scholarly journals Promoting evidence-based practice in population health at the local level: a case study in workforce capacity development

2007 ◽  
Vol 31 (3) ◽  
pp. 422 ◽  
Author(s):  
Michelle L Maxwell ◽  
Armita Adily ◽  
Jeanette E Ward
Keyword(s):  
Population Health ◽  
Workforce Development ◽  
Evidence Based Practice ◽  
Local Level ◽  
Evidence Based ◽  
Innovative Strategies ◽  
Department Of Health ◽  
South Wales ◽  
Development Resource ◽  
Evidence Of Impact

This paper describes a service-based initiative to enhance capacity for evidence-based practice (EBP) in the South Western Sydney Area Health Service Division of Population Health. A working group planned an organisational response to a customised EBP needs assessment using the New South Wales Department of Health?s framework for capacity building focussing on five key action areas; organisational development, workforce development, resource allocation, leadership and partnerships. Innovative strategies to promote EBP were developed and implemented and on-site training programs that targeted specific groups of staff were conducted. Because there was commitment and leadership from senior staff for the initiative, a comprehensive approach to building capacity for EBP in population health was possible. Evidence of impact needs to be collected in the future.

Developing evidence-based practice in population health at the local level: Qualitative insights can complement quantitative needs assessment.

2005 ◽  
Vol 11 (2) ◽  
pp. 96
Author(s):  
Armita Adily ◽  
Wendell Peacock ◽  
Jeanette Ward
Keyword(s):  
Needs Assessment ◽  
Population Health ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Local Level ◽  
Evidence Based ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Regional Population ◽  
Change Culture

In Australia, momentum has been steadily increasing to strengthen evidence-based policy and practice in population health, yet very little research has been reported that helps managers of population health services to change culture and reward an evidence-based approach. We had previously conducted a quantitative needs assessment with a regional population health workforce in Sydney. We then designed a complementary qualitative study to ensure that we understood underlying dimensions and perceptions. We analysed textual material and also conducted semi-structured interviews with 12 staff who were purposefully sampled. Not only was the value of qualitative enquiry recognised by staff as a complement to the previous quantitative needs assessment, we also discovered positive and negative views about the current promotion of evidence-based practice (EBP) and novel ways to overcome barriers and build capacity, including the development of core competencies, that has subsequently occurred. Furthermore, our contextualised assessment of local constructions of EBP also revealed underpinning tensions that will likely confront others who seek to build greater capacity for EBP in primary care.

Barriers to Psychologists’ Adherence to Evidence-Based Practice Guidelines for Treating Musculoskeletal Injuries Within the State Insurance Regulatory Authority Compensation Schemes

2019 ◽  
Vol 14 ◽  
Author(s):  
Tahira Haider ◽  
Debra A. Dunstan
Keyword(s):  
Regulatory Authority ◽  
Evidence Based Practice ◽  
The State ◽  
Musculoskeletal Injuries ◽  
Future Research ◽  
Evidence Based ◽  
Text Data ◽  
Face To Face ◽  
South Wales ◽  
Key Issues

AbstractObjectives:The use of evidence-based practice (EBP) guidelines by psychologists working within the State Insurance Regulatory Authority (SIRA) compensation schemes for treating musculoskeletal injuries has been found to vary. The aim of this study was to qualitatively explore psychologists’ perceived barriers to adhering with EBP guidelines implemented by the New South Wales (NSW) SIRA.Methods:Registered psychologists (n= 20) working within the NSW SIRA compensation schemes participated in four focus groups conducted face-to-face (F2F) and online. Participants’ responses were audiotaped, transcribed verbatim and entered into NVivo 11 software. Text data were analysed to identify recurrent themes within and across groups (metropolitan, regional and rural).Results:Thematic analysis revealed three key issues: (a) a lack of trust in the validity of the recommended EBP guidelines; (b) lack of knowledge of the psychologist’s role in this context and insufficient skills to fully apply the guidelines, protocols and procedures; and (c) a poor fit between EBP guidelines, client presentations and circumstances, and the SIRA compensation schemes.ConclusionThe findings showed that both individual practitioner variables and contextual barriers influenced adherence to EBP. Practical implications for future research include generating recommendations to overcome the identified barriers using a collaborative approach between policymakers, researchers and practitioners.

scholarly journals Proposal of a Holistic Model to Support Local-Level Evidence-Based Practice

2010 ◽  
Vol 10 ◽  
pp. 1520-1529
Author(s):  
Said Shahtahmasebi ◽  
Luis Villa ◽  
Helen Nielsen ◽  
Hilary Graham-Smith
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Evidence Based Practice ◽  
Local Level ◽  
Policy Formation ◽  
Decision Makers ◽  
Evidence Based ◽  
Holistic Model ◽  
Local Evidence ◽  
External Evidence

In response to a central drive for evidence-based practice, there have been many research support schemes, setups, and other practices concentrating on facilitating access to external research, such as the Centre for Evidence Based Healthcare Aotearoa, the Cochrane Collaboration, and the York Centre for Reviews and Dissemination. Very little attention has been paid to supporting internal research in terms of local evidence and internal research capabilities. The whole evidence-based practice movement has alienated internal decision makers and, thus, very little progress has been made in the context of evidence informing local policy formation. Health and social policies are made centrally based on dubious claims and often evidence is sought after implementation. For example, on record, most health care practitioners appear to agree with the causal link between depression and mental illness (sometimes qualified with other social factors) with suicide; off the record, even some psychiatrists doubt that such a link is applicable to the population as a whole. Therefore, be it through misplaced loyalty or a lack of support for internal researchers/decision makers, local evidence informing local decision making may have been ignored in favour of external evidence. In this paper, we present a practical holistic model to support local evidence-based decision making. This approach is more relevant in light of a new approach to primary health care of “local knowledge” complementing external evidence. One possible outcome would be to network with other regional programmes around the world to share information and identify “best” practices, such as the “Stop Youth Suicide Campaign”(www.stopyouthsuicide.com).

scholarly journals Enhancing evidence-based practice in population health: staff views, barriers and strategies for change

2005 ◽  
Vol 29 (4) ◽  
pp. 469 ◽  
Author(s):  
Armita Adily ◽  
Jeanette E Ward
Keyword(s):  
Population Health ◽  
Response Rate ◽  
Evidence Based Practice ◽  
Health Workers ◽  
Professional Staff ◽  
Health Staff ◽  
Evidence Based ◽  
Study Objective ◽  
Strategies For Change ◽  
Area Health

Study objective: To determine barriers and enablers for evidence-based practice (EBP) in population health and potential strategies for change. Design: Self-administered survey of 104 professional staff (response rate, 73%) in the Division of Population Health, South Western Sydney Area Health Service in NSW serving a disadvantaged urban population. Main results: Most respondents (80%) ?strongly agreed? or ?agreed? that EBP would improve the effectiveness of their efforts in a disadvantaged region. However, more than half of respondents (56%) ?strongly agreed? or ?agreed? that there is lack of evidence for interventions in population health. Eighty two per cent of respondents ?strongly agreed? or ?agreed? that training in EBP is important for all population health workers. Those who used evidence also needed a greater capacity to discriminate ?good? from ?bad? research (85% in agreement). Contradictory policy was cited by one third of respondents as acting against EBP.

scholarly journals Building capacity: getting evidence-based practice into healthcare professional curricula

2020 ◽  
pp. bmjebm-2020-111385
Author(s):  
Elaine Lehane ◽  
Heloise Agreli ◽  
Simone O' Connor ◽  
Josephine Hegarty ◽  
Patricia Leahy Warren ◽  
...  
Keyword(s):  
Professional Training ◽  
Evidence Based Practice ◽  
Implementation Strategies ◽  
Clinical Effectiveness ◽  
Competency Framework ◽  
Empirical Literature ◽  
Evidence Based ◽  
Education Standards ◽  
Department Of Health ◽  
Health And Social Care

Fostering a culture of clinical effectiveness in healthcare is crucial to achieving optimum outcomes for patients. Evidence-based practice (EBP) is a cornerstone of clinical effectiveness. An EBP capacity-building project commenced in Ireland in 2016, in collaboration with the Centre of Evidence-Based Medicine in Oxford. A key part of this project, reported here, was the development of a competency framework for education in EBP and clinical effectiveness to ensure responsiveness of education standards and curricula of healthcare professionals in this area.MethodsFollowing a review of national and international reports, professional guidance documents and empirical literature pertaining to clinical effectiveness education (CEE), a preliminary competency framework was developed. Stakeholder consultations were conducted over a 6-month period, which consisted of 13 focus groups (n=45) and included representatives from clinical practice, higher education and professional training sectors, regulator/accrediting bodies, the Department of Health (Ireland) and patient/service user groups.ResultsAn overarching interprofessional competency framework for CEE was proposed and included the following domains: EBP, quality improvement processes, implementation strategies and collaborative practice: a total of 16 competencies and 60 indicators.ConclusionA competency framework for CEE for health and social care professionals is presented. It is intended that this framework will provide guidance to healthcare educators and regulators in the construction and revision of curricula, learning outcomes, teaching and assessment strategies, and graduate/clinician attributes.

The EDIC Method: An Engaging and Comprehensive Approach for Creating Health Department Workforce Development Plans

2016 ◽  
Vol 18 (5) ◽  
pp. 688-695 ◽  
Author(s):  
Brandon L. Grimm ◽  
Kathleen Brandert ◽  
David Palm ◽  
Colleen Svoboda
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Medical Center ◽  
Local Level ◽  
Health Department ◽  
Training Needs ◽  
Workforce Training ◽  
Comprehensive Approach ◽  
Department Of Health ◽  
Development Plans

In 2013, the Nebraska Department of Health & Human Services, Division of Public Health (Nebraska’s State Health Department); and the University of Nebraska Medical Center, College of Public Health developed a comprehensive approach to assess workforce training needs. This article outlines the method used to assess the education and training needs of Division staff, and develop comprehensive workforce development plans to address those needs. The EDIC method (Engage, Develop, Identify, and Create) includes the following four phases: (1) Engage Stakeholders, (2) Develop Assessment, (3) Identify Training Needs, and (4) Create Development Plans. The EDIC method provided a process grounded in science and practice, allowed input, and produced buy-in from staff at all levels throughout the Division of Public Health. This type of process provides greater assurance that the most important gaps in skills and competencies will be identified. Although it is a comprehensive approach, it can be replicated at the state or local level across the country.

scholarly journals Developing an evidence-based practice healthcare lens for the SCONUL Seven Pillars of Information Literacy model

2013 ◽  
Vol 7 (1) ◽  
pp. 30 ◽  
Author(s):  
Michelle Dalton
Keyword(s):  
Information Literacy ◽  
Information Seeking ◽  
Evidence Based Practice ◽  
Local Level ◽  
Clinical Information ◽  
Health Science ◽  
Evidence Based ◽  
User Groups ◽  
Information Landscape ◽  
The Impact

The SCONUL Seven Pillars of Information Literacy model was revised in 2011 to reflect the interpretation of information literacy in today’s environment. Subsequently, a number of lenses have been developed to adapt the core model to different contexts and user groups. This study develops a lens that aims to reflect the unique information landscape and needs of evidence based practice (EBP) in healthcare. Healthcare professionals across medicine, nursing and allied health disciplines were interviewed to explore their understanding and awareness of the clinical information seeking process and behaviours. This information was then used to construct an EBP lens using familiar healthcare terminology and concepts. Health Science librarians can use this lens as a framework to inform the design and structure of information literacy programmes for clinical staff. Further insight may also be gained by measuring the impact and effectiveness of the lens on information literacy levels and practice at a local level.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

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