JBI Series Paper 3: The importance of people, process, evidence, and technology in pragmatic, healthcare provider-led evidence implementation

Abstract

In this paper we describe and discuss evidence-implementation as a venture in global human collaboration within the framework of “people, process, evidence and technology” as a roadmap for navigating implementation. At its core implementation is not a technological, or theoretical process, it is a human process. That health professionals central to implementation activities may not have had formal training in implementation, highlights the need for processes and programs that can be integrated within health care organisation structures . Audit with feedback is an accessible implementation approach that includes the capacity to embed theory, frameworks and bottom-up change processes to improve the quality of care. In this third paper in the JBI series, we discuss how four overarching principals necessary for sustainability (Culture, Capacity, Communication and Collaboration) are combined with evidence, technology and resources for evidence-based practice change. This approach has been successfully used across hundreds of evidence implementation projects around the globe for over 15 years. We present healthcare practitioner-led evidence-based practice improvement as sustainable and achievable in collaborative environments such as the global JBI network as a primary interest of the practicing professions and provide an overview of the JBI approach to evidence implementation.