Author(s)

Sabina Abou-Malham, Marie Hatem, Nicole Leduc

Department of Health Administration, School of Public Health, Université de Montréal, Montreal, Canada.
Department of Social and Preventive Medicine, School of Public Heath, Université de Montréal, Montreal, Canada.

This paper proposes a conceptual framework for understanding the implementation process of a complex intervention concerned with professional role change. The proposed framework holds that the intervention must address three interacting systems (socio-cultural, educational and disciplinary) through which a health professional role is evolved. Each system is operationalized by four dimensions (values, methods, actors and targets). As for the implementation, the framework posits that it can be analyzed, by depicting the barriers and facilitators located within the dimensions of the three interacting systems and within the intervention involved in the process through using the “menu of constructs” approach suggested by the Consolidated Framework for Implementation Research (CFIR). The implications of this framework, on theoretical research and practical levels, are reviewed.

Evaluation; Implementation; Framework; Change; Health Professional Role; Midwifery

Abou-Malham, S. , Hatem, M. and Leduc, N. (2013) Understanding the Implementation of a Complex Intervention Aiming to Change a Health Professional Role: A Conceptual Framework for Implementation Evaluation. Open Journal of Philosophy, 3, 491-501. doi: 10.4236/ojpp.2013.34071.