This bulletin takes evidence and ideas from educational theory, decision-making theory, information management and implementation science and brings them together in one place. It notes that directives issued 'from above' may be resisted and that there are no fool-proof solutions.
However, it is suggested that a strategic approach that is adaptable and flexible may prove more useful in addressing the concerns of potential adopters. Deploying a wide range of interventions in a sensitive and appropriate manner can then lead to important improvements in care.
Finally, this bulletin lists some key principles for more successful implementation of evidence into practice:
- Aim for adoption of the change in practice, not its imposition
- Consider the concerns and questions of potential adopters
- Make it easier for people to do the right thing
- Support effective foraging, hunting and hot-synching
- Recognise and support the communities of practice in which potential adopters work
- Allow potential adopters to experiment with and adapt the change in practice to their situation
- Plan carefully but be flexible and adaptable
Action: This MeReC Bulletin will be a worthwhile read for any clinicians who are also involved in encouraging evidence-based, clinically effective practice.