; Glasgow et al., 1999) Reach The absolute number, proportion, and representativeness of individuals who are willing to participate in being a student learning with SBE or an instructor using SBE Effectiveness The impact of SBE on important outcomes for students, including potential negative effects, quality of life, and economic outcomes Adoption The absolute number, proportion, and representativeness of settings and agents (people who deliver the program)
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√ Determinant Definition Intervention Characteristics Intervention source Perception of key stakeholders about whether SBE is externally or internally developed Evidence strength Stakeholders' perceptions of the quality and validity of and quality evidence supporting the belief that SBE will have desired outcomes Relative advantage Stakeholders' perception of the advantage of implementing SBE versus an alternative solution Adaptability The degree to which SBE can be adapted, tailored, refined, or reinvented to meet local needs
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From page 63... ...
, external mandates, recommendations and guidelines, pay-for-performance, collaboratives, and public or benchmark reporting Inner Setting Structural The social architecture, age, maturity, and size of the local characteristics context Networks and The nature and quality of webs of social networks and the communication nature and quality of formal and informal communications within the local context Culture Norms, values, and basic assumptions of the local context Implementation The absorptive capacity for change, shared receptivity of climate involved individuals to SBE, and the extent to which use of Tension for change SBE will be rewarded, supported, and expected within the local Compatibility context Relative priority Incentives and rewards Goals and feedback Learning climate
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From page 64... ...
64 IMPLEMENTATION SCIENCE IN HPE Readiness for Tangible and immediate indicators of organizational implementation commitment to its decision to implement SBE Leadership engagement Available resources Access to knowledge Characteristics of Individuals Knowledge/beliefs Individuals' attitudes toward and value placed on SBE as well about SBE as familiarity with facts, truths, and principles related to SBE Individual stage of Characterization of the phase an individual is in, as he or she change progresses toward skilled, enthusiastic, and sustained use of SBE Self-efficacy Individuals' belief in their own capabilities to execute courses of action to achieve implementation goals Individual A broad construct related to how individuals perceive the identification with organization, and their relationship and degree of commitment the organization to that organization Other attributes A broad construct to include other personal traits such as tolerance of ambiguity, intellectual ability, motivation, values, competence, and capacity Process Engaging Attracting and involving appropriate individuals in the opinion leaders implementation and use of SBE through a combined strategy of Formal internal social marketing, education, role modeling, training, and other implementation similar activities leaders Champions External change agents Planning The degree to which a scheme or method of behavior and tasks for implementing SBE are developed in advance, and the quality of those schemes or methods Executing Carrying out or accomplishing the implementation according to plan Reflecting and Quantitative and qualitative feedback about the progress and evaluating quality of implementation accompanied with regular personal and team debriefing about progress and experience Implementation Research Logic Model (IRLM) IRLM -- Implementation Strategies Worksheet Smith et al.
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√ Strategy category Example discrete strategies Bunger et al., 2017; Powell et al., 2012 Planning Tailor strategies Identify and prepare champions Develop blueprint Build buy-in Assess readiness, identify barriers Education Inform local opinion leaders Conduct educational meetings Distribute materials Conduct ongoing training Finance Fund/contract Access new funding Restructure Change records systems Change structure/equipment Revise roles Quality Develop systems management Use data experts Provide supervision Give reminders Obtain student outcomes Policy Change policy context
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66 IMPLEMENTATION SCIENCE IN HPE Expert Recommendations for Implementing Change (ERIC; Powell et al., 2015; Waltz et al., 2015) Use evaluative and Assess for readiness and identify barriers and facilitators iterative strategies Audit and provide feedback Develop and implement tools for quality monitoring Conduct local need assessment Provide interactive Use instructor and student feedback for facilitation assistance Provide local technical assistance Provide teaching supervision Centralize technical assistance Adapt and tailor to Tailor strategies context Promote adaptability Use data experts Use data warehousing techniques Develop Identify and prepare champions stakeholder Organize instructor implementation team meetings interrelationships Recruit, designate, and train for leadership Inform local opinion leaders Build a coalition Obtain formal commitments Train and educate Conduct ongoing training stakeholders Provide ongoing consultation Develop educational materials Distribute educational materials Use train-the-trainer strategies Create a learning collaborative Support instructors Facilitate relay of student data to instructors Remind instructors Develop resource sharing agreements Revise professional roles Create new instructional teams Engage students Involve students Intervene with students to enhance uptake and adherence Prepare students to be active participants Increase demand Use mass media Utilize financial Fund and contract for the teaching innovation strategies Access new funding Alter incentive/allowance structures Change Mandate change infrastructure Change record systems Change physical structure and equipment Change service sites
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2020. The Implementation Research Logic Model: A method for planning, executing, reporting, and synthesizing implementation projects.
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