Innovation Implementation

Abstract— In changing work environments, innovation is imperative. Yet, many teams and organizations fail to realize the expected benefits of innovations that they adopt. A key reason is not innovation failure but implementation failure—the failure to gain targeted employees' skilled, consistent, and committed use of the innovation in question. We review research on the implementation process, outlining the reasons why implementation is so challenging for many teams and organizations. We then describe the organizational characteristics that together enhance the likelihood of successful implementation, including a strong, positive climate for implementation; management support for innovation implementation; financial resource availability; and a learning orientation.     

Implementation Matters: A Review of Research on the Influence of Implementation on Program Outcomes and the Factors Affecting Implementation

The first purpose of this review was to assess the impact of implementation on program outcomes, and the second purpose was to identify factors affecting the implementation process. Results from over quantitative 500 studies offered strong empirical support to the conclusion that the level of implementation affects the outcomes obtained in promotion and prevention programs. Findings from 81 additional reports indicate there are at least 23 contextual factors that influence implementation. The implementation process is affected by variables related to communities, providers and innovations, and aspects of the prevention delivery system (i.e., organizational functioning) and the prevention support system (i.e., training and technical assistance). The collection of implementation data is an essential feature of program evaluations, and more information is needed on which and how various factors influence implementation in different community settings.     

Implementation of the Wolverine Mental Health Program,Part 2: Implementation Phase

To enhance mental health care for youth in a midwestern residential treatment facility, Wolverine Human Services partnered with the Beck Institute (an intermediary) and an implementation research team to implement cognitive-behavioral therapy (CBT). CBT has strong evidence supporting effectiveness for treating youth internalizing and externalizing problems, but it is a complex psychosocial intervention that demands a thoughtful implementation approach. This study outlines the implementation phase (2.5 years) of a 5-year collaborative effort. The implementation phase focused on (a) adapting CBT to fit the complex youth needs and the roles of the multidisciplinary team members resulting in a new comprehensive and coordinated care model, and (b) the strategies utilized to support its competent integration by all team members. Six blended implementation strategies were deployed in this phase: forging implementation teams, installing progress monitoring, adapting CBT, training, providing supervision and consultation, and training the trainers. A components-based approach to CBT yielded six core skills: active listening, problem solving, mood monitoring and intervention mapping, activity scheduling, distress tolerance, and cognitive restructuring. By the end of this phase, all staff had robust exposure to and experience with the adapted form of CBT. The work of our academic–community partnership has both research and clinical implications, with respect to integrating an adapted version of CBT for residential environments (CBT-RE).     

Practical Implementation Science: Developing and Piloting the Quality Implementation Tool

According to the Interactive Systems Framework for Dissemination and Implementation, implementation is a major mechanism and concern in bridging research and practice. The growing number of implementation frameworks need to be synthesized and translated so that the science and practice of quality implementation can be furthered. In this article, we: (1) use the synthesis of frameworks developed by Meyers et al. (Am J Commun Psychol, 2012) and translate the results into a practical implementation science tool to use for improving quality of implementation (i.e., the Quality Implementation Tool; QIT), and (2) present some of the benefits and limitations of the tool by describing how the QIT was implemented in two different pilot projects. We discuss how the QIT can be used to guide collaborative planning, monitoring, and evaluation of how an innovation is implemented.     

The Quality Implementation Framework: A Synthesis of Critical Steps in the Implementation Process

Implementation science is growing in importance among funders, researchers, and practitioners as an approach to bridging the gap between science and practice. We addressed three goals to contribute to the understanding of the complex and dynamic nature of implementation. Our first goal was to provide a conceptual overview of the process of implementation by synthesizing information from 25 implementation frameworks. The synthesis extends prior work by focusing on specific actions (i.e., the “how to”) that can be employed to foster high quality implementation. The synthesis identified 14 critical steps that were used to construct the Quality Implementation Framework (QIF). These steps comprise four QIF phases: Initial Considerations Regarding the Host Setting, Creating a Structure for Implementation, Ongoing Structure Once Implementation Begins, and Improving Future Applications. Our second goal was to summarize research support for each of the 14 QIF steps and to offer suggestions to direct future research efforts. Our third goal was to outline practical implications of our findings for improving future implementation efforts in the world of practice. The QIF's critical steps can serve as a useful blueprint for future research and practice. Applying the collective guidance synthesized by the QIF to the Interactive Systems Framework for Dissemination and Implementation (ISF) emphasizes that accountability for quality implementation does not rest with the practitioner Delivery System alone. Instead, all three ISF systems are mutually accountable for quality implementation. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

以整合的理念引领医学课程改革

整合课程改革要面对教改动力、教学组织、师资及实施策略等多方面问题,介绍四川大学华西临床医学院以"从树干到树叶"为教改思路、研究实施"以器官系统为基础"整合课程的历程,介绍"院院合一"组织架构、医疗、科研整合支撑教学改革、先期试点并逐步推进、隐蔽课程等经验,为国内外医学院校提供参考借鉴.     

Implementation of nonparametric multivariate statistics with S

Multivariate nonparametric statistical methods have not been widely used by psychologists. One reason for this may have been that the usual general-purpose packages do not provide easy implementation of these methods. In this article, we briefly describe the multivariate extensions of the sign, signed-rank, and rank-sum tests and use S, a programming environment for data analysis, to implement these statistical procedures. Three numerical examples are used to illustrate the flexibility and efficiency of these computations in S.     

Implementation of the Sound Partners Reading Program

Eleven first grade and 10 second grade students, all with reading and behavioral difficulties, received one-on-one tutoring using the Sound Partners reading program (Vadasy & Pool, l997). Students received 30 min of tutoring each day for 5 months. Students were assessed on Letter-Word Identification, Passage Comprehension, and Word Attack subtests of the Woodcock-Johnson-Revised (WJ-R): Tests of Achievement. An informal measure (rapid letter naming) was also used. Results indicated that gains of approximately 1 standard deviation (or greater) were noted for subtests of the WJ-R for first-grade students; second graders showed relatively stable performance from pre- to posttest assessments. Similar performance was noted on the informal measure across grades. Program satisfaction data showed that overall the tutors, teachers, and students were pleased with the program. Discussion focuses on the implications for future investigations.     

Implementation Intentions and Facilitation of Prospective Memory

Forming detailed implementation intentions for a future behavior can increase the probability that the behavior is actually completed. We investigated whether this intention effect could be used to improve prospective memory in older adults. As expected, participants who formed an implementation intention were more than twice as likely to self-initiate the intended behavior (writing down the day of the week on every sheet of paper received during the experiment) compared with participants who either were merely instructed to do so or actively rehearsed the instruction. Forming an implementation intention, however, did not improve performance on a task that required a response to salient cues. We conclude that detailed implementation intentions facilitate prospective memory on tasks that lack salient cues and require self-initiation.     

医患共同决策实施现状及策略探析

选取广州地区6家医院共415名患者进行医疗决策参与情况调查。结果发现,60.72%的样本人群认为应以合作形式进行临床决策,且能辩证理性处理医疗决策冲突问题;在医疗实践中,患者个体感知医疗决策参与程度总体较好;多数患者更倾向医患+家属的决策模式,且不同学历患者和不同婚姻情况患者对医疗决策模式的偏好具有统计学差异。推进医患共同决策应厘清医生在共同决策中的角色定位、建构良好的医患互信关系、强化医生共情能力弥合医患差异、重视“家属参与”的重要价值。

     

Requirements and Implementation of Maintaining Patient Records

Summary

This article will discuss the need for psychotherapists to document the statements of patients, the techniques they use, and other aspects of their work to avoid ethical and legal problems. Elements of session notes and written informed consent will be identified. No informed consent can legitimize some actions and they will be addressed.     

宁养的概论及实施

宁养为结合团队力量,在患者面临生命末期时,协助其可以面对身、心、灵、社会之整体性的痛苦,关心患者的心声、生命的意义、生活的维持、使患者被治疗、关怀、尊重、倾听、接受及了解,有尊严地面对死亡。照顾者依自己的需要关心、照顾自己,宁养团队成员需装备好自己,了解面对的病患问题,给予全人的照顾,使患者善终,家属善生。     

Implementation of Belief Change Operators Using BDDs

While the theory of belief change has attracted a lot of interest from researchers, work on implementing belief change and actually putting it to use in real-world problems is still scarce. In this paper, we present an implementation of propositional belief change using Binary Decision Diagrams. Upper complexity bounds for the algorithm are presented and discussed. The approach is presented both in the general case, as well as on specific belief change operators from the literature. In an effort to gain a better understanding of the empirical efficiency of the algorithms involved, a fault diagnosis problem on combinational circuits is presented, implemented and evaluated.     

The Interactive Systems Framework for Dissemination and Implementation: Enhancing the Opportunity for Implementation Science

This article reflects on the progress made in the development of the Interactive Systems Framework (ISF) for Dissemination and Implementation in recent years. Considering the ISF in the context of the broader field of dissemination and implementation research, the author offers commentary on the strengths of the framework and opportunities for further expansion and refinement.     

Implementation intentions as a predictor of applicant withdrawal

Despite withdrawal from the job application being a serious concern for organizations, limited research exists that examines this phenomenon. Utilizing the broad intention-behavior framework as suggested in the Theory of Planned Behavior, we examined whether the type of intentions formed when applying for a job (i.e., goal vs. implementation intentions) predicts later withdrawal from the job application. Using a field experimental strategy, half of the applicants in a large applicant pool (N = 5,346) were randomly made to form implementation intentions. It was found that forming implementation intentions was indeed effective in reducing applicant withdrawal, albeit with a small effect size. Theoretical and practical implications of this finding are discussed.     

精神分裂症神经影像学研究述评

全世界约有1%的人患有精神分裂症,对患者及其家人造成了严重负担。由于此病影响因素很多,精神分裂症研究进展所取得的进步有限。精神分裂症产生的物质基础在脑,神经影像技术的进步为我们直接研究此病活体脑部结构及功能提供了良好的工具。本文主要从四个方面介绍了神经影像学在精神分裂症的研究及所贯彻的哲学思想。     

The Implementation of Individuation Therapy with Structured Separations

SUMMARY

This article describes the application of individuation therapy to structured separations, the benefits of a structured separation, the conditions under which it can be used, and how it is implemented is discussed. A case example is used to illustrate the concepts and principles presented.     

精神分裂症神经影像学研究述评

全世界约有1%的人患有精神分裂症,对患者及其家人造成了严重负担.由于此病影响因素很多,精神分裂症研究进展所取得的进步有限.精神分裂症产生的物质基础在脑,神经影像技术的进步为我们直接研究此病活体脑部结构及功能提供了良好的工具.本文主要从四个方面介绍了神经影像学在精神分裂症的研究及所贯彻的哲学思想.