Table 5 Illustration of Guide content: description of potential uses of a sample tool

C: Contextual Readiness for Targeted EBP Implementation

Information in this and the other tools in this Revised PARIHS Guide can be used to prepare a proposal, including related methodology, and follow-up reports. More specifically, this Context tool can be used to:

   • Leadership support

   • Think more specifically about the nature of Context and enhance communication of that understanding to reviewers and other readers.

• Culture

   • Identify potential Contextual barriers that may need to be better understood and/or addressed in the implementation strategy (e.g., thinking through the type of leadership support that will be needed given the type of innovation to be implemented).

• Evaluation capabilities

   • Identify diagnostic/evaluative questions for a semi-structured interview relevant to the need to understand selected aspects of the Context, applicable to this specific EBP change.

   • Receptivity to the targeted innovation/change

   • Develop and organize a retrospective interpretive evaluation [20] to explore the perceived influence of Contextual features on implementation of the targeted EBP.

NOTE: In all cases, the list of multiple items should be considered an optional menu from which to choose components of prime relevance to implementation of the targeted EBP.