Overzicht opleidingen & trainingen

In the past 20 years, evidence based healthcare (EBHC) has earned its place as the dominant paradigm for informing clinical practice and policymaking. But despite a generation of research into ‘implementation science’, the gap between what we know from research evidence and what we do in the clinic, at the bedside and around the policymaking table has remained stubbornly difficult to close.

This module aims to introduce you to implementation science and related interdisciplinary perspectives on the links between research evidence, practice and policy. It has three main messages:

First, implementation problems are typically complex, messy, unique, idiosyncratic and ‘wicked’ (that is, with no clean solution). Evidence-into-practice frameworks are useful up to a point, but negotiating compromises and ‘muddling through’ may be equally key to your success.
Second, knowledge takes different forms. Whilst published research knowledge is important, so are the embodied knowledge of the experienced clinician, the local knowledge of the street-level bureaucrat and the socially shared knowledge of communities of practice. Effective strategies for implementing evidence draw on multiple forms of knowledge.
Third, whilst there are no quick fixes or universal answers, there are nevertheless some important principles that apply at different levels of intervention (individual, group, organisation, system), and implementation gets easier once you know those principles.