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Glossary

Adaptation

In implementation it refers to the process of intentionally modifying an evidence-based intervention, program, or implementation strategy to improve its fit or function, in relation to local needs, resources and context.

Barriers

Obstacles or challenges that prevent or hinder successful implementation. 

Behavioural science

The study of how individuals think, act, and make decisions, especially in social and environmental contexts.

Clinical care pathways

A standardised, evidence-informed plan that outlines the optimal sequence and timing of care for a specific patient group or condition. Also known as Care Guidelines.

Co-Design

A participatory and collaborative approach where end users and stakeholders actively shape solutions and ensure they are relevant and feasible.

COM-B model

A behavioural framework proposing that Capability, Opportunity, and Motivation are required for any Behaviour to occur.

Data management

Systematic collection and rigorous analysis of data within clear accountabilities and security, for monitoring, reporting and evaluation purposes.

Determinants of Change

Factors that affect whether change occurs.

Effectiveness outcomes

The results of an intervention that confirm a benefit or difference.

Enablers

Factors that support or facilitate implementation. Also called Facilitators.

Evidence-informed

Decision-making that integrates research evidence with clinical expertise and patient preferences.

Facilitation

A relational and strategic process that empowers and enables individuals and teams to adopt new practices by guiding, supporting, and building capacity within a specific context.

Fidelity

The degree to which an intervention is delivered as intended by the original developer.

Gantt Chart

A visual timeline used in project management that outlines tasks, durations and dependencies.

Implementation

The process of applying research findings and integrating beneficial evidence-based interventions into routine clinical practice.

Implementation outcomes

Measures used to assess how well an intervention is being implemented (e.g., acceptability, feasibility, fidelity).

implementation science

The study of methods and strategies to promote the uptake of evidence-based practices and clinical innovations into routine care.

Implementation strategy

A theory-based method and intervention designed to address barriers and facilitate the adoption and integration of clinical innovations into healthcare settings.

Knowledge Practice Gap

The disconnect between what research evidence shows should be done and what is actually done in clinical or health system practice. The measurable difference between current practice and best practice based on research evidence.

Logic model

A structured plan that links the resources, activities, outputs, and intended outcomes of an implementation plan, and visualises how the plan works and what success should look like.

Mechanisms of change

Underlying working processes, pathways, or events that describe how behaviours change

Patient journey map

A visual representation of the patient’s experience across different stages of care, including emotional, informational, and clinical touchpoints.

Process map

A visual diagram that outlines the sequence of steps or activities in a particular process from start to finish.

Project management

The application of knowledge, tools, and techniques to plan, execute, and complete a defined project within scope, time, and budget.

Scale-up

Describes expanding the reach of an intervention to new settings or populations.

Spread

Describes the deliberate replication of an intervention in similar contexts, often within the same organisation or service network.

Stakeholders

Individuals or groups who are affected by, involved in, or can influence the implementation effort.

Sustainability

The extent to which an implemented intervention is maintained within routine practice over time.

Systems Thinking

A way of understanding how elements within a system interact, influence each other, and produce patterns of behaviour through dynamic interactions.

License

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From Research to Reality: An Implementation Guide Copyright © 2025 by Sharon Mickan is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.