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Pragmatic dissemination and implementation research models,methods and measures and their relevance for nursing research
Authors:Catherine Battaglia  Russell E Glasgow
Institution:1. Department of Veterans Affairs Eastern Colorado Health Care System, Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care (COIN), Denver, CO;2. Department of Health System Management & Policy, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO;3. Adult and Child Consortium for Health Outcomes Research and Delivery Science, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO;4. Department of Family Medicine, School of Medicine, University of Colorado School of Medicine Anschutz Medical Campus, Aurora, CO;5. Geriatric Research, Education and Clinical Center (GRECC), Department of Veterans Affairs Eastern Colorado Health Care System, Denver, CO
Abstract:

Background

Pragmatic dissemination and implementation (D&I) research approaches can benefit patient care because they emphasize real-world settings and populations. Nurse scientists have an opportunity to reduce the gap between science and practice by using pragmatic D&I research and sustainability strategies.

Purpose

This article discusses pragmatic models, methods, and measures used in D&I research and their relevance for nursing research and enhancing population health.

Methods

Summary of pragmatic D&I models and related methods for designing a pragmatic studies. We discuss the RE-AIM framework and the PRECIS-2 planning aid and figure in detail. A case study is provided and application to nursing research is discussed.

Discussion

Successful translation of pragmatic D&I research demands an approach that addresses external validity, and customization at multiple levels including the patient, clinician, and setting. Context is critically important, and it is never too early to design for dissemination.

Conclusions

Pragmatic D&I approaches are needed to speed research translation, reduce avoidable waste of funding, improve clinical care, and enhance population health. Pragmatic D&I research is an area of tremendous opportunity for the nursing science community.
Keywords:Pragmatic research  Implementation science  Comparative effectiveness research  Evaluation  Measures  Research design  Dissemination frameworks  RE-AIM
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