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JBI series paper 3: The importance of people, process, evidence, and technology in pragmatic, healthcare provider-led evidence implementation

  • Craig Lockwood
    Correspondence
    Corresponding author. Director Implementation Science, JBI, Faculty of Health and Medical Sciences, The University of Adelaide, JBI, Level 3/55 Norwich House, King William Road, North Adelaide, Adelaide 5005 South Australia, Australia. Tel.: +61-408-308-238.
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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  • Zachary Munn
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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  • Zoe Jordan
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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  • Bianca Pilla
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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  • Vilanice Alves de Araújo Püschel
    Affiliations
    The Brazilian Centre for Evidence-based Healthcare, A JBI Centre of Excellence, School of Nursing, Universidade de São Paulo, São Paulo, Brazil
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  • Kelli Borges dos Santos
    Affiliations
    The Brazilian Centre for Evidence-based Healthcare, A JBI Centre of Excellence, School of Nursing, Universidade de São Paulo, São Paulo, Brazil

    School of Nursing of Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
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  • Laura Albornos-Muñoz
    Affiliations
    The Spanish Centre for Evidence-Based Nursing and Healthcare, A JBI Centre of Excellence, Spain, Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid, Spain
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  • Bridie Kent
    Affiliations
    School of Nursing and Midwifery (Faculty of Health), Director – The University of Plymouth Centre for Innovations in Health and Social Care, A Centre of Excellence of the Joanna Briggs Institute, Plymouth, Devon, England
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  • Pei-Fan Mu
    Affiliations
    Pei-Fan Mu, Professor, Institute of Clinical Nursing, National Yang Ming Chiao Tung University, Director, Taiwan Evidence Based Practice Center, A Joanna Briggs Center of Excellence, Taipei, Taiwan
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  • Hanan Khalil
    Affiliations
    School of Psychology and Public Health, Department of Public Health, La Trobe University, Melbourne, Victoria 3000, Australia
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  • Alexa McArthur
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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  • Kylie Porritt
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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  • Adam Cooper
    Affiliations
    University of California San Francisco Centre for Evidence Synthesis & Implementation: A JBI Center for Excellence, UCSF Health Nursing, San Francisco, CA, USA
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  • Raluca Sfetcu
    Affiliations
    Public Health Evidence Based Romanian Centre, A JBI Affiliated Group; National School of Public Health, Management and Professional Development Bucharest. Spiru Haret University, Department of Psychology and Educational Sciences, Bucharest, Romania
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  • Lucylynn Lizarondo
    Affiliations
    JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
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      Highlights

      • Evidence implementation is a collaborative human process, supported, not driven by IT, therefore planning in a collaborative context should be inclusive of people, process, evidence, and technology.
      • Sustainability requires the need for processes and programs that can be integrated within existing healthcare organization structures.
      • Sustainability in the JBI approach is intrinsic to how stakeholder engagement (communication and collaboration) within the localization of knowledge (culture) and how responsiveness within local capacity has been considered in the planning phase.
      • Healthcare provider-led change is feasible and beneficial, but needs to be supported with facilitation, practice change knowledge, leadership, as well as tools and resources that are low cost and accessible.

      Abstract

      In this paper, we describe and discuss evidence implementation as a venture in global human collaboration within the framework of “people, process, evidence, and technology” as a roadmap for navigating implementation. At its core implementation is not a technological, or theoretical process, it is a human process. That health professionals central to implementation activities may not have had formal training in implementation, highlights the need for processes and programs that can be integrated within healthcare organization structures. Audit with feedback is an accessible implementation approach that includes the capacity to embed theory, frameworks, and bottom-up change processes to improve the quality of care. In this third paper in the JBI series, we discuss how four overarching principals necessary for sustainability (Culture, Capacity, Communication, and Collaboration) are combined with evidence, technology, and resources for evidence-based practice change. This approach has been successfully used across hundreds of evidence implementation projects around the globe for over 15 years. We present healthcare practitioner-led evidence-based practice improvement as sustainable and achievable in collaborative environments such as the global JBI network as a primary interest of the practicing professions and provide an overview of the JBI approach to evidence implementation.

      Keywords

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