What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review

BACKGROUND Given the rapid digitization of health care and abundance of available data, there is a great interest in how to leverage these advancements into evidence-based practice. Algorithms and artificial intelligence have the potential to improve health care, reduce costs, and contribute to evidence-based practice. An in-depth examination of the available evidence is needed to elucidate the cost-effectiveness of algorithms and AI techniques applied in health care. OBJECTIVE The goal of this scoping review will be to map the literature on the cost-effectiveness of algorithms and AI techniques applied in health care. The current review protocol provides an overview of the steps taken to complete the review. METHODS The PRISMA-Scoping Review checklist will be used to guide the reporting of the scoping review. Three main concepts include: 1) health care costs; 2) algorithms and AI techniques; and 3) cost-effectiveness analysis. The following databases will be used: PubMed, Scopus, ACM Digital Library, IEEE, Google Scholar, Econlit, OpenGrey, and ProQuest Dissertations and Theses. Two researchers (SA and RHL) will independently screen the titles, abstracts, and full texts, while a third researcher (PS) will negotiate any discrepancies, until consensus is reached. RESULTS Article retrieval, data extraction, and interpretation are currently underway. CONCLUSIONS Findings from the review may provide invaluable insights on the cost-effectiveness of algorithms and AI techniques applied in health care. Given that health care dollars are scarce, it is important to know which algorithms and AI techniques are worth the upfront investments. As a result, decision-makers will be able to identify which algorithms or AI technique would be of value for their specific context. This review will also identify key knowledge gaps in the literature and will provide next steps for future research. CLINICALTRIAL Not applicable - this is a scoping review.

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APA task force recommends dissemination of evidence-based practice to address gaps in mental health care for children and adolescents

PsycEXTRA Dataset ◽

10.1037/e516702012-001 ◽

2008 ◽

Author(s):

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Children And Adolescents ◽

Evidence Based Practice ◽

Task Force ◽

Evidence Based

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Building capacity for implementation—the KT Challenge

Implementation Science Communications ◽

10.1186/s43058-021-00186-x ◽

2021 ◽

Vol 2 (1) ◽

Author(s):

Agnes T. Black ◽

Marla Steinberg ◽

Amanda E. Chisholm ◽

Kristi Coldwell ◽

Alison M. Hoens ◽

...

Keyword(s):

Health Care ◽

Patient Care ◽

Health Care Professionals ◽

Qualitative Data ◽

Practice Change ◽

Evidence Based ◽

Science Literature ◽

Health Care Settings ◽

Improvement Programs ◽

The Impact

Abstract Background The KT Challenge program supports health care professionals to effectively implement evidence-based practices. Unlike other knowledge translation (KT) programs, this program is grounded in capacity building, focuses on health care professionals (HCPs), and uses a multi-component intervention. This study presents the evaluation of the KT Challenge program to assess the impact on uptake, KT capacity, and practice change. Methods The evaluation used a mixed-methods retrospective pre-post design involving surveys and review of documents such as teams’ final reports. Online surveys collecting both quantitative and qualitative data were deployed at four time points (after both workshops, 6 months into implementation, and at the end of the 2-year funded projects) to measure KT capacity (knowledge, skills, and confidence) and impact on practice change. Qualitative data was analyzed using a general inductive approach and quantitative data was analyzed using non-parametric statistics. Results Participants reported statistically significant increases in knowledge and confidence across both workshops, at the 6-month mark of their projects, and at the end of their projects. In addition, at the 6-month check-in, practitioners reported statistically significant improvements in their ability to implement practice changes. In the first cohort of the program, of the teams who were able to complete their projects, half were able to show demonstrable practice changes. Conclusions The KT Challenge was successful in improving the capacity of HCPs to implement evidence-based practice changes and has begun to show demonstrable improvements in a number of practice areas. The program is relevant to a variety of HCPs working in diverse practice settings and is relatively inexpensive to implement. Like all practice improvement programs in health care settings, a number of challenges emerged stemming from the high turnover of staff and the limited capacity of some practitioners to take on anything beyond direct patient care. Efforts to address these challenges have been added to subsequent cohorts of the program and ongoing evaluation will examine if they are successful. The KT Challenge program has continued to garner great interest among practitioners, even in the midst of dealing with the COVID-19 pandemic, and shows promise for organizations looking for better ways to mobilize knowledge to improve patient care and empower staff. This study contributes to the implementation science literature by providing a description and evaluation of a new model for embedding KT practice skills in health care settings.

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Psychometric Testing of the Health Care Evidence-Based Practice Assessment Tool

Journal of Nursing Measurement ◽

10.1891/1061-3749.23.3.485 ◽

2015 ◽

Vol 23 (3) ◽

pp. 485-498

Author(s):

Martha R. Sleutel ◽

Celestina Barbosa-Leiker ◽

Marian Wilson

Keyword(s):

Health Care ◽

Content Validity ◽

Assessment Tool ◽

Evidence Based Practice ◽

Factor Model ◽

Psychometric Testing ◽

Evidence Based ◽

Validity And Reliability ◽

Health Care Outcomes ◽

Optimal Health

Background and Purpose: Evidence-based practice (EBP) is essential to optimal health care outcomes. Interventions to improve use of evidence depend on accurate assessments from reliable, valid, and user-friendly tools. This study reports psychometric analyses from a modified version of a widely used EBP questionnaire, the information literacy for nursing practice (ILNP). Methods: After content validity assessments by nurse researchers, a convenience sam ple of 2,439 nurses completed the revised 23-item questionnaire. We examined internal consistency and used factor analyses to assess the factor structure. Results: A modified 4-factor model demonstrated adequate fit to the data. Cronbach’s alpha was .80–.92 for the subscales. Conclusions: The shortened ILNP (renamed Healthcare EBP Assessment Tool or HEAT) demonstrated adequate content validity, construct validity, and reliability.

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Evidence-Based Practice in Primary Health Care From The Managerial Point of View: – A National Survey

10.21203/rs.3.rs-62937/v1 ◽

2020 ◽

Author(s):

Tobias Abelsson ◽

Helena Morténius ◽

Ann-Kristin Karlsson ◽

Stefan Bergman ◽

Amir Baigi

Keyword(s):

Health Care ◽

Primary Health Care ◽

National Survey ◽

Evidence Based Practice ◽

Direct Result ◽

Evidence Based ◽

Care Organization ◽

Health Care Managers ◽

Care Managers ◽

Primary Health

Abstract Background: The vast availability of and demand for evidence in modern primary health care forces clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary health care managers play a key role in implementing these governing documents. Thus, the aim of this article was to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary health care managers.Methods: The study utilized a quantitative method based on a national survey of primary health care managers. The study population was recruited nationally from Sweden and consisted of 186 respondents. The data were analysed using empirically constructed themes and validated using factor analysis. To determine the statistical significance in making comparisons, the chi-square test was utilized. Associations between variables were calculated using Spearman’s correlation. All tests were two-sided, and the significance level was set to 0.05.Results: A majority (97%) of managers stated there was an impact of guidelines and policy documents on primary health care; 84% of managers could see a direct influence in daily practices. Most of the managers (70%) stated that some adaptation had to be made when new evidence was introduced. The managers emphasised the importance of keeping themselves updated and open to new information about work routines (96%). Conclusions: Evidence-based practice has a fundamental impact on Swedish primary health care. The study illustrated a nearly unanimous response about evidence influencing daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date can be seen as a direct result of this. An information-dense organization such as a primary health care organization would have much to gain from cooperation with regional information resources such as clinical libraries.Trial registration: Not applicable.

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Sykepleiestudenters læringsutbytte belyst gjennom to kunnskapsbaserte samarbeidsprosjekter. Fagutviklingsarbeid med studenter i hjemmesykepleiepraksis

Nordisk tidsskrift for helseforskning ◽

10.7557/14.3720 ◽

2015 ◽

Vol 11 (2) ◽

pp. 163

Author(s):

Bente Bjørsland ◽

Reidun Hov

Keyword(s):

Health Care ◽

Palliative Care ◽

Pain Relief ◽

Health Services ◽

Learning Outcomes ◽

Evidence Based Practice ◽

Health Workers ◽

Evidence Based ◽

Next Of Kin ◽

Evaluation Form

Health services are constantly met by greater demands on offering the best treatment and care based on quality and research. For that reason health workers and teachers in health care institutions and universities are working evidence-based. Hedmark University College and Hamar municipality have collaborated in two projects. The aim of this article is to illuminate the students’ learning outcomes in palliative care after participated in two evidence-based projects. Different written guides for conversations with patients, next of kin and staff, a log-book and an evaluation form were developed. Results show that the students learned about the significance of continuity in patients’ pain relief, spiritual and existential needs, and about palliative care in the municipality. The students concluded that they in some areas experienced greater learning outcomes from working with evidence-based practice than in their ordinary practice in the municipality.

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