Table 3.
Implementability domains and elements of interest
| Implementability domain/elements | Definition | Examples of tools | Knowledge to Action phase* |
|---|---|---|---|
| Accommodation • Technical • Regulatory • Human resources • Professional • Workflow process • Costs |
Equipment or technology needed; industrial standards; policies governing their use; type and number of health professionals needed to deliver services; education, training, or competencies needed by staff to deliver services; anticipated changes in workflow or processes during or after adoption | • Literature search strategies for identifying these elements for condition-specific guidelines • Template statement for inclusion in guidelines • Strategy for whom to engage in guideline development to enable use of an integrated knowledge-translation strategy and governance structure |
Adapting Knowledge to Local Context; Assessing Barriers, Facilitators of Knowledge Use (phases 2, 3) |
| Implementation • Barriers and facilitators • Strategies • Tailoring |
Identifying individual, organisational, and system barriers associated with adoption; selecting and tailoring implementation strategies that address barriers | • Literature search strategies for identifying barriers • Criteria and algorithms for selecting interventions • Options for tailoring interventions • Template statement for inclusion in guidelines • Surveys to facilitate systematic barrier analysis and mitigation |
Assessing Barriers, Facilitators of Knowledge Use; Selecting, Tailoring, and Implementing Interventions (phases 3,4) |
| Evaluation • Performance measures • Benchmarks • Evaluation processes |
Tools based on performance measures that can be used by organisations or individuals to assess their baseline and postintervention compliance with recommendations | • Program evaluation kit • Self-audit kit |
Monitoring Knowledge Use, Evaluating Outcomes, Sustaining Knowledge Use (phases 5, 6, 7) |
*From: Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell et al.: Lost in knowledge translation: time for a map? J Cont Ed Health Prof 2006; 26:13-24.