scholarly journals Empowering students to innovate health services: Teaching transferability of health interventions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Schloemer ◽  
P Schröder-Bäck
Keyword(s):  
Health Services ◽  
Implementation Research ◽  
Research Process ◽  
Practice Change ◽  
Practical Training ◽  
Master Program ◽  
Public Health Professionals ◽  
High Workload ◽  
Healthcare Professions ◽  
Different Populations

Abstract Background To improve the health of different populations, health systems need healthcare professionals who are able to innovate health services. In order to empower students from various healthcare professions to change health service practice in a sustainable way, a training was developed based on the PIET-T models of transferability (Schloemer & Schröder-Bäck, 2018). It was evaluated at three universities in Germany and the Netherlands. Objective The aims of the training were to enable students to: 1. Critically analyze existing evidence about successful and unsuccessful transfers of evidence-based interventions to specific “real-world” contexts (1 day), 2. Conduct an assessment of transferability with case studies using problem-based learning (1 day), 3. Practice implementation research in a healthcare organization (4 months, 4 hours/week). The training was evaluated through discussions, a written reflection and a questionnaire in order to understand students' learning experiences. Results Two bachelor programs for occupational, physical and speech therapists, and one master program for public health professionals took part from 09/2019 to 03/2020, including 66 students. Students valued the training as important, 73 % found it helpful for professional practice. They reflected various ideas how to use the PIET-T models for practice change. Although the implementation research process was perceived as high workload, students valued the experience of getting to know barriers and solutions in a practical setting. Conclusions The students of all programs value the practical relevance of teaching with profession-related specifications. Practical application of the PIET-T models opens up new approaches in teaching in order to educate knowledge on improvement of health services in different contexts. Key messages Empowering students to improve healthcare requires practical training. Training on transferability helps students develop skills for improvement of health services.

Future Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor
Keyword(s):  
Public Health ◽  
Health Services ◽  
Implementation Research ◽  
Clinical Care ◽  
Dissemination And Implementation ◽  
Public Health Services ◽  
Middle Income ◽  
Middle Income Countries ◽  
Dissemination And Implementation Research ◽  
The Many

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.

A kiskorú páciensek jogainak helyzete az erdélyi egészségügyi ellátásban

2018 ◽  
Vol 159 (11) ◽  
pp. 423-429
Author(s):  
Csanád Albert-Lőrincz
Keyword(s):  
Health Services ◽  
Pediatric Patients ◽  
Research Process ◽  
Fundamental Rights ◽  
Control Group ◽  
Vulnerable Children ◽  
Parents And Children ◽  
Communication Difficulties ◽  
The Right ◽  
Phd Thesis

Abstract: This study summarizes the results of the author’s PhD thesis presenting the research process and the most important findings regarding the situation of Transylvanian healthcare. Our data are based on the knowledge and compliance of pediatric patients’ rights as they are seen by healthcare specialists, parents and children. A number of 751 persons were involved in the research: 200 healthcare specialists, 200 parents, 200 children aged from 7 to 17 years who have been experiencing health services at least three times over the past year and a control group of 151 children who did not have this kind of experience. Based on our data, it was possible to highlight the major problems encountered in children’s healthcare. We found that children are treated by obsolete principles of medical practice despite the fact that the rights of pediatric patients are well known to doctors. Neither the parents nor the children themselves are sufficiently aware of their rights. Healthcare professionals are not prepared to overcome communication difficulties due to the age-specific characteristics of children, so the fundamental rights of children are just partially enforced: children are usually heard, but not properly informed, their medical decisions are usually not taken into account violating the right to self-determination. The chances to access adequate health services are lower for vulnerable children living in poverty. Orv Hetil. 2018; 159(11): 423–429.

Leading Policy and Practice Change During Unprecedented Times: The Nursing Health Services Research Response

2021 ◽  
Vol 12 (2) ◽  
pp. 56-60
Author(s):  
Hayley Germack ◽  
Michael Cary ◽  
Heather Gilmartin ◽  
Shirley Girouard ◽  
Tammie M. Jones ◽  
...  
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Practice Change ◽  
Policy And Practice ◽  
Services Research ◽  
Nursing Health

Developing a Mental Health Resource for Consumers

1997 ◽  
Vol 3 (4) ◽  
pp. 40
Author(s):  
Deborah Saltman ◽  
Bronwyn Veale ◽  
Gina Bloom
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
Personal Development ◽  
Research Process ◽  
Consumer Information ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Resource

Little is known about how consumers select mental health providers. In the literature there is an absence of information to assist consumers and referral agencies including general practitioners, in making informed choices. This paper reports the research process undertaken to develop such a resource. Interviews were conducted with representatives from a variety of groups identified by consumers and providers as supplying mental health services, including: general practitioners, psychiatrists, psychologists, social workers, Relationships Australia (NSW), Alcoholics Anonymous (AA), postnatal depression self-help groups, Lifeline, the Gay and Lesbian Counselling Service of NSW, spiritual healers, and, consumer consultants. The interviews covered issues of cost, type of services provided, goals of management, limitations of therapy, consumer information about the process, sessions, therapist credentials, training, background and experience, professional and personal development, quality assurance, research, referral, access, and confidentiality. Indicators for ascertaining effectiveness of the therapist's work were also delineated. Although there was a great deal of similarity in views concerning the nature of therapy held by a range of providers of mental health services, differences of approach did emerge that need to be brought to the awareness of consumers. Comparing responses of mental health providers to the same questions allows other issues such as priorities and access to be gauged by comparing these responses. The strength of this approach is that it allows the presentation of information in a manner that allows consumers to make comparisons and choices based on information obtained in a context similar to the therapeutic situation.

scholarly journals Interaction and innovation: practical strategies for inclusive consumer-driven research in health services

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031555 ◽  
Author(s):  
Maria R Dahm ◽  
Anthony Brown ◽  
Dean Martin ◽  
Maureen Williams ◽  
Brian Osborne ◽  
...  
Keyword(s):  
Data Analysis ◽  
Health Services Research ◽  
Health Services ◽  
Research Design ◽  
Research Process ◽  
Consumer Involvement ◽  
Consumer Engagement ◽  
Services Research ◽  
Active Involvement ◽  
The Impact

IntroductionDespite advances in the co-creation of clinical research involving consumers in the last few decades, consumer engagement in health services research generally remains inconsistent and is too often treated as a perfunctory exercise.ObjectiveDrawing on a health services study on diagnostic test result management, communication and follow-up, we: (1) outline practical strategies used to enhance the contribution of health consumer representatives across all stages of health services research, including active involvement in prioritising objectives for data analysis and participating in data analysis and the dissemination of findings; and (2) describe the impact of continued engagement of consumers on the programme of research, the interpretation of findings and their translational potential.Key innovationsKey enabling innovations for engagement included: (1) planned opportunities for long-term consumer involvement across all stages of the research process from conception to dissemination; (2) enhanced consumer engagement capacity; (3) purposeful recruitment of appropriately trained consumers; (4) provision of support structures for active consumer involvement in research design, analysis and write-up; and (5) financial support for consumer involvement.Impact/ConclusionEnhancing consumer contribution and establishing inclusive research design requires a negotiated, interactive, meaningful and transparent process. As a collaborative approach, consumer-driven research involvement offers opportunities for new, often unexpected or unexplored perspectives to feature across the whole research process. In a move away from tokenistic consumer involvement, consumers and researchers who participated in this novel and immersive research project identified inclusive research as a powerful tool to enhance health services research and its translation into effective policy.

scholarly journals Taking the pulse of the health services research community: a cross-sectional survey of research impact, barriers and support

2020 ◽  
Vol 44 (1) ◽  
pp. 160
Author(s):  
Elizabeth A. Fradgley ◽  
Jon Karnon ◽  
Della Roach ◽  
Katherine Harding ◽  
Laura Wilkinson-Meyers ◽  
...  
Keyword(s):  
New Zealand ◽  
Health Service ◽  
Health Services ◽  
Goodness Of Fit ◽  
Well Being ◽  
Practice Change ◽  
Service Research ◽  
Research Experience ◽  
Cross Sectional Survey ◽  
Service Staff

Objective This study reports on the characteristics of individuals conducting health service research (HSR) in Australia and New Zealand, the perceived accessibility of resources for HSR, the self-reported impact of HSR projects and perceived barriers to conducting HSR. Methods A sampling frame was compiled from funding announcements, trial registers and HSR organisation membership. Listed researchers were invited to complete online surveys. Close-ended survey items were analysed using basic descriptive statistics. Goodness of fit tests determined potential associations between researcher affiliation and access to resources for HSR. Open-ended survey items were analysed using thematic analysis. Results In all, 424 researchers participated in the study (22% response rate). Respondents held roles as health service researchers (76%), educators (34%) and health professionals (19%). Most were employed by a university (64%), and 57% held a permanent contract. Although 63% reported network support for HSR, smaller proportions reported executive (48%) or financial (26%) support. The least accessible resources were economists (52%), consumers (49%) and practice change experts (34%); researchers affiliated with health services were less likely to report access to statisticians (P<0.001), economists (P<0.001), librarians (P=0.02) and practice change experts (P=0.02) than university-affiliated researchers. Common impacts included conference presentations (94%), publication of peer-reviewed articles (87%) and health professional benefits (77%). Qualitative data emphasised barriers such as embedding research culture within services and engaging with policy makers. Conclusions The data highlight opportunities to sustain the HSR community through dedicated funding, improved access to methodological expertise and greater engagement with end-users. What is known about the topic? HSR faces several challenges, such as inequitable funding allocation and difficulties in quantifying the effects of HSR on changing health policy or practice. What does this paper add? Despite a vibrant and experienced HSR community, this study highlights some key barriers to realising a greater effect on the health and well-being of Australian and New Zealand communities through HSR. These barriers include limited financial resources, methodological expertise, organisational support and opportunities to engage with potential collaborators. What are the implications for practitioners? Funding is required to develop HSR infrastructure, support collaboration between health services and universities and combine knowledge of the system with research experience and expertise. Formal training programs for health service staff and researchers, from short courses to PhD programs, will support broader interest and involvement in HSR.

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