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Further, empirical work in the field of organization and management clearly shows that successful individual adoption is only one component of the assimilation of innovations in healthcare organizations [].

Recent frameworks related to the implementation of research or innovations are beginning to consider those organizational elements that act as barriers or facilitators to the uptake and use of research by individuals [].

Politicians are responsible for defining priorities and the boundaries of programs and policies, with implications for on-the-ground health services delivery, financing, and program development.

We submit that decision-makers at different system levels synergistically contribute to an organizational culture that may be more or less welcoming of research evidence use.

In turn, an organization's structures and processes contribute to the ability of individuals to carry out research-informed activities.

An organization's capacity to facilitate the application of evidence is complex, and not well understood.

The Canadian Health Services Research Foundation has conceptualized 'organizational research use' as an iterative process that involves acquiring, assessing, adapting, and applying research evidence to inform health system decisions.In the second hour, the facilitator asked about overall impressions of the tool, to identify insights that emerged during the review of items on the tool and to elicit comments on research utilization.Discussion data were analyzed qualitatively, and individual and consensus item scores were analyzed using descriptive and non-parametric statistics.The tool demonstrated good usability and strong response variability.Differences between higher-end and lower-end research use organizations on scores suggested that this tool has adequate discriminant validity.




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