Research shows that resistance to change might occur in organisations that implement new evidence-based practices (EBP). Formal and informal structures may work to retain traditional interventions, potentially counteracting the implementation process. Little is known about the de-implementation of traditional practices to leave room for and enhance the implementation of EBPs. This study uses implementation structures as a theoretical framework with the aim of analysing implementation and de-implementation factors among Swedish municipalities that provide support to vulnerable clients through the Housing First (HF) or Individual Placement and Support (IPS) interventional programmes. This cross-sectional study is based on a digital survey and collects descriptive and qualitative data from three organisational levels in each responding municipality in Sweden. The descriptive statistics and qualitative texts were analysed using content analysis. The results show the incidence of HF and IPS, if and to what extent the interventions are going to be developed further, and partially, describe the organisational settings of HF and IPS. Organisational factors shown to have a negative impact on the implementation of HF and IPS were identified. The mapping of professional experiences from the intersection between HF or IPS and organisations such as the Swedish Health Insurance Office, the social services, and other similar welfare organisations, indicates that the realisation of HF and IPS requires expanded collaboration, which raises the consideration as to whether it is necessary to de-implement broader frameworks and guidelines in these organisations to provide the prerequisites that enable the implementation of EBPs.

中文翻译：

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工作中的实施结构。探索关于住房优先和个人安置和支持的实施和去实施尝试

研究表明，在实施新的循证实践 (EBP) 的组织中可能会出现变革阻力。正式和非正式的结构可能会保留传统的干预措施，可能会抵消实施过程。人们对取消传统做法以留出空间并加强 EBP 的实施知之甚少。本研究使用实施结构作为理论框架，旨在分析瑞典市政当局通过住房优先 (HF) 或个人安置和支持 (IPS) 干预计划为弱势客户提供支持的实施和取消实施因素。这项横断面研究基于数字调查，并从瑞典每个响应城市的三个组织级别收集描述性和定性数据。使用内容分析对描述性统计和定性文本进行分析。结果显示了 HF 和 IPS 的发生率、干预措施是否以及在何种程度上进一步发展，并部分描述了 HF 和 IPS 的组织环境。确定了对 HF 和 IPS 的实施产生负面影响的组织因素。HF 或 IPS 与瑞典健康保险办公室、社会服务和其他类似福利组织等组织之间的专业经验映射表明，实现 HF 和 IPS 需要扩大合作，