Model Details

Model NamePromoting Action on Research Implementation in Health Services (PARIHS)
D and/or II-Only
Construct Flexibility3
Socio-Ecological LevelsIndividual
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Field of OriginHealth services

Context - Inner setting


Innovation characteristics

Knowledge and Knowledge Synthesis



Number of Times Cited307
CitationsKitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care 1998;7(3):149.

Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implemen Sci 2008;3:1.

Rycroft-Malone J. The PARIHS framework—a framework for guiding the implementation of evidence-based practice. J Nurs Care Qual 2004;19(4):297–304.
ExamplesBansod VA. Promoting action on research implementation in health services (PARIHS) framework: application to the Fracture Fighters Program. [dissertation] Toronto: University of Toronto, 2009.

Conklin J, Kothari A, Stolee P, Chambers L, Forbes D, Le Clair K. Knowledge-to-action processes in SHRTN collaborative communities of practice: a study protocol. Implem Sci 2011;6(1):12.

Cummings GG, Estabrooks CA, Midodzi WK, Wallin L, Hayduk L. Influence of organizational characteristics and context on research utilization. Nurs Res 2007;56(S4):S24.

Estabrooks CA, Squires JE, Cummings GG, Teare GF, Norton PG. Study protocol for the translating research in elder care (TREC): building context—an organizational monitoring program in long-term care project (project one). Implem Sci2009;4(1):52.

Helfrich CD, Damschroder LJ, Hagedorn HJ, et al. A critical synthesis of literature on the promoting action on research implementation in health services (PARIHS) framework. Implemen Sci 2010;5(1):82.

Helfrich CD, Li YF, Sharp ND, Sales AE. Organizational readiness to change assessment (ORCA): development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) Framework. Implemen Sci 2009;4:38.

Seers K, Rycroft-Malone J, Cox K, Crichton N, Edwards RT, Eldh AC, Estabrooks CA, Harvey G, Hawkes C, Jones C, Kitson A, McCormack B, McMullan C, Mockford C, Niessen T, Slater P, Titchen A, van der Zijpp T, Wallin L. Facilitating Implementation of Research Evidence (FIRE): an international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Implement Sci. 2018 Nov 16;13(1):137. doi: 10.1186/s13012-018-0831-9

Roohi G, Mahmoodi G, Khoddam H. Knowledge implementation in health care management: a qualitative study. BMC Health Serv Res. 2020 Mar 6;20(1):188. doi: 10.1186/s12913-020-5043-8. PMID: 32143627

[Health Equity] Gordon EJ, Lee J, Kang RH, Caicedo JC, Holl JL, Ladner DP, Shumate MD. A complex culturally targeted intervention to reduce Hispanic disparities in living kidney donor transplantation: an effectiveness-implementation hybrid study protocol. BMC Health Serv Res. 2018 May 16;18(1):368. doi: 10.1186/s12913-018-3151-5.

[Health Equity] Bergström, A. Evidence and context : knowledge translation for newborn health in low-income settings.
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