TABLE 3.

Contradictions Associated With Utilizing Embedded Implementation Science for Policy and Action

Attribute

Core Strategies of Implementation Science

Strategic Adjustments of Embedded ScienceContradictions Encountered by Embedded Implementation ScienceImplications for Resolving Contradictions
Curation of knowledgePublish results and disseminate findings to host agency and research audiences.Develop knowledge-sharing mechanisms.Science is disseminated by modes of communication that have limited currency among donors, decision makers, implementers, and managers.Develop a multimethod knowledge management system for research advocacy,105 and build participatory learning and exchanges into research operations.71,74
SustainabilityRecommend utilization of research findings in the course of end-of-project dissemination activities.Collaboration of researchers and host agency counterparts on research utilization strategic planning.

Planning research utilization is challenged by the institutionalization of dysfunction. Failure is therefore more sustainable than improvement.

Research results may contradict existing organizational norms and policies.

Utilize research phase 3 replication research to investigate the determinants of sustainability.