. 2020 May 21;20(1):449.

doi: 10.1186/s12913-020-05289-0.

The rise of rapid implementation: a worked example of solving an existing problem with a new method by combining concept analysis with a systematic integrative review

James Smith¹, Frances Rapport², Tracey A O'Brien^{3

4}, Stephanie Smith^{5

6

7}, Vanessa J Tyrrell⁸, Emily V A Mould⁸, Janet C Long², Hossai Gul², Jeremy Cullis⁹, Jeffrey Braithwaite²

Affiliations

¹ Centre for Healthcare Resilience and Implementation Science, Australian Institute for Health Innovation, Macquarie University, Level 6, 75 Talavera Road, North Ryde, NSW, 2109, Australia. jim.smith@mq.edu.au.
² Centre for Healthcare Resilience and Implementation Science, Australian Institute for Health Innovation, Macquarie University, Level 6, 75 Talavera Road, North Ryde, NSW, 2109, Australia.
³ Faculty of Medicine, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.
⁴ Kids Cancer Centre, Sydney Children's Hospital, Randwick, Sydney, Australia.
⁵ Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK.
⁶ School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA, 6027, Australia.
⁷ Perth Children's Hospital, Nedlands, Perth, Australia.
⁸ Lowy Cancer Research Centre, Children's Cancer Institute, University of New South Wales, C25/9 High Street, University of New South Wales, Kensington NSW, Sydney, 2750, Australia.
⁹ Clinical librarian, Information Access and Advisory Services, Macquarie University Library, Macquarie University, 16 Macquarie Walk, North Ryde, NSW, 2109, Australia.

PMID: 32438909
PMCID: PMC7240003
DOI: 10.1186/s12913-020-05289-0

The rise of rapid implementation: a worked example of solving an existing problem with a new method by combining concept analysis with a systematic integrative review

James Smith et al. BMC Health Serv Res. 2020.

. 2020 May 21;20(1):449.

doi: 10.1186/s12913-020-05289-0.

Authors

James Smith¹, Frances Rapport², Tracey A O'Brien^{3

4}, Stephanie Smith^{5

6

7}, Vanessa J Tyrrell⁸, Emily V A Mould⁸, Janet C Long², Hossai Gul², Jeremy Cullis⁹, Jeffrey Braithwaite²

Affiliations

¹ Centre for Healthcare Resilience and Implementation Science, Australian Institute for Health Innovation, Macquarie University, Level 6, 75 Talavera Road, North Ryde, NSW, 2109, Australia. jim.smith@mq.edu.au.
² Centre for Healthcare Resilience and Implementation Science, Australian Institute for Health Innovation, Macquarie University, Level 6, 75 Talavera Road, North Ryde, NSW, 2109, Australia.
³ Faculty of Medicine, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.
⁴ Kids Cancer Centre, Sydney Children's Hospital, Randwick, Sydney, Australia.
⁵ Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK.
⁶ School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA, 6027, Australia.
⁷ Perth Children's Hospital, Nedlands, Perth, Australia.
⁸ Lowy Cancer Research Centre, Children's Cancer Institute, University of New South Wales, C25/9 High Street, University of New South Wales, Kensington NSW, Sydney, 2750, Australia.
⁹ Clinical librarian, Information Access and Advisory Services, Macquarie University Library, Macquarie University, 16 Macquarie Walk, North Ryde, NSW, 2109, Australia.

PMID: 32438909
PMCID: PMC7240003
DOI: 10.1186/s12913-020-05289-0

Abstract

Background: The concept of rapid implementation has emerged in the literature recently, but without a precise definition. Further exploration is required to distinguish the concept's unique meanings and significance from the perspective of implementation science. The study clarifies the concept of rapid implementation and identifies its attributes, antecedents, and consequences. We present a theoretical definition of rapid implementation to clarify its unique meaning and characteristics.

Methods: Rodgers evolutionary concept analysis method, combined with a systematic integrative review, were used to clarify the concept of rapid implementation. A comprehensive search of four databases, including EMBASE, MEDLINE, SCOPUS, and WEB OF SCIENCE was conducted, as well as relevant journals and reference lists of retrieved studies. After searching databases, 2442 papers were identified from 1963 to 2019; 24 articles were found to fit the inclusion criteria to capture data on rapid implementation from across healthcare settings in four countries. Data analysis was carried out using descriptive thematic analysis.

Results: The results locate the introduction of rapid implementation, informed by implementation science. Guidance for further conceptualisation to bridge the gap between research and practice and redefine rigour, adapting methods used (current approaches, procedures and frameworks), and challenging clinical trial design (efficacy-effectiveness-implementation pipeline) is provided.

Conclusions: It is possible that we are on the cusp of a paradigm shift within implementation brought about by the need for faster results into practice and policy. Researchers can benefit from a deeper understanding of the rapid implementation concept to guide future implementation of rapid actionable results in clinical practice.

Keywords: Concept analysis; Healthcare; Implementation; Implementation science; Rapid implementation; Systematic integrative review.

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Conflict of interest statement

All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf. JB reports grants from NSW Health, during the conduct of the study. The other authors declare that there are no relevant conflicts of interests.

Figures

**Fig. 1**
PRISMA flow diagram of the screened studies

See this image and copyright information in PMC

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The rise of rapid implementation: a worked example of solving an existing problem with a new method by combining concept analysis with a systematic integrative review

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The rise of rapid implementation: a worked example of solving an existing problem with a new method by combining concept analysis with a systematic integrative review

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