Implementation Research: Using the CFIR Framework to Enhance Nursing Quality in Real-World Practice

Abstract

Nursing knowledge has evolved significantly over the last few decades, particularly due to research and evidence-based practice (EBP), which has improved the standard of care for various patient populations. The "knowledge-to-practice gap”, the disparity between knowledge creation and its implementation, remains a significant obstacle. Changes within health systems as a result of this disparity are frequently unsustainable over time. Implementation research (IR) is a conceptual framework and procedure designed to analyze obstacles and problems and facilitate the proper use of EBP in real-world situations. This study provides a comprehensive review of the literature and existing research on the processes and factors affecting the implementation of empirical knowledge in nursing practice based on the Consolidated Framework for Implementation Research (CFIR). A literature review focused on research publications that use the CFIR framework as a guide for improving nursing quality. The key findings imply that CFIR is an essential mechanism for bridging the "Knowledge-to-practice gap" in clinical practice. Furthermore, it encourages the creation and evaluation of initiatives to promote the successful and sustainable implementation of evidence-based practices. The paper concludes with policy suggestions for using CFIR in program design and assessment. Increasing the organizational ability to utilize data to enhance internal support systems and encouraging stakeholder participation at all levels are two examples of these efforts, which will ultimately help ensure the long-term and successful adoption of nursing innovations within the larger healthcare system.