The use of an impact framework to evaluate the impact of research on policy and practice: Screening questionnaires for intellectual disability

2020 ◽  
Author(s):  
Karen McKenzie ◽  
Aja Murray ◽  
George Murray ◽  
Rachel Martin

Abstract There is an increasing emphasis on the importance of research having an impact on policy and practice. This can be more difficult to evidence in intellectual disability services because of the wide range of stakeholders involved. We evaluated whether an impact questionnaire covering: knowledge production, capacity building, informing policy and practice, social and economic benefits could successfully be used to evaluate the impact of research into and use of two screening questionnaires: the Learning Disability Screening Questionnaire (LDSQ) and Child and Adolescent Intellectual Disability Screening Questionnaire (CAIDS-Q). We conducted an online search for published peer reviewed and grey literature, and Internet resources that referenced LDSQ and/or CAIDS-Q. The resultant literature and resources were assessed for relevance and organized according to the categories outlined in the impact questionnaire. Evidence was found for all the areas of impact, with the largest body of evidence being in relation to informing policy and practice and social benefits and the least for economic benefits. The impact questionnaire provided the basis for a comprehensive and useful evaluative framework to assess impact, although there was some overlap between the different categories. The process of using it highlighted some wider issues to consider when attempting to evaluate impact. The results indicated that the research underpinning the LDSQ and CAIDS-Q had resulted in significant, generally positive, and wide-reaching impact on policy and practice in intellectual disability and other services, resulting in a number of positive outcomes.

2019 ◽  
Vol 35 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Allysa L. Ciancio ◽  
Raza M. Mirza ◽  
Amy A. Ciancio ◽  
Christopher A. Klinger

Context: Though palliative sedation has been recognized as an acceptable practice in Canada for many years now, there is a lack of clinical research and guidelines pertaining to its use as a treatment of existential refractory symptoms in the terminally ill. Objectives: This scoping review aimed to survey the literature surrounding palliative sedation and existential suffering and to inform research, policy, and practice. Methods: To address the main research question: Is palliative sedation an acceptable intervention to treat existential refractory symptoms in adults aged 65 and older? a scoping review following Arksey and O’Malley’s framework was performed, spanning electronic databases of the peer reviewed and grey literature. Articles were screened for inclusion, and a thematic content analysis allowed for a summary of key findings. Results: Out of 427 search results, 71 full text articles were obtained, 20 of which were included. Out of these articles, four themes were identified as key findings. These included: (1) Ethical considerations; (2) The role of the health care provider; looking specifically at the impact on nurses; (3) The need for multidisciplinary care teams; and (4) Existential suffering’s connection to religiosity and spirituality. Conclusion: Palliative sedation to treat existential refractory symptoms was labelled a controversial practice. A shortage of evidence-based resources limits the current literature’s ability to inform policy and clinical practice. There is a need for both qualitative and quantitative multi-center research so health care professionals and regional-level institutions have firm roots to establish proper policy and practice.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Delnord ◽  
F Tille ◽  
L A Abboud ◽  
D Ivanković ◽  
H Van Oyen

Abstract Background The optimal use of data and evidence from national health information systems is paramount in public health. However, current tools to evaluate health information systems focus on data quality and availability rather than measuring how data are used by key stakeholders. This limits capacity to monitor the impact of evidence on health care management and health policy making. Methods Based on an extensive literature review we developed a new model, the Health Information (HI)-Impact framework, to monitor the impact of health information in health policy and practice. We further conducted a web-based Delphi survey between February and April 2019 among European public health professionals working in health policy, health care, research, and health monitoring to develop the HI-Impact Index. Results In the HI-Impact framework, four domains are essential for mapping public health data availability, dissemination, and use: (1) Health Information and Evidence Quality, (2) Health Information System Responsiveness, (3) Stakeholder Engagement, and (4) Knowledge Integration. This last domain has a broader reach on the determinants of health and reflects the use of evidence by community partners and across sectors. In the DELPHI survey, 127 experts from 38 European countries selected 30 criteria to integrate in the HI-Impact Index. This tool could be used by European public health agencies to monitor the impact of their information products, and inform national strategies for evidence-based public health. Conclusions It is crucial for routine health information systems to create a culture of accountability in the use of evidence. Data on the determinants and consequences of ill-health as well as stakeholder engagement in leveraging evidence for intervention are explicit points to consider for a full quality assessment of national health information systems, and a sustainable impact on health outcomes.


2018 ◽  
Vol 24 (4) ◽  
pp. 529-543 ◽  
Author(s):  
Jim Townsend ◽  
M. Affan Badar

Purpose Reciprocating compressors offer an efficient method of compressing almost any gas composition in a wide range of pressures and have numerous applications. Condition monitoring of critical rotating machinery is widely accepted by operators of centrifugal compressors. However, condition monitoring of reciprocating machinery has not received the same degree of acceptance. An earlier study (Townsend et al., 2016) was conducted on temperature monitoring. The purpose of this paper is to examine the impact of continuous pressure monitoring on electric-driven compressors. Design/methodology/approach This research analyzes the impact of continuous pressure monitoring on a fleet of 14 compressors transporting CO2 for enhanced oil recovery. The reliability and efficiency data on 14 reciprocating compressors over a three-year period were analyzed for failures detectable by the condition monitoring technology. The engineering economic analysis is presented to determine the impact this technology will have on the productivity of the compressors. Findings The study considers utilizing condition monitoring technology to analyze the pressure of the swept volume of the compressor cylinders. The results of the study indicate that continuous pressure monitoring technology has a strong impact on the productivity of the compressor fleet. The internal rate of return not only exceeds the operators hurdle rate, but the payback period is also dramatic. Pressure monitoring was found to be economically better than temperature monitoring. Originality/value The study reveals the economic benefits of implementing condition monitoring in the form of continuous pressure monitoring on reciprocating compressors.


2005 ◽  
Vol 29 (2) ◽  
pp. 44-52 ◽  
Author(s):  
Karen Winter ◽  
Olivia Cohen

In the area of child care policy and practice, the benefits for children who are separated from their birth parents of maintaining some form of connection with their family of origin is now widely accepted. The arguments in support of this are found mainly in research concerning adoption and stem from four inter-related themes: children's rights to know of their heritage and background; parents' rights to information about the well-being of their children; the benefits of having knowledge about origins; and concerns about the impact of not knowing. The effects on the developing identities of those who, for various reasons, are unlikely ever to know the details of their birth parent(s) is an under-researched issue. Karen Winter and Olivia Cohen use a case study to illustrate some of the gaps concerning knowledge in this area. They argue that there is much to be learnt from the development of research projects which have as their focus the accounts of children and young people, from a wide range of care arrangements, regarding identity issues where they have no connections with or knowledge about their birth parent(s).


Author(s):  
Jiang Junjing

Based on a wide range of sources, the article analyzes the impact of China's trade and economic relations with the United States. Several periods of interaction between countries after the end of World War II are considered. Special attention is paid to the period of restoration of diplomatic relations since 1979. Based on various sources and historiography, the author analyzes the researchers' points of view on the impact of economic issues on the relations between the two countries. In the course of the research, the author came to the conclusion that an important aspect in the direction of the foreign economic policy of the People’s Republic of China in the first post-war years was the ideological factor. The article presents an analysis of changes in the vector of China's foreign policy in different periods. The main ways of interaction between the United States and China are described, depending on changing foreign policy doctrines. The reforms launched in 1978 provided China with economic growth and a growing prestige on the world stage, which is still present today. The rapprochement between the United States and China after the collapse of the Soviet Union in 1991 brought certain economic benefits for the two countries. However, the aggravation of relations between the countries in the new Millennium provides an opportunity for new assessments of the PRC's position on the world stage. Trump’s coming to power in the United States is regarded as an economic war between the two countries. China's increased investment capacity and technological independence make it an attractive partner for other countries, which in turn has a negative impact on trade with America. The most important thing in this situation is the fact that the globalization of the world economy caused by scientific and technological progress, including the rather close interweaving of the US and Chinese economies, contradicts the national interests of both countries, which are trying to strengthen their positions and role in the world economy. Based on the analyzed material, the author comes to the conclusion that recently the foreign policy relations between China and the United States directly depend on the economic interests of the parties.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S242-S243
Author(s):  
Hongying Chen ◽  
Michael Devine ◽  
Waqar Khan ◽  
Iqbal Z Khan ◽  
Ronan P Waldron ◽  
...  

AimsPsychiatric disorders are increasingly prevalent and present as a comorbidity in many hospitalized patients. Studies have demonstrated that the presence of comorbid psychiatric conditions (CPC) is associated with worsened inpatient outcomes. Emergency surgical admissions and the impact of CPC on their outcomes has not been studied in Ireland to date. This study aims to provide a comprehensive analyses of the relationship between a wide range of psychiatric comorbidities and surgical presentations.MethodThe Hospital In-Patient Enquiry (HIPE) and prospectively maintained electronic patient records were used to identify all surgical emergency admissions between 31st August 2019 and 1st September 2020 to Mayo University Hospital, Ireland. Patient demographics, comorbidities, primary diagnoses, length of stay (LoS), discharge destination, and surgical interventions were recorded. Subgroup analyses were performed examining LoS variation in the type of surgical presentation. Physical comorbidities were scored using the Charlson Comorbidity Index (CCI). Statistical calculations were performed using SPSS.ResultA total of 995 admissions were recorded. The presence of CPC increased the overall mean LoS by 1.9 days (p = .002). This trend was observed in both operative and conservative management. Significant increase in LoS was noted in patients with a comorbid depression (2.4 days, p = .003), dementia (2.8 days, p = .019), and intellectual disability (6.7 days, p = .007). Subgroup analysis revealed greater LoS in patients with CPC diagnosed with non-specific abdominal pain (1.4 days, p = .019), skin and soft tissue infections (2.5 days, p = .040), bowel obstruction (4.3 days, p = .047), and medical disorders (18.6 days, p = .010). The odds of nursing home or convalescence as a discharge destination was 2.44 (95% CI: 1.37–4.35, p = 0.002) in patients with CPC and the odds of self-discharge against medical advice in this population was 4.89 (95% CI: 1.43–16.70, p = 0.005). No significant difference was observed in mortality and readmission rates.ConclusionPsychiatric comorbidities significantly impact length of hospital stay and influence discharge planning in surgical inpatients. Greater vigilance is required in providing care for patients with psychiatric comorbidities, particularly those with depression, dementia and intellectual disability. Better optimisation of facilities and a more personalised approach to patients with CPC are required to improve inpatient outcomes and resource allocation.


2021 ◽  
Author(s):  
Bey-Marrié Schmidt ◽  
Sara Cooper ◽  
Taryn Young ◽  
Nasreen S Jessani

Abstract BackgroundKnowledge translation platforms (KTPs) are intermediary organisations, initiatives or networks whose intent is to bridge the evidence into action divide. Strategies and tools include collaborative knowledge production, capacity building, information exchange and dialogue to facilitate relevant and timely engagement between researchers and decision-makers and other relevant stakeholders. With the wide range of definitions and descriptions of KTPs, there is a need to (a) provide a nuanced understanding of characteristics of KTPs and (b) assess and consolidate research methods used in mapping and evaluating KTPs to inform standardised process and impact evaluation. MethodsThis scoping review will follow the recommended and accepted methods for scoping reviews and reporting guidelines. Eligibility for inclusion is: any conceptual or empirical health-related qualitative, quantitative and/or mixed method studies including (a) definitions, descriptions and models or frameworks of KTPs (including those that do not self-identify as KTPs, e.g. university research centres) and (b) research methods for mapping and/or evaluating KTPs. Searches will be carried out in PubMed, Scopus, CINAHL, EMBASE, Global Health and Web of Science using search terms and synonyms for ‘knowledge translation platform’ and ‘evidence-informed decision-making’, without any date, language or geographic restrictions. Two reviewers will independently screen titles and abstracts. One reviewer will complete data extraction for all included studies, and another will check a sample of 50% of the included studies. All reviewers will be involved in the analysis process. The analysis and synthesis will provide: (a) an understanding of the various characteristics of KTPs; b) insight into characteristics or factors that make them resilient and/or adaptive to facilitate impact (i.e. influence policy and practice); and (c) an overview of the different methods for mapping and evaluating KTPs.DiscussionResults of the three aims above, will permit us to explore enhancing an existing matrix or framework for classifying KTPs or perhaps even developing a new framework for identifying and monitoring KTPs if necessary and relevant. This would be a helpful first step in establishing as well as evaluating KTPs.


Women are at the heart of civil society organisations. Through them they have achieved many successes, challenged oppressive practices at local and global levels and have developed outstanding entrepreneurial activities. Yet CSO research tends to ignore considerations of gender and the rich history of activist feminist organisations is rarely examined. This anthology examines the nexus between the emancipation of women, and their role(s) in these organisations. Featuring contrasting studies from a wide range of contributors from different parts of the world, it covers emerging issues such as the role of social media in organising, the significance of religion in many cultural contexts, activism in Eastern Europe and the impact of environmental degradation on women’s lives. Asking whether involvement in CSOs offers a potential source of emancipation for women or maintains the status quo, this anthology will also have an impact on policy and practice in relation to equal opportunities.


Author(s):  
Josef Abrhám ◽  
Milan Vošta ◽  
Peter Čajka ◽  
Filip Rubáček

Purpose. This paper evaluates the involvement of three selected agricultural commodities (rice, coffee and soya) in international trade. The aim is to analyze the specification of foreign trade in selected commodities and assess their different significance between representations in domestic markets and exports. This article will also assess other contexts related to international trade in these three commodities, including the negative effects on their trade. Based on the set goal, a research question was asked which evaluates the different position of the examined agricultural commodities on world export markets in relation to domestic consumption. Methodology / approach. The theoretical anchoring of the issue under study are the approaches taken to international economic relations with the emphasis on the specific features of agricultural trade. The methodological framework of the present study is based on the systematic analysis of the spatial distribution of production capacities, the territorial analysis of exports and imports within the world agricultural market and qualitative evaluation of the specifics of selected export commodities and their role in the economy of countries, including labour market importance and in the possibilities of their use. Results. The paper presents the results of the involvement of the rice, coffee and soya in international trade analysis. Most rice production is consumed on domestic markets. Unlike rice, most of the coffee produced is exported and less is consumed within the growing countries themselves. Although domestic coffee consumption is increasing, more than 70% of world production is exported. Soya bean production has increased significantly over the past 50 years as a result of the rising demand for animal feedstuff and biofuels. Almost three quarters of soya bean production is consumed as feedstuff. Originality / scientific novelty. The main contribution of the article is in the application level the elaboration of a comparative view of three selected agricultural commodities. At the theoretical level of the study, it represents a contribution to the discussion within the approaches to the organization of global agricultural trade, the interdependence of economic policies of states, trade ties and the impact on labour markets in relation to production. Agricultural commodities remain an important item in world international trade. However, their share in the total volume is gradually declining. They play an important role in the maintenance of individual countries, but at the same time they are of great economic importance, although we can also mention the less positive aspects of their production, including their impact on the environment. At the same time, it is necessary to realize that this sector is essential for human survival and also that agriculture is important from the point of food security for the population, which can contribute to and increase the level of agricultural protectionism (resilience to world market disruptions or uncontrolled import of genetically modified (GM) food and the transmission of animal diseases). Agriculture is one of the most sensitive economic sectors in the world. Nevertheless, agricultural exports have several economic benefits, including stimulating a wide range of agricultural-related industries, transport suppliers, processing and farm inputs. Practical value / implications. The production of agricultural commodities is of great importance to the economies of individual states, where it contributes to the creation of direct, indirect and induced jobs. The agrarian sector is a key sector, especially for less developed countries. The analysis confirmed the high tradability of all commodities examined and is documented by their involvement in the international division of labour in the global projection.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Larkins ◽  
M Jovanovic ◽  
R Milkova

Abstract Roma teenagers are often excluded from participation opportunities, when they could be informing a wide range of law, policy and practice. CoE and EU recommendations make it clear that improvements in living conditions can only be achieved through active participation of Roma people. The 2018 Roma Civil Society Monitoring report reinforces that 'it is essential for Roma to be involved not only in narrowly defined 'Roma issues', but also in a wider range of topics and policies'. We address the question of what methods enable Roma children to become involved in influencing health policy and service design, focusing on the case of Bulgaria. A qualitative European survey (Feb - June 2020) in English, French, Spanish and Bulgarian identified professional perspectives on the impact of COVID-19 on children, with a focus on Roma families. Case studies of Roma children's experiences, and examples of their participation, were analysed of these case studies was conducted by the authors (combining sociological, public health and community perspectives). Accuracy of emergent findings were assessed through dialogue with survey participants. Preliminary results indicate that participatory practices that enable Roma children's participation in designing public health policy, services and responses are limited and pre-existing inequalities are deepening. However relevant isolated examples of inclusive participation were identified: information design, peer-administered questionnaires, arts-based activities, dialogue events, and campaigning in Bulgaria and beyond. Inclusive methods that enable Roma teenagers' engagement in health policy and service design are closely tied to methods used with other communities facing discrimination. However, significant structural barriers, related to economic inequalities and anti-gypsyism are additional barriers faced by some Roma children. International exchange of examples of such practices could inform future health promotion practice.


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