Pronovost’s 4E’s Process Theory

Pronovost’s 4E’s Process Theory

D and/or I:
The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.

I-Only

Socio-Ecological Levels:
The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.

Individual
Organization
Community

Number of Times Cited:
The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.

164

Field of Origin:
The field of study in which the model originated.

Health care

Constructs:
Name of the construct developed by classifying/aligning the elements abstracted from models.

Barriers and facilitators, Engagement, Evaluation, Implementation, Innovation characteristics, Reach

Citations:
The original publication(s) of the model.

Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ 2008;337.

Examples:
Citations of studies that have used the model as an outline for their study.

Needham DM, Korupolu R, Zanni JM, et al. Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Archiv Phys Med Rehab 2010;91(4):536-42.

Pronovost P. Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project. Am J Infec Contr 2008;36(10);S171:e1-e171;e5.l

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