Pub Date : 2024-01-01Epub Date: 2024-08-31DOI: 10.1007/s43477-024-00134-6
Russell E Glasgow, Katy E Trinkley, Bryan Ford, Borsika A Rabin
Implementation science theories, models, and frameworks (TMF) should help users understand complex issues in translating research into practice, guide selection of appropriate implementation strategies, and evaluate implementation outcomes. They should also be sensitive to evidence from projects that apply the framework, evolve based on those experiences, and be accessible to a range of users. This paper describes these issues as they relate to the Practical, Robust Implementation and Sustainability Model (PRISM). PRISM was created to assess key multilevel contextual factors related to the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) outcomes of health interventions. We describe key aspects of PRISM and how it has been applied, evolved, and adapted across settings, time, and content areas. Since its development in 2008 PRISM has been used in over 200 publications, with increased use in recent years. It has been used for a wide variety of purposes and more recent applications have focused on increasing its accessibility for non-researcher groups and more rapid and iterative application for use in learning heath systems. PRISM has been applied to address health equity issues including representation, representativeness, and co-creation activities in both US and non-US settings. We describe common types of adaptations made by implementation teams when applying PRISM to fit with the resources and priorities of diverse and low-resource settings. We conclude by summarizing lessons learned and providing recommendations for future research and practice using PRISM.
{"title":"The Application and Evolution of the Practical, Robust Implementation and Sustainability Model (PRISM): History and Innovations.","authors":"Russell E Glasgow, Katy E Trinkley, Bryan Ford, Borsika A Rabin","doi":"10.1007/s43477-024-00134-6","DOIUrl":"10.1007/s43477-024-00134-6","url":null,"abstract":"<p><p>Implementation science theories, models, and frameworks (TMF) should help users understand complex issues in translating research into practice, guide selection of appropriate implementation strategies, and evaluate implementation outcomes. They should also be sensitive to evidence from projects that apply the framework, evolve based on those experiences, and be accessible to a range of users. This paper describes these issues as they relate to the Practical, Robust Implementation and Sustainability Model (PRISM). PRISM was created to assess key multilevel contextual factors related to the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) outcomes of health interventions. We describe key aspects of PRISM and how it has been applied, evolved, and adapted across settings, time, and content areas. Since its development in 2008 PRISM has been used in over 200 publications, with increased use in recent years. It has been used for a wide variety of purposes and more recent applications have focused on increasing its accessibility for non-researcher groups and more rapid and iterative application for use in learning heath systems. PRISM has been applied to address health equity issues including representation, representativeness, and co-creation activities in both US and non-US settings. We describe common types of adaptations made by implementation teams when applying PRISM to fit with the resources and priorities of diverse and low-resource settings. We conclude by summarizing lessons learned and providing recommendations for future research and practice using PRISM.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"4 4","pages":"404-420"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-06DOI: 10.1007/s43477-023-00109-z
Karina Sichieri, Paulo Carlos Garcia, F. A. Nishi, Ana Paula Almeida Brito, Luciana Ogawa, Flávia de Oliveira Motta Maia, V. A. de Araújo Püschel, Cibele Andrucioli De Mattos Pimenta, Diná de Almeida Lopes Monteiro da Cruz, Juliana Nery de Souza Talarico, Heloísa Helena Ciqueto Peres
{"title":"Searching for Care Excellence in a Brazilian University Hospital: The Evidence Based Nursing Nucleus","authors":"Karina Sichieri, Paulo Carlos Garcia, F. A. Nishi, Ana Paula Almeida Brito, Luciana Ogawa, Flávia de Oliveira Motta Maia, V. A. de Araújo Püschel, Cibele Andrucioli De Mattos Pimenta, Diná de Almeida Lopes Monteiro da Cruz, Juliana Nery de Souza Talarico, Heloísa Helena Ciqueto Peres","doi":"10.1007/s43477-023-00109-z","DOIUrl":"https://doi.org/10.1007/s43477-023-00109-z","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"47 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1007/s43477-023-00110-6
P. Margolies, Sapana R. Patel, Nancy H. Covell, Karen Broadway-Wilson, Raymond Gregory, Thomas C. Jewell, Gary Scannevin, Lisa B. Dixon
{"title":"Successful Implementation Isn’t Enough: One Intermediary Organization’s Focus on Sustainment","authors":"P. Margolies, Sapana R. Patel, Nancy H. Covell, Karen Broadway-Wilson, Raymond Gregory, Thomas C. Jewell, Gary Scannevin, Lisa B. Dixon","doi":"10.1007/s43477-023-00110-6","DOIUrl":"https://doi.org/10.1007/s43477-023-00110-6","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"32 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138624769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01Epub Date: 2023-07-06DOI: 10.1007/s43477-023-00090-7
PhuongThao D Le, Martín Agrest, Tanvi Kankan, Saloni Dev, Franco Mascayano, Catarina Dahl, Flávia Mitkiewicz, Sara Schilling, Sarah Conover, Alicia Ruth Fernández, María Soledad Burrone, José Lumerman, María José Jorquera Gonzalez, Kim Fader, María Tavares Cavalcanti, Rubén Alvarado, Lawrence H Yang, Ezra S Susser
This article presents the results of a qualitative study conducted to understand the barriers and facilitators in implementing a pilot trial of Critical Time Intervention-Task-Shifting-a time-limited, community-based, recovery-oriented intervention for individuals with psychosis-in Rio de Janeiro, Brazil, and Santiago, Chile. Data included 40 semi-structured interviews with service users, task-shifting providers, and administrators. Analysis proceeded in three iterative phases and combined inductive and deductive approaches. Coding frameworks for implementation factors, and whether or not they acted as barriers and facilitators, were developed and refined using many domains and constructs from the Consolidated Framework for Implementation Research. Barriers and facilitators were ultimately grouped into five domains: 1-Personal; 2-Interpersonal; 3-Intervention; 4-Mental Health System; and 5-Contextual. A rating system was also developed and applied, which enabled comparisons across stakeholders and study sites. Major facilitators included intervention characteristics such as the roles of the task-shifting providers and community-based care. Top barriers included mental health stigma and community conditions (violence). Nevertheless, the findings suggest that Critical Time Intervention-Task-Shifting is largely acceptable and feasible, and could contribute to efforts to strengthen community mental health systems of care for individuals with psychosis in Latin America, especially in advancing the task-shifting strategy and the recovery-oriented approach.
{"title":"Critical Time Intervention - Task-Shifting for Individuals with Psychosis in Latin America: A Multi-stakeholder Qualitative Analysis of Implementation Barriers and Facilitators.","authors":"PhuongThao D Le, Martín Agrest, Tanvi Kankan, Saloni Dev, Franco Mascayano, Catarina Dahl, Flávia Mitkiewicz, Sara Schilling, Sarah Conover, Alicia Ruth Fernández, María Soledad Burrone, José Lumerman, María José Jorquera Gonzalez, Kim Fader, María Tavares Cavalcanti, Rubén Alvarado, Lawrence H Yang, Ezra S Susser","doi":"10.1007/s43477-023-00090-7","DOIUrl":"10.1007/s43477-023-00090-7","url":null,"abstract":"<p><p>This article presents the results of a qualitative study conducted to understand the barriers and facilitators in implementing a pilot trial of Critical Time Intervention-Task-Shifting-a time-limited, community-based, recovery-oriented intervention for individuals with psychosis-in Rio de Janeiro, Brazil, and Santiago, Chile. Data included 40 semi-structured interviews with service users, task-shifting providers, and administrators. Analysis proceeded in three iterative phases and combined inductive and deductive approaches. Coding frameworks for implementation factors, and whether or not they acted as barriers and facilitators, were developed and refined using many domains and constructs from the Consolidated Framework for Implementation Research. Barriers and facilitators were ultimately grouped into five domains: 1-Personal; 2-Interpersonal; 3-Intervention; 4-Mental Health System; and 5-Contextual. A rating system was also developed and applied, which enabled comparisons across stakeholders and study sites. Major facilitators included intervention characteristics such as the roles of the task-shifting providers and community-based care. Top barriers included mental health stigma and community conditions (violence). Nevertheless, the findings suggest that Critical Time Intervention-Task-Shifting is largely acceptable and feasible, and could contribute to efforts to strengthen community mental health systems of care for individuals with psychosis in Latin America, especially in advancing the task-shifting strategy and the recovery-oriented approach.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" ","pages":"325-339"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43157396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-28DOI: 10.1007/s43477-023-00108-0
Kaitlin N. Piper, Katherine M. Anderson, Olivia C. Manders, Caroline W. Kokubun, A. Kalokhe, Jessica M. Sales
{"title":"Scaling-Up Trauma-Informed Care in an HIV Clinical Network: Factors that Facilitate Implementation","authors":"Kaitlin N. Piper, Katherine M. Anderson, Olivia C. Manders, Caroline W. Kokubun, A. Kalokhe, Jessica M. Sales","doi":"10.1007/s43477-023-00108-0","DOIUrl":"https://doi.org/10.1007/s43477-023-00108-0","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139221140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-24DOI: 10.1007/s43477-023-00112-4
Rosalyn M. Bertram, T. Engell
{"title":"GIRA Special Sections and Issues: Implementation Adaptations During Rapid Change, Implementation in Latin America, and Implementation Practice","authors":"Rosalyn M. Bertram, T. Engell","doi":"10.1007/s43477-023-00112-4","DOIUrl":"https://doi.org/10.1007/s43477-023-00112-4","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139238756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1007/s43477-023-00107-1
Christine Ingemann, T. Tjørnhøj‐Thomsen, S. Kvernmo, Dina Berthelsen, Vibeke Aviaja Johnsen Biilmann, Birgitte Mørk Kvist, Jaraq Lorentzen, Vibe Kjer Nemming, Rie Mette Sarkov, Aininaq Willesen, Christina Vl Larsen
{"title":"Professionals’ Experiences with Local Implementation of the Greenlandic Parenting Programme MANU 0–1 Year","authors":"Christine Ingemann, T. Tjørnhøj‐Thomsen, S. Kvernmo, Dina Berthelsen, Vibeke Aviaja Johnsen Biilmann, Birgitte Mørk Kvist, Jaraq Lorentzen, Vibe Kjer Nemming, Rie Mette Sarkov, Aininaq Willesen, Christina Vl Larsen","doi":"10.1007/s43477-023-00107-1","DOIUrl":"https://doi.org/10.1007/s43477-023-00107-1","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1007/s43477-023-00111-5
Carlos Alberto dos Santos Treichel, Felipe Agudelo Hernández
{"title":"Implementation Science and Provision of Better Health Care in Latin America: Challenges and Opportunities","authors":"Carlos Alberto dos Santos Treichel, Felipe Agudelo Hernández","doi":"10.1007/s43477-023-00111-5","DOIUrl":"https://doi.org/10.1007/s43477-023-00111-5","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-14DOI: 10.1007/s43477-023-00106-2
Virginia McKay, Yichen Chen, Kim Prewitt, Sara Malone, Maria Puerto-Torres, Carlos Acuña-Aguirre, Yvania Alfonso-Carreras, Shilel Y. Alvarez-Arellano, Leticia A. Andrade-Sarmiento, Daniela Arce-Cabrera, Deiby Argüello-Vargas, Mariuxy D. C. Barragán-García, Rosario Batista-Del-Cid, Erika E. Blasco-Arriaga, Maria D. C. Cach-Castaneda, Gloria I. Ceballo-Batista, Mayra Chávez-Rios, Maria E. Costa, Maria E. Cuencio-Rodriguez, Rosdali Diaz-Coronado, Ever A. Fing-Soto, Teresa D. J. García-Sarmiento, Wendy C. Gómez-García, Cinthia J. Hernández-González, Yajaira V. Jimenez-Antolinez, Maria S. Juarez-Tobias, Esmeralda M. León-López, Norma A. Lopez-Facundo, Ruth A. Martínez Soria, Scheybi T. Miralda-Méndez, Erika Montalvo, Carlos M. Pérez-Alvarado, Clara K. Perez-Fermin, Monica L. Quijano-Lievano, Beatriz Salas-Mendoza, Edwin E. Sanchez-Fuentes, Marcia X. Serrano-Landivar, Veronica Soto-Chavez, Isidoro Tejocote-Romero, Sergio Valle, Elizabeth A. Vasquez-Roman, Juliana Texeira Costa, Adolfo Cardenas-Aguirre, Meenakshi Devidas, Douglas A. Luke, Asya Agulnik
Abstract Clinical capacity for sustainability, or the clinical resources needed to sustain an evidence-based practice, represent proximal determinants that contribute to intervention sustainment. We examine the relationship between clinical capacity for sustainability and sustainment of PEWS, an evidence-based intervention to improve outcomes for pediatric oncology patients in resource-variable hospitals. We conducted a cross-sectional survey among Latin American pediatric oncology centers participating in Proyecto Escala de Valoración de Alerta Temprana (EVAT), an improvement collaborative to implement Pediatric Early Warning Systems (PEWS). Hospitals were eligible if they had completed PEWS implementation. Clinicians were eligible to participate if they were involved in PEWS implementation or used PEWS in clinical work. The Spanish-language survey consisted of 56 close and open-ended questions about the respondent, hospital, participants’ assessment of clinical capacity to sustain PEWS using the clinical sustainability assessment tool (CSAT), and perceptions about PEWS and its use as an intervention. Results were analyzed using a multi-level modeling approach to examine the relationship between individual, hospital, intervention, and clinical capacity determinants to PEWS sustainment. A total of 797 responses from 37 centers in 13 countries were included in the analysis. Eighty-seven percent of participants reported PEWS sustainment. After controlling for individual, hospital, and intervention factors, clinical capacity was significantly associated with PEWS sustainment (OR 3.27, p < .01). Marginal effects from the final model indicate that an increasing capacity score has a positive influence (11% for every additional CSAT point) of predicting PEWS sustainment. PEWS is a sustainable intervention and clinical capacity to sustain PEWS contributes meaningfully to PEWS sustainment.
临床可持续性能力，或维持循证实践所需的临床资源，代表了有助于干预可持续性的最接近决定因素。我们研究了临床可持续性能力与PEWS维持之间的关系，PEWS是一种基于证据的干预措施，可改善资源可变医院儿科肿瘤患者的预后。我们在拉丁美洲儿童肿瘤中心中进行了一项横断面调查，这些中心参与了EVAT项目，该项目是一个实施儿科早期预警系统(PEWS)的改进合作项目。如果医院完成了PEWS的实施，就有资格。临床医生如果参与PEWS的实施或在临床工作中使用PEWS，则有资格参与。西班牙语调查包括56个封闭式和开放式问题，涉及受访者、医院、参与者使用临床可持续性评估工具(CSAT)对维持PEWS的临床能力的评估，以及对PEWS及其作为干预措施的使用的看法。使用多层次建模方法对结果进行分析，以检查个人、医院、干预和临床能力决定因素与PEWS维持之间的关系。来自13个国家37个中心的797份回复被纳入分析。87%的参与者报告了PEWS的持续性。在控制了个人、医院和干预因素后，临床能力与PEWS维持显著相关(OR 3.27, p <. 01)。最终模型的边际效应表明，容量分数的增加对预测PEWS的持续具有积极影响(每增加CSAT点11%)。PEWS是一种可持续的干预措施，维持PEWS的临床能力对PEWS的维持有意义。
{"title":"Connecting Clinical Capacity and Intervention Sustainability in Resource-Variable Pediatric Oncology Centers in Latin America","authors":"Virginia McKay, Yichen Chen, Kim Prewitt, Sara Malone, Maria Puerto-Torres, Carlos Acuña-Aguirre, Yvania Alfonso-Carreras, Shilel Y. Alvarez-Arellano, Leticia A. Andrade-Sarmiento, Daniela Arce-Cabrera, Deiby Argüello-Vargas, Mariuxy D. C. Barragán-García, Rosario Batista-Del-Cid, Erika E. Blasco-Arriaga, Maria D. C. Cach-Castaneda, Gloria I. Ceballo-Batista, Mayra Chávez-Rios, Maria E. Costa, Maria E. Cuencio-Rodriguez, Rosdali Diaz-Coronado, Ever A. Fing-Soto, Teresa D. J. García-Sarmiento, Wendy C. Gómez-García, Cinthia J. Hernández-González, Yajaira V. Jimenez-Antolinez, Maria S. Juarez-Tobias, Esmeralda M. León-López, Norma A. Lopez-Facundo, Ruth A. Martínez Soria, Scheybi T. Miralda-Méndez, Erika Montalvo, Carlos M. Pérez-Alvarado, Clara K. Perez-Fermin, Monica L. Quijano-Lievano, Beatriz Salas-Mendoza, Edwin E. Sanchez-Fuentes, Marcia X. Serrano-Landivar, Veronica Soto-Chavez, Isidoro Tejocote-Romero, Sergio Valle, Elizabeth A. Vasquez-Roman, Juliana Texeira Costa, Adolfo Cardenas-Aguirre, Meenakshi Devidas, Douglas A. Luke, Asya Agulnik","doi":"10.1007/s43477-023-00106-2","DOIUrl":"https://doi.org/10.1007/s43477-023-00106-2","url":null,"abstract":"Abstract Clinical capacity for sustainability, or the clinical resources needed to sustain an evidence-based practice, represent proximal determinants that contribute to intervention sustainment. We examine the relationship between clinical capacity for sustainability and sustainment of PEWS, an evidence-based intervention to improve outcomes for pediatric oncology patients in resource-variable hospitals. We conducted a cross-sectional survey among Latin American pediatric oncology centers participating in Proyecto Escala de Valoración de Alerta Temprana (EVAT), an improvement collaborative to implement Pediatric Early Warning Systems (PEWS). Hospitals were eligible if they had completed PEWS implementation. Clinicians were eligible to participate if they were involved in PEWS implementation or used PEWS in clinical work. The Spanish-language survey consisted of 56 close and open-ended questions about the respondent, hospital, participants’ assessment of clinical capacity to sustain PEWS using the clinical sustainability assessment tool (CSAT), and perceptions about PEWS and its use as an intervention. Results were analyzed using a multi-level modeling approach to examine the relationship between individual, hospital, intervention, and clinical capacity determinants to PEWS sustainment. A total of 797 responses from 37 centers in 13 countries were included in the analysis. Eighty-seven percent of participants reported PEWS sustainment. After controlling for individual, hospital, and intervention factors, clinical capacity was significantly associated with PEWS sustainment (OR 3.27, p < .01). Marginal effects from the final model indicate that an increasing capacity score has a positive influence (11% for every additional CSAT point) of predicting PEWS sustainment. PEWS is a sustainable intervention and clinical capacity to sustain PEWS contributes meaningfully to PEWS sustainment.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"12 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134954537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-08DOI: 10.1007/s43477-023-00105-3
Jennifer Smith Ramey, Fred Volk, Fred Milacci
{"title":"Facilitators and Barriers of Implementing an Evidence-Based Practice in a Rural Community Setting: A Qualitative Case Study","authors":"Jennifer Smith Ramey, Fred Volk, Fred Milacci","doi":"10.1007/s43477-023-00105-3","DOIUrl":"https://doi.org/10.1007/s43477-023-00105-3","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"82 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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