Table 1:
Implementation Strategy Specification22
Action | Develop academic/clinical/research workgroup with implementation experts | Physical move of the organization and colocation of clinicians and researchers | Decentralize leadership structure | Use of “champions” for delivery of evidence-based practices | Developm ent of pay incentives, promotion, tuition reimbursement program, and internal funding opportunities | Opportunities for shadowing clinical and research peers, lunch and learn events, and social and educational gatherings |
---|---|---|---|---|---|---|
Implementation strategy name12 | Use an implementation advisor Develop academic partnerships |
Change physical structure and equipment Ongoing consultation and educational meetings |
Revise professional roles | Identify and prepare champions Revise professional roles |
Alter allowance / incentive structures | Promote network weaving |
Actor(s) | Senior organizational leaders, academic partners | Senior organizational leaders | Senior and middle organizational leader | Middle and front-line organizational leaders | Senior organizational leaders | Middle and front-line organizational leaders |
Target(s) of the action | Organizational leadership (senior leadership) | All staff | Clinicians and researchers | Clinicians | Clinicians and researchers | Clinicians and researchers |
Dose | Varied based on needs (met weekly earlier in project, decreasing to quarterly) | One instance of major change (with iterative improvements as needed based on consultations, dynamic education, and feedback) | Leadership roles added at senior, middle, and front-line levels to facilitate clinical-research integration with more regular presence | Number of champions (lab therapists) per topic area varies based on need (e.g. gait, shoulder, cardiopulmonary, pain, wheelchair skills, etc) | Four ‘doses’ or types of funding target different populations and purposes (pay incentives, promotion, tuition reimbursement, internal research funding) | Local-level dosing (e.g., unit or team-based lunch n’ learns) and organization-level dosing (e.g., weekly education al grand rounds) |
Justification | Collaborative research between organization senior researchers and academic experts12 | Research that suggests proximity and open workspaces might improve collaboration and innovation.7–9 | Knowledge brokers (social network and brokerage theory)11 | Knowledge brokers (social network and brokerage theory)10–11 | Research that suggests providing financial and other types of compensation for research engagement 2 | Brokering knowledge and building research competencies 2,11 |
Implementat-ion outcomes |
Acceptability was measured by the EBPAS and the OCRBS Penetration and Effectiveness were indirectly measured by the EBPQ Feasibility was measured through the open-ended questions described in the report |
Note: Temporality is noted in the timeline figure
Abbreviations: EBPAS, Evidence-Based Practice Attitudes Scale; EBPQ, Evidence-Based Practice Questionnaire; OCRBS, Organizational Change Recipients’ Beliefs Scale