When introducing evidence-based practice
into your school a major challenge you will face is having to diagnose your
school’s readiness to both engage with and implement research and other evidence. One way
of helping you addressing this challenge is to use the Promoting Action on Research Implementation in Health Services (PARiHS)
framework (Kitson, Harvey, & McCormack, 1998) and which provides a useful conceptual and pragmatic heuristic to to help you think about the implementation of research within your
school. The PARiHS framework describes the successful implementation of research
into practice as being a function of the interaction of three core elements—the
quality and type of the evidence, the context, setting or environment into which
the research used, and the approaches and techniques of facilitation.
Evidence – this consists
or four elements: academic/scientific research, practitioner expertise,
school/organisational data and the views of stakeholders
Context – is the
environment in which the proposed change – either an evidence-informed
intervention or the adoption of evidence-based school leadership – is being
implemented. As such, it can be divided into three sub-elements; the prevailing
culture; school leadership; and the school’s approach to accountability and
development.
Facilitation – this is
where one or more persons – for example, senior leaders, school research leads
and champions - makes things easier for others and this includes; the
characteristics of facilitators; their role; style and skills. In this context,
the facilitator’s role is help people understand the change required and what’s
needed to be done to bring it about
Now each of these elements and sub-elements
is placed on a low to high continuum, with (Kitson et al., 1998)(Kitson et al., 1998) stating
‘…that for the implementation of
research into practice to be successful there needs to be a clear understanding
of the nature of the evidence being used, the quality of context in terms of
its ability to cope with change and type of facilitation needed to ensure a
successful change process’ (p152)
For each of these three elements a range of
conditions may exist which indicate the likelihood of the successful
implementation of research and evidence-based practices. These conditions are
illustrated in Figure 1
Figure 1 Conditions
for evidence, context and facilitation
Element
|
Sub-element
|
Likelihood of success of implementing change
|
||
|
|
Low
|
|
High
|
Evidence
|
Research
|
Anecdotal
Descriptive
|
|
Systematic reviews
Randomised controlled trials
|
|
Practitioner expertise
|
Expert opinion divided
Several ‘camps’
|
|
High level of consensus
Consistency of view of value of evidence
|
|
Organisational date
|
Little detailed data available
Data comes from a restricted number of
sources.
|
|
High level of detailed quantitative data available
Data available from multiple sources
|
|
Stakeholder views
|
Stakeholders not involved
|
|
Partnerships with full range of stakeholders
|
|
|
|
|
|
Context
|
Culture
|
Task driven
Low regard for individuals
Low morale
Little or no CPD
Focus on the immediate
|
|
Learning school
Pupil centred
Values people
Focus on CPD
Focus on capacity and capability building
|
|
Leadership
|
Lack of vision
Diffuse roles
Lack of team roles
Poor leadership
Poor organisation or management of the school
|
|
Clarity of vision
Clear roles
Effective team work
Effective organisational structures
Clear leadership
|
|
Measurement
|
Absence of:
Audit and feedback
Peer reviews
Performance review
External evaluation
|
|
Internal measures regularly used
Audit or feedback used routinely
Peer review
External measures
|
|
Support structures
|
Not in place
Lack of journal clubs/research learning communities
No guidance on processes
No external partnerships with research
schools or HEIs
Time not made availabled
|
|
Part of routine processes
Journal clubs and research learning
communities embedded
Clear guidance on processes
Partnerships with research schools and HEIs
Dedicated and ring-fenced time available
|
|
|
|
|
|
Facilitation
|
Characteristics
|
Respect
Empathy
Authenticity
Credibility
|
|
Respect
Empathy
Authenticity
Credibility
|
|
Roles
|
Access
Authority
Position in school
Change agenda
|
|
Access
Authority
Change agenda successfully negotiated
|
|
Style
|
Inflexible
Sporadic
Infrequent
Inappropriate
|
|
Range of style and flexibility
Consistent and appropriate presence and
support
|
As such, those schools which would appear
to have the greatest chances of successfully evidence-based practice and
associated innovations, would appear to be predominantly on the right-hand high
side of the continuum. Whereas those schools who have significant work to do to
increase their chances of successfully implementing evidence-based practice,
would have features primarily located on the left-hand side of the continuum.
Now having undertaken an initial assessment
of your school’s readiness to use research and evidence, try to plot where you
and your school are on the following evaluative grid. In doing so, you are
going to focus on your evaluation of the evidence and context elements of the
PARiHS model.
Figure 2 The PARiHs Diagnostic and Evaluative Grid - adapted from Kitson et al, 2008
So what does this mean for the facilitation
of evidence-based school leadership? Drawing on the work of (Greenhalgh, 2017) if a primary concern is that colleagues
are not aware of the research evidence available to them as teachers and school leaders, a priority for you as the school research lead/champion maybe to help
individuals gain a greater awareness of the available evidence and how to
evaluate it. Alternatively, if there is a recognition that the school context is weak
– there may be greater focus on putting in enabling conditions – such as
focussing on pupil and staff learning, ensuring individuals have clear roles
and responsibilities and there is an appropriate organisational framework - such as journal clubs or time for evidence-based CPD
However, whenever we look at a conceptual
model and heuristic we need to see whether there is robust evidence
demonstrating the efficacy of the approach. For as (Greenhalgh, 2017) notes in the context of healthcare there are no studies of how
PARiHS has been used as the original authors have intended, indeed all studies
into PARiHS have tended to use the framework to look back at what had been
done. That said, as Greenhalgh notes – the PARiHs has what she calls ‘face-validity
– that is it seems intuitively sensible that evidence, context and facilitation
are all key to implementation. Furthermore, at a broad-brush level, the PARiHS
framework is sufficiently flexible to allow its application to many different
situations and examples’ (Greenhalgh, 2017).
And finally
And finally
You may wish to use
the PARiHS framework as an initial diagnostic which captures your school’s
readiness to engage with the implementation of research and evidence-based
practice. If it works for you, fantastic. If not, there may be other models
which work in your context such as the NFER self-assessment tool
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