title: Examination of the utility of the promoting action on research implementation in health services framework for implementation of evidence based practice in residential aged care settings.
abstract: OBJECTIVE
  This study examined the relevance and fit of the PARiHS framework (Promoting Action on Research Implementation in Health Services) as an explanatory model for practice change in residential aged care.
  
  
  BACKGROUND
  Translation of research knowledge into routine practice is a complex matter in health and social care environments. Examination of the environment may identify factors likely to support and hinder practice change, inform strategy development, predict and explain successful uptake of new ways of working. Frameworks to enable this have been described but none has been tested in residential aged care.
  
  
  METHODS
  This paper reports preliminary qualitative analyses from the Encouraging Best Practice in Residential Aged Care Nutrition and Hydration project conducted in New South Wales in 2007-2009. We examined congruence with the PARiHS framework of factors staff described as influential for practice change during 29 digitally recorded and transcribed staff interviews and meetings at three facilities.
  
  
  RESULTS
  Unique features of the setting were flagged, with facilities simultaneously filling the roles of residents' home, staff's workplace and businesses. Participants discussed many of the same characteristics identified by the PARiHS framework, but in addition temporal dimensions of practice change were flagged.
  
  
  CONCLUSIONS
  Overall factors described by staff as important for practice change in aged care settings showed good fit with those of the PARiHS framework. This framework can be recommended for use in this setting. Widespread adoption will enable cross-project and international synthesis of findings, a major step towards building a cumulative science of knowledge translation and practice change.
authors.affiliation: Midwifery and Health, University of Technology Sydney, New South Wales, Australia. lin.perry@uts.edu.au
authors.forename: Lin
authors.initials: L
authors.lastname: Perry
authors.forename: Helen
authors.initials: H
authors.lastname: Bellchambers
authors.forename: Andrew
authors.initials: A
authors.lastname: Howie
authors.forename: Annette
authors.initials: A
authors.lastname: Moxey
authors.forename: Lynne
authors.initials: L
authors.lastname: Parkinson
authors.forename: Sandra
authors.initials: S
authors.lastname: Capra
authors.forename: Julie
authors.initials: J
authors.lastname: Byles
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D004046:Dietetics / Q000458:organization & administration / Q000592:standards; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000379:methods*; D006272:Health Facility Environment; D007722:Health Knowledge, Attitudes, Practice; D006707:Homes for the Aged / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D009517:New South Wales; D009735:Nursing Homes / Q000458:organization & administration* / Q000592:standards; D015279:Organizational Culture; D009936:Organizational Innovation; D036301:Qualitative Research; D013192:Staff Development; D013997:Time Factors