NDLI: Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings

Content Provider	Springer Nature : BioMed Central
Author	Simpson, Kelly M Porter, Kristie McConnell, Eleanor S Colón-Emeric, Cathleen Daily, Kathryn A Stalzer, Alyson Anderson, Ruth A
Abstract	Background Many challenges arise in complex organizational interventions that threaten research integrity. This article describes a T ool for E valuating Research Implementation Ch allenges (TECH), developed using a complexity science framework to assist research teams in assessing and managing these challenges. Methods During the implementation of a multi-site, randomized controlled trial (RCT) of organizational interventions to reduce resident falls in eight nursing homes, we inductively developed, and later codified the TECH. The TECH was developed through processes that emerged from interactions among research team members and nursing home staff participants, including a purposive use of complexity science principles. Results The TECH provided a structure to assess challenges systematically, consider their potential impact on intervention feasibility and fidelity, and determine actions to take. We codified the process into an algorithm that can be adopted or adapted for other research projects. We present selected examples of the use of the TECH that are relevant to many complex interventions. Conclusions Complexity theory provides a useful lens through which research procedures can be developed to address implementation challenges that emerge from complex organizations and research designs. Sense-making is a group process in which diverse members interpret challenges when available information is ambiguous; the groups’ interpretations provide cues for taking action. Sense-making facilitates the creation of safe environments for generating innovative solutions that balance research integrity and practical issues. The challenges encountered during implementation of complex interventions are often unpredictable; however, adoption of a systematic process will allow investigators to address them in a consistent yet flexible manner, protecting fidelity. Research integrity is also protected by allowing for appropriate adaptations to intervention protocols that preserve the feasibility of ‘real world’ interventions.
Related Links	https://implementationscience.biomedcentral.com/counter/pdf/10.1186/1748-5908-8-2.pdf
Ending Page	12
Page Count	12
Starting Page	1
File Format	HTM / HTML
ISSN	17485908
DOI	10.1186/1748-5908-8-2
Journal	Implementation Science
Issue Number	1
Volume Number	8
Language	English
Publisher	BioMed Central
Publisher Date	2013-01-02
Access Restriction	Open
Subject Keyword	Health Services Research Public Health Health Informatics Health Policy Health Administration Health Promotion and Disease Prevention Long-term care Complexity science Nursing homes Implementation research Intervention research Research design Staff intervention Sense-making Research fidelity
Content Type	Text
Resource Type	Article
Subject	Health Policy Public Health, Environmental and Occupational Health Health Informatics
Journal Impact Factor	8.8/2023
5-Year Journal Impact Factor	9.2/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings

A conceptual framework for implementation fidelity

Examining fidelity in the INFORM trial: a complex team-based behavioral intervention

A novel test of the GTO implementation support intervention in low resource settings: Year 1 findings and challenges

Implementation strategy fidelity evaluation for a multidisciplinary Chest Injury Protocol (ChIP)

Firm, yet flexible: a fidelity debate paper with two case examples

Evaluating implementation effectiveness and sustainability of a maternity waiting homes intervention to improve access to safe delivery in rural Zambia: a mixed-methods protocol

Strategies for implementing pet robots in care homes and nursing homes for residents with dementia: protocol for a modified Delphi study

De-implementing and sustaining an intervention to eliminate nursing home resident bed and chair alarms: interviews on leadership and staff perspectives

Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings

Similar Documents

Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings

A conceptual framework for implementation fidelity

Examining fidelity in the INFORM trial: a complex team-based behavioral intervention

A novel test of the GTO implementation support intervention in low resource settings: Year 1 findings and challenges

Implementation strategy fidelity evaluation for a multidisciplinary Chest Injury Protocol (ChIP)

Firm, yet flexible: a fidelity debate paper with two case examples

Evaluating implementation effectiveness and sustainability of a maternity waiting homes intervention to improve access to safe delivery in rural Zambia: a mixed-methods protocol

Strategies for implementing pet robots in care homes and nursing homes for residents with dementia: protocol for a modified Delphi study

De-implementing and sustaining an intervention to eliminate nursing home resident bed and chair alarms: interviews on leadership and staff perspectives

Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings