ABSTRACT
This chapter presents a more detailed description of the Promoting Action on Research Implementation in Health Services framework – or PARIHS as it is commonly known – and in particular, the role of facilitation within the framework. We outline how and why the development of the PARIHS framework took place, including tracing back how our previous work on improving and developing practice shaped our thinking about implementation and facilitation. We then proceed to discuss the PARIHS framework in some detail, starting with the three elements that the framework proposed are fundamental to the successful implementation of evidence into practice, namely: the evidence to be implemented, the context in which implementation takes place and facilitation of the implementation process. Each of these elements is described, drawing on the work that we undertook to define the concepts of evidence, context and facilitation. This description is an important backdrop to the following chapter, in which we outline how the PARIHS framework has been applied over the last 15 years to guide and evaluate the implementation of evidence-based practice in healthcare. In turn, we will discuss how this has informed a proposed revision to PARIHS and influenced the development of the facilitation model that we are presenting in this book.
