From: A Guide for applying a revised version of the PARIHS framework for implementation
Purpose | "...to provide a map to enable others to make sense of [the] complexity [of implementation], and the elements that require attention if implementation is more likely to be successful" [5] |
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Proposition | Successful Implementation (SI) is a (f)unction of Evidence (E), Context (C), and Facilitation (F). The actual complexity of this formula is represented in the framework through the following: |
 | • Its numerous, potentially applicable sub-elements within its three overarching elements |
 | • Its recognition of the nature of complex and dynamic inter-relationships among E, C, and F |
Core elements | • Evidence (E) = "codified and non-codified sources of knowledge," as perceived by multiple stakeholders |
 | • Context (C) = quality of the environment or setting in which the research is implemented |
 | • Facilitation (F) = a "technique by which one person makes things easier for others," achieved through "support to help people change their attitudes, habits, skills, ways of thinking, and working" |
 | Each element can be assessed for whether its status is weak ("low" rating) or strong ("high" rating) and thus can have a negative or positive influence on implementation. For Facilitation, the focus is on rating "appropriateness." |