KNOWLEDGE IMPLEMENTATION IN HEALTH CARE MANAGEMENT: A QUALITATIVE STUDY
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Keywords
Research implementation, PARIHS framework, Healthcare management system, Content analysis
Abstract
Introduction: The global challenge of bridging the gap between knowledge and practice in healthcare leads to significant wasteful spending. Various models and frameworks aim to address this issue and facilitate effective implementation of research into practice. The Promoting Action on Research Implementation in Health Services (PARIHS) framework is one such model, emphasizing the interplay of evidence, context, and facilitation in successful implementation. This study aims to assess the status of knowledge implementation within healthcare management system using the PARIHS framework. Methods: This qualitative study employed a directive content analysis approach, involving in-depth structured interviews with 15 health managers, guided by the key elements of the PARIHS framework: evidence, context, and facilitation. Interview questions were designed to explore these elements, and data from the interviews were analyzed using Qualitative Data Analysis software (MAXQDA version 10). Results: Managers predominantly relied on local information and prior experience as their primary sources of evidence for decision-making. Evaluation received more emphasis than other aspects of context, such as culture and leadership. Regarding facilitation, there was a prevailing preference for task delegation. Conclusion: Our findings highlight that healthcare managers inprimarily rely on personal and peer experience, as well as local information, for decision-making, with limited consideration for facilitation strategies.
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References
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