Acknowledgements
    • No conflicts to declare     •  I am not an expert in 
                                     dissemination science or the 
    • Co-editor-in-chief of          practice of dissemination
       Implementation             •  Resource to consider: 
       Science,                   •  http://www.innovations.ac.uk/btg/resourc
                                     es/publications/dissemination.pdf
       implementationscience.com      
                                  •  Focuses on dissemination of educational 
    • Online, open access            materials
       journal hosted by          •  May be relevant to QSEN
       BioMed Central 
       (Springer)
     Defining implementation science (IS)
   • As defined by the Annual NIH Conference on Implementation and 
    Dissemination, implementation is the use of strategies to adopt and 
    integrate evidence-based health interventions and change practice 
    patterns within specific settings.  Research on implementation 
    addresses the level to which health interventions can fit within real-
    world public health and clinical service systems.
   • Implementation science is the study of methods to promote the 
    integration of research findings and evidence into healthcare policy and 
    practice.   It seeks to understand the behavior of healthcare 
    professionals and other stakeholders as a key variable in the sustainable 
    uptake, adoption, and implementation of evidence-based interventions.
   • http://www.fic.nih.gov/News/Events/implementation-science/Pages/fa
    qs.aspx
     
       Current definitions
           Implementation science is the 
           science of planned human 
           behavior change under 
           organizational constraints.
   Implementation science is a rapidly evolving 
              field
  • Key issue in implementation is behavior 
   change
    –Changing behavior of professionals and others 
     delivering health services
    –In health care, people generally take actions or 
     behave under constraints
     • Organizational policy and culture
     • Context for behavior
         Different streams have converged to create our 
        current understanding of implementation science
     1950s-1960s
                                             1980s-                2000s 
    Contemporaneous streams: Diffusion       1990s                 forward
    of Innovation, Quality Improvement, 
    Improvement Science