Table 1.
Term | Definition | Example |
---|---|---|
Intervention, implementation, and dissemination | ||
Intervention | The evidence-based, or consensus-based, clinical practice, policy, or program that a particular patient population will benefit from but is currently under-utilized(13) | The timely use of antibiotics for septic shock |
Implementation | The integration of an intervention into a specific setting or context(13) | Sepsis huddle to ensure no barriers to timely administration (such as IV access or stat ordering) |
Dissemination | The distribution of an intervention to a specific audience (13) | Creation of a toolkit to facilitate widespread adoption of sepsis huddles for timely antibiotics in pediatric critical care centers |
Theory, model, and framework | ||
Theory | A set of analytical principles or statements designed to structure our observation, understanding, and explanation of the world. | Theory of diffusion (14) Organizational theory(22) |
Model | A deliberate simplification of a phenomenon or a specific aspect of a phenomenon. Models can be described as theories with a more narrowly defined scope of explanation; a model is descriptive, whereas a theory is explanatory as well as descriptive. | The Knowledge-to-Action model(15), the Ottawa model(16), the ACE Star Model of Knowledge Transformation(17) |
Framework | A structure, overview, outline, system or plan consisting of various descriptive categories, (e.g., constructs or variables) and the relations between them that are presumed to account for a phenomenon. Frameworks do not provide explanations; they only describe empirical phenomena by fitting them into a set of categories. | Consolidated Framework for Implementation Research (CFIR)(18); Theoretical Domains Framework (TDF)(19); Promoting Action on Research Implementation in Health services (PARIHS)(20); Proctor outcomes framework(21) |