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Toward a more compr...
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Birken, Sarah A.Wake Forest Univ, NC 27101 USA
(författare)
Toward a more comprehensive understanding of organizational influences on implementation: the organization theory for implementation science framework
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
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FRONTIERS MEDIA SA,2023
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-199746
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-199746URI
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https://doi.org/10.3389/frhs.2023.1142598DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Funding Agencies|Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) - CDC/HHS (Cooperative Agreement) [U48 DP006400]
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IntroductionImplementation is influenced by factors beyond individual clinical settings. Nevertheless, implementation research often focuses on factors related to individual providers and practices, potentially due to limitations of available frameworks. Extant frameworks do not adequately capture the myriad organizational influences on implementation. Organization theories capture diverse organizational influences but remain underused in implementation science. To advance their use among implementation scientists, we distilled 70 constructs from nine organization theories identified in our previous work into theoretical domains in the Organization Theory for Implementation Science (OTIS) framework.MethodsThe process of distilling organization theory constructs into domains involved concept mapping and iterative consensus-building. First, we recruited organization and implementation scientists to participate in an online concept mapping exercise in which they sorted organization theory constructs into domains representing similar theoretical concepts. Multidimensional scaling and hierarchical cluster analyses were used to produce visual representations (clusters) of the relationships among constructs in concept maps. Second, to interpret concept maps, we engaged members of the Cancer Prevention and Control Research Network (CPCRN) OTIS workgroup in consensus-building discussions.ResultsTwenty-four experts participated in concept mapping. Based on resulting construct groupings coherence, OTIS workgroup members selected the 10-cluster solution (from options of 7-13 clusters) and then reorganized clusters in consensus-building discussions to increase coherence. This process yielded six final OTIS domains: organizational characteristics (e.g., size; age); governance and operations (e.g., organizational and social subsystems); tasks and processes (e.g., technology cycles; excess capacity); knowledge and learning (e.g., tacit knowledge; sense making); characteristics of a population of organizations (e.g., isomorphism; selection pressure); and interorganizational relationships (e.g., dominance; interdependence).DiscussionOrganizational influences on implementation are poorly understood, in part due to the limitations of extant frameworks. To improve understanding of organizational influences on implementation, we distilled 70 constructs from nine organization theories into six domains. Applications of the OTIS framework will enhance understanding of organizational influences on implementation, promote theory-driven strategies for organizational change, improve understanding of mechanisms underlying relationships between OTIS constructs and implementation, and allow for framework refinement. Next steps include testing the OTIS framework in implementation research and adapting it for use among policymakers and practitioners.
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Wagi, Cheyenne R.Wake Forest Univ, NC 27101 USA
(författare)
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Peluso, Alexandra G.Wake Forest Univ, NC 27101 USA
(författare)
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Kegler, Michelle C.Emory Univ, GA USA
(författare)
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Baloh, JureUniv Arkansas Med Sci, AR USA
(författare)
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Adsul, PrajaktaUniv New Mexico, NM USA; Univ New Mexico, NM USA
(författare)
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Fernandez, Maria E.Univ Texas Hlth Sci Ctr Houston, TX USA
(författare)
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Masud, ManalUniv Washington, WA USA
(författare)
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Huang, Terry T-KCUNY, NY USA; CUNY, NY USA
(författare)
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Lee, MatthewNYU, NY USA
(författare)
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Wangen, MaryUniv North Carolina Chapel Hill, NC USA
(författare)
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Nilsen, PerLinköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten(Swepub:liu)perni31
(författare)
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Bender, MiriamUniv Calif Irvine, CA USA
(författare)
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Choy-Brown, MimiUniv Minnesota, MN USA
(författare)
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Ryan, GraceUniv Massachusetts, MA USA
(författare)
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Randazzo, AlizaWake Forest Univ, NC 27101 USA
(författare)
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Ko, Linda K.Univ Washington, WA USA
(författare)
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Wake Forest Univ, NC 27101 USAEmory Univ, GA USA
(creator_code:org_t)
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Ingår i:FRONTIERS IN HEALTH SERVICES: FRONTIERS MEDIA SA32813-0146
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Birken, Sarah A.
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Wagi, Cheyenne R ...
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Peluso, Alexandr ...
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Kegler, Michelle ...
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Baloh, Jure
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Adsul, Prajakta
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Fernandez, Maria ...
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Masud, Manal
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Huang, Terry T-K
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Lee, Matthew
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Wangen, Mary
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Nilsen, Per
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Bender, Miriam
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Choy-Brown, Mimi
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Ryan, Grace
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Randazzo, Aliza
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Ko, Linda K.
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