Abstract
Implementation research is growing in Norway, and the importance of implementation science for health and welfare improvements is gaining awareness across sectors. The Norwegian health and welfare systems have unique features that influence implementation research and practice, and context-specific implementation research is needed to solve Norwegian implementation issues. Implementation science has been fragmented, with limited connections between implementation researchers, disseminators, policymakers, and practitioners. Calls for a national network for implementation research echoed for several years, and in 2020 the Norwegian Network for Implementation Research (NIMP) was founded, and the first annual NIMP conference was held. With implementation science proliferating globally, similar efforts may be on the horizon in other countries. This paper describes the rationale and approach for developing NIMP, presents proceedings from the 2020 NIMP conference, and discusses the role of a national network in mobilizing implementation science communities and advancing an implementation science agenda nationally. NIMP was developed as an independent organization with six board members elected at a general assembly. NIMPs aims are to (1) raise awareness about implementation science in Norway, (2) promote sharing and exchange of knowledge from implementation research in Norway, and (3) facilitate implementation collaboration within Norway and internationally. One hundred forty-four implementation researchers, practitioners, policymakers, and students from across Norway attended the NIMP conference. There were 13 presentations of implementation research from different settings within health care, welfare services, and education. Themes included implementation strategies, barriers and facilitators, implementation theories and frameworks, and evaluation of implementation outcomes. The presentations showcased at the NIMP conference substantiated the need to connect and mobilize the implementation science community in Norway. Implementation issues are large and numerous, and more contemporary implementation research questions and designs may be required to solve them. NIMP needs to inform stakeholders in policy about the need for dedicated implementation research to improve our health and welfare systems. Critical implementation issues may require ambitious investments in implementation research. Our approach to developing a national implementation network may be of interest to aspiring networks in other countries.
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References
Aase, H., Lønnum, K., Sørlie, M. A., Hagen, K. A., Gustavson, K., & Utgarden, I. H. (2020). Barn, unge og kriminalitet. Hvordan forhindre at barn og unge kommer inn i eller fortsetter med en kriminell løpebane? Oppsummering og vurdering av virksomme tiltak, behandling og organisering [Children, Youth, and Criminality. How to prevent children and youth from delinquency and criminality. Review and assessment of effective interventions, treatment, and organization]. https://fhi.brage.unit.no/fhi-xmlui/bitstream/handle/11250/2688541/barn-unge-og-kriminalitet-2020.pdf?sequence=1.
Ådnanes, M., Kaspersen, S. L., Melby, L., & Lassemo, E. (2020). Pakkeforløp for psykisk helse og rus - fagfolks erfaringer første året [Standardized care pathways for mental health and substance abuse—practitioners experiences the first year]. SINTEF Rapport. SINTEF.
Albers, B., Shlonsky, A., & Mildon, R. (2020). En route to implementation science 3.0. In Implementation Science 3.0 (pp. 1–38). Springer.
Balietti, S., Mäs, M., & Helbing, D. (2015). On disciplinary fragmentation and scientific progress. PLoS ONE, 10(3), e0118747.
Baugerud, G. A., Vangbæk, S., & Melinder, A. (2018). Secondary traumatic stress, burnout and compassion satisfaction among Norwegian child protection workers: Protective and risk factors. British Journal of Social Work, 48(1), 215–235.
Baumann, A. A., & Cabassa, L. J. (2020). Reframing implementation science to address inequities in healthcare delivery. BMC Health Services Research, 20(1), 1–9.
Bertram, R., Edwards, D., Engell, T., Kerns, S. E. U., Øvretveit, J., Rojas-Andrade, R., Sarkies, S., & Williams, C. R. (2021). Welcome to global implementation research and applications. Global Implementation Research and Applications, 1, 1–4.
Braithwaite, J., Churruca, K., Long, J. C., Ellis, L. A., & Herkes, J. (2018). When complexity science meets implementation science: A theoretical and empirical analysis of systems change. BMC Medicine, 16(1), 1–14.
Chalmers, I., & Glasziou, P. (2009). Avoidable waste in the production and reporting of research evidence. The Lancet, 374(9683), 86–89.
Christiansen, N. F. (Ed.). (2006). The Nordic model of welfare: A historical reappraisal. Museum Tusculanum Press.
Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M., & Stetler, C. (2012). Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50(3), 217.
Diehl, H., Graverholt, B., Espehaug, B., & Lund, H. (2016). Implementing guidelines in nursing homes: A systematic review. BMC Health Services Research, 16(1), 1–12.
Domitrovich, C. E., Bradshaw, C. P., Poduska, J. M., Hoagwood, K., Buckley, J. A., Olin, S., Romanelli, L. H., Leaf, P. J., Greenberg, M. T., & Ialongo, N. S. (2008). Maximizing the Implementation quality of evidence-based preventive interventions in schools: A conceptual framework. Advances in School Mental Health Promotion, 1(3), 6–28.
Dugstad, J., Eide, T., Nilsen, E. R., & Eide, H. (2019). Towards successful digital transformation through co-creation: A longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia. BMC Health Services Research, 19(1), 1–17.
Egeland, K. M., Ruud, T., Ogden, T., Färdig, R., Lindstrøm, J. C., & Heiervang, K. S. (2017). How to implement Illness Management and Recovery (IMR) in mental health service settings: Evaluation of the implementation strategy. International Journal of Mental Health Systems, 11(1), 1–10.
Eisman, A. B., Kilbourne, A. M., Dopp, A. R., Saldana, L., & Eisenberg, D. (2020). Economic evaluation in implementation science: making the business case for implementation strategies. Psychiatry Research, 283, 112433.
Engell, T. (2021). Co-design and implementation of common elements-based academic support in Norwegian Child Welfare Services. Doctoral Dissertation, University of Oslo. https://www.duo.uio.no/bitstream/handle/10852/86479/1/PhD-Engell-DUO.pdf.
Engell, T., Follestad, I. B., Andersen, A., & Hagen, K. A. (2018). Knowledge translation in child welfare—Improving educational outcomes for children at risk: Study protocol for a hybrid randomized controlled pragmatic trial. Trials, 19(1), 714.
Engell, T., Kirkøen, B., Hammerstrøm, K. T., Kornør, H., Ludvigsen, K. H., & Hagen, K. A. (2020). Common elements of practice, process and implementation in out-of-school-time academic interventions for at-risk children: A systematic review. Prevention Science, 21(4), 545–556.
Ertesvåg, S. K., Roland, P., Vaaland, G. S., Størksen, S., & Veland, J. (2010). The challenge of continuation: Schools’ continuation of the Respect program. Journal of Educational Change, 11(4), 323–344.
Evans, B. A., Snooks, H., Howson, H., & Davies, M. (2013). How hard can it be to include research evidence and evaluation in local health policy implementation? Results from a mixed methods study. Implementation Science, 8(1), 1–9.
Fixsen, D. L., & Blase, K. A. (2020). Active implementation frameworks. Edward Elgar Publishing.
Flottorp, S., & Oxman, A. D. (2003). Identifying barriers and tailoring interventions to improve the management of urinary tract infections and sore throat: A pragmatic study using qualitative methods. BMC Health Services Research, 3(1), 1–10.
Forsetlund, L., & Bjørndal, A. (2001). The potential for research-based information in public health: Identifying unrecognised information needs. BMC Public Health, 1(1), 1–8.
Gazni, A., Sugimoto, C. R., & Didegah, F. (2012). Mapping world scientific collaboration: Authors, institutions, and countries. Journal of the American Society for Information Science and Technology, 63(2), 323–335.
Girlanda, F., Fiedler, I., Becker, T., Barbui, C., & Koesters, M. (2017). The evidence-practice gap in specialist mental healthcare: Systematic review and meta-analysis of guideline implementation studies. The British Journal of Psychiatry, 210(1), 24–30. http://bjp.rcpsych.org/content/bjprcpsych/210/1/24.full.pdf.
Glasgow, R. E., Vinson, C., Chambers, D., Khoury, M. J., Kaplan, R. M., & Hunter, C. (2012). National Institutes of Health approaches to dissemination and implementation science: Current and future directions. American Journal of Public Health, 102(7), 1274–1281.
Goense, P., Etzelmueller, A., & Alberes, B. (2020). Implementation Networks Report: A study on implementation networks within Europe. ZonMw.
Graverholt, B., Ciliska, D., Steinseide, E., Eidset, R., Nicolajsen, K. H., Johansen, A. W., Steinskog, T. L. D., & Nortvedt, M. W. (2021). A partnership to foster knowledge translation in Norwegian nursing homes. In C. McCutcheon, J. Reszel, A. Kothari & I. D. Graham (Eds.), How we work together: The integrated knowledge translation research network casebook (Vol. 4, pp. 30–34). Integrated Knowledge Translation Research Network. https://iktrn.ohri.ca/projects/casebook/.
Hall, K., Staiger, P. K., Simpson, A., Best, D., & Lubman, D. I. (2016). After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing? Addiction, 111(7), 1144–1150.
Humphrey, N., Lendrum, A., Ashworth, E., Frearson, K., Buck, R., & Kerr, K. (2016). Implementation and process evaluation (IPE) for interventions in education settings: An introductory handbook (p. 1). Education Endowment Foundation.
Ivers, N. M., & Grimshaw, J. M. (2016). Reducing research waste with implementation laboratories. Lancet (london, England), 388(10044), 547–548.
Jacobs, S. R., Weiner, B. J., & Bunger, A. C. (2014). Context matters: Measuring implementation climate among individuals and groups. Implementation Science, 9(1), 1–14.
Jull, J., Giles, A., & Graham, I. D. (2017). Community-based participatory research and integrated knowledge translation: Advancing the co-creation of knowledge. Implementation Science, 12(1), 150.
Kayed, N. S., Jozefiak, T., Rimehaug, T. O. R. M. O. D., Tjelflaat, T., Brubakk, A. M., & Wichstrom, L. (2015). Psykisk helse hos barn og unge i barnevernsinstitusjoner [Mental health in children and adolescents in child welfare institutions]. Norwegian University of Science and Technology.
Kirchner, J. E., Smith, J. L., Powell, B. J., Waltz, T. J., & Proctor, E. K. (2020). Getting a clinical innovation into practice: An introduction to implementation strategies. Psychiatry Research, 283, 112467.
Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., et al. (2015). Achieving change in primary care—Causes of the evidence to practice gap: Systematic reviews of reviews. Implementation Science, 11(1), 40.
Lengnick-Hall, R., Stadnick, N. A., Dickson, K. S., Moullin, J. C., & Aarons, G. A. (2021). Forms and functions of bridging factors: Specifying the dynamic links between outer and inner contexts during implementation and sustainment. Implementation Science, 16(1), 1–13.
Lewis, C. C., Boyd, M. R., Walsh-Bailey, C., Lyon, A. R., Beidas, R., Mittman, B., ... & Chambers, D. A. (2020). A systematic review of empirical studies examining mechanisms of implementation in health. Implementation Science, 15(1), 1–25.
Lyon, A. R., Dopp, A. R., Brewer, S. K., Kientz, J. A., & Munson, S. A. (2020). Designing the future of children’s mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 47(5), 735–351.
Moore, G., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., ... & Baird, J. (2014). Process evaluation of complex interventions. UK medical Research Council (MRC) guidance. BMJ, 350, 1–133.
Nilsen, P., & Bernhardsson, S. (2019). Context matters in implementation science: A scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Services Research, 19(1), 1–21.
Nilsen, P., & Birken, S. A. (2020). Handbook on implementation science. Edward Elgar Publishing.
Nilsen, P., & Cairney, P. (2020). Policy implementation research. Edward Elgar Publishing.
Nohria, N., & Eccles, R. (2000). Face-to-face: Making network organizations work. In Technology, organizations and innovation: Critical perspectives on business and management (pp. 1659–1681). Harvard Business School Press.
Ogden, T., Askeland, E., Christensen, B., Christiansen, T., & Kjøbli, J. (2018). Crossing national, cultural, and language barriers: Implementing and testing evidence-based practices in Norway. In Evidence-based psychotherapies with children and adolescents. Guilford.
Ornstein, J. T., Hammond, R. A., Padek, M., Mazzucca, S., & Brownson, R. C. (2020). Rugged landscapes: Complexity and implementation science. Implementation Science, 15(1), 1–9.
Paulsen, M. M., Varsi, C., & Andersen, L. F. (2021). Process evaluation of the implementation of a decision support system to prevent and treat disease-related malnutrition in a hospital setting. BMC Health Services Research, 21(1), 1–13.
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., ... & Hensley, M. (2011). Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.
Research Council of Norway. (2014). “Health&Care21:” Et kunnskapssystem for bedre folkehelse. Nasjonal forsknings- og innovasjonsstrategi for helse og omsorg [A Knowledge system for improving public health. National research and innovation strategy for health and welfare]. https://www.helseomsorg21.no/contentassets/1093b5baed6a4ee39eac5b8d59bb32e7/pdf/helseomsorg21strategien-1.pdf.
Research Council of Norway. (2016). «BetterHealth:» Helheltlig helsesatsning I Forskningsrådet. Policy for forskning og innovasjon 2016–2020 [Integrated health investment in the research council. Policy for research and innovation]. https://www.forskningsradet.no/om-forskningsradet/publikasjoner/2016/helhetlig-helsesatsing-i-forskningsradet/.
Research Council of Norway. (2017). “HealthWell:” Programplan. Gode og effective helse-, omsorgs-, og velferdstjenester [Program plan. Good and effective health, care, and welfare services]. https://www.forskningsradet.no/contentassets/6d45731a23754d0487440d1bbad0a9f2/helsevel-programplan-2015-2024-oppdatert-2019.pdf.
Research Council of Norway. (2021). «Children&Youth21:» Ut av blindsonene. Strategi for samlet kunnskapsløft for utsatte barn og unge [Out of the blindsone. Strategy for a collective knowledge improvement]. https://www.forskningsradet.no/om-forskningsradet/publikasjoner/2021/barnunge21-strategien-ut-av-blindsonene/.
Ruud, T. (2015). Routine outcome measures in Norway: Only partly implemented. International Review of Psychiatry, 27(4), 338–344.
Ruud, T., Drake, R. E., Benth, J. Š., Drivenes, K., Hartveit, M., Heiervang, K., ... & Bond, G. R. (2021). The effect of intensive implementation support on fidelity for four evidence-based psychosis treatments: A cluster randomized trial. Administration and Policy in Mental Health and Mental Health Services Research, 48(5):1-12.
Scaccia, J. P., Cook, B., & Wandersman, A. (2020). Building organizational readiness (capacities × motivation) for implementation: A research synthesis of the empirical evidence. https://doi.org/10.31235/osf.io/84cjq (Advance online publication).
Statistics Norway (SSB). (2020). Child Welfare Services. Retrieved November 30, 2020, from https://www.ssb.no/sosiale-forhold-og-kriminalitet/statistikker/barneverng.
Stirman, S. W., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7(1), 1–19.
Varsi, C., Ekstedt, M., Gammon, D., & Ruland, C. M. (2015). Using the consolidated framework for implementation research to identify barriers and facilitators for the implementation of an Internet-based patient–provider communication service in five settings: A qualitative study. Journal of Medical Internet Research, 17(11), e262.
Westerlund, A., Nilsen, P., & Sundberg, L. (2019). Implementation of implementation science knowledge: The research-practice gap paradox. Worldviews on Evidence-Based Nursing, 16(5), 332.
Acknowledgements
We would like to acknowledge Aida Babaii, Erlend Høen Laukvik, Randi Hovden Berge, Ragnhild Holm Löwgren, and Mari Mohn Paulsen for their collaboration in establishing NIMP as an organization. We also want to acknowledge Bianca Albers for her counsel in developing NIMP and our employers for supporting the development of NIMP and the writing of this manuscript.
Funding
The development of NIMP and the NIMP conference was unfunded. NIMP board members are supported by their respective organizations of employment. The authors’ time for writing this manuscript was supported by the authors’ respective organizations of employment.
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TE: Conceptualization, writing—original draft, review and editing, and final draft. CV: Conceptualization, writing sections, review, and editing. BG: Conceptualization, writing sections, review, and editing, KE: Conceptualization, writing sections, tables, supplementary files, review, and editing.
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Engell, T., Varsi, C., Graverholt, B. et al. Launch of the Norwegian Network for Implementation Research (NIMP): Proceedings from the First Annual Conference. Glob Implement Res Appl 1, 223–232 (2021). https://doi.org/10.1007/s43477-021-00027-y
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DOI: https://doi.org/10.1007/s43477-021-00027-y