From: Exploring the intersection of hermeneutics and implementation: a scoping review
Hermeneutic principle | Potential implementation actions |
---|---|
Acknowledgement of the central concerns of power, communication, and common actions which are active within an issue or problem | • Explore why evidence or ‘object’ needs to be implemented in this particular situation at this time • Examine dimensions of the problem or issue that require the implementation of evidence • Acknowledge power and communication concerns within the issue or problem |
Promotion of new ways of seeing situations and creating new common understandings throughout the implementation process | • Introduce theories and other perspectives in ways that extend reflection, understanding, and support consistent action • Avoid uncritically implementing pre-determined strategies or templates from theories or frameworks |
Collective action that empowers and shows humility and respect | • Include all relevant persons or stakeholders in the dialogue, planning, and process of implementing • Build and sustain relationships in ways that will foster trust, dialogue, and reflection • Listen and be open to difference and alternative interpretations • Develop respectful ways of engaging and making decisions |
Actions that surface tensions and work with context in ways that illuminate possibilities for implementation | • Foster dialogue to explore different positions and views • Explore how initiatives have been, or are currently, achieved in this group, setting, or practice • Explore how usual ways of achieving goals may be connected to the proposed service, program or practice • Seek to understand how people and organizational processes can be engaged in implementation actions • Explore differences in understanding and approaches along with opportunities for action |
Processes that address context and the interplay of context with the program, service, or practice being implemented | • Consider how to understand and work with the messiness of the health care/patient interface • Identify actions that embody those understandings • Consider how different understandings of the context can be helpful in adapting what is to be implemented and how to go about implementing • Implement in ways that are attuned to local contexts and their realities • Allow for appropriate flexibility, reflexiveness, and adaptation |
Actions that foster engagement in dialogue and listening, action and reflection throughout the implementation journey | • Create and use space for reflection • Engage in respectful, reciprocal dialogue that generates new understandings • Adjust implementation approaches and their pacing and timing as understandings develop over time |