scholarly journals Barriers and facilitators to knowledge transfer and exchange in palliative care research

2018 ◽  
Vol 23 (4) ◽  
pp. 131-136 ◽  
Author(s):  
William George Kernohan ◽  
Mary Jane Brown ◽  
Cathy Payne ◽  
Suzanne Guerin
Keyword(s):  
Palliative Care ◽  
Knowledge Transfer ◽  
Research Knowledge ◽  
Professional Networks ◽  
Knowledge Transfer And Exchange ◽  
Practice Models ◽  
Semistructured Interviews ◽  
Negative Perceptions ◽  
Effective Transfer ◽  
Competing Priorities

In order to ensure the effective transfer of research knowledge to those who can effect positive changes in practice, models of knowledge transfer and exchange (KTE) are required. Limited evidence exists as to how palliative care researchers use existing models to support their practice and to what extent they are perceived as effective. We set out to identify factors that influence KTE planning and implementation through semistructured interviews with experienced palliative care researchers in Ireland. Issues around KTE were drawn out through thematic analysis. Nine interviews were held with investigators on eight research projects. Ten themes were identified and categorised as either barriers or facilitators to KTE. Perceived barriers included inadequate time and funding, limited institutional capacity, competing priorities, weak communication channels and negative perceptions of palliative care. Perceived facilitators included dedicated time and resources, aligned priorities, strong professional networks, multipronged approach and KTE experience. In order to improve the quality, acceptability and reach of palliative research, it is vital that researchers improve their understanding of KTE within the context of palliative care, moving beyond academic dissemination to achieve research-informed practice by overcoming barriers to KTE through facilitated action. This study provides an overview of factors that influence KTE planning and implementation among palliative care researchers.

19 ‘The model for dementia palliative care project’: implementing knowledge transfer and exchange as a core activity

2018 ◽  
Vol 8 (3) ◽  
pp. 367.1-367
Author(s):  
Siobhán Fox ◽  
Jonathan Drennan ◽  
Suzanne Guerin ◽  
George Kernohan ◽  
Marie McKeon ◽  
...  
Keyword(s):  
Palliative Care ◽  
Knowledge Transfer ◽  
Healthcare System ◽  
Public Awareness ◽  
Research Knowledge ◽  
Research Activities ◽  
People With Dementia ◽  
Knowledge Transfer And Exchange ◽  
Care Project ◽  
The Impact

BackgroundDementia is a terminal illness but often isn’t recognised as such. The Model for Dementia Palliative Care Project will develop a service delivery model for dementia palliative care for use in the Irish Healthcare System. Research methods include reviewing the research evidence and conducting site evaluations of existing services in the Republic of Ireland and other countries. The project timeline is October 2017–October 2020.AimThis project will impact people with dementia their families the public researchers and the healthcare system. A key project aim is to ensure effective dissemination to each of these audiences; to meet this aim we included knowledge transfer and exchange (KTE) as a dedicated project work package.MethodsWe used the evidence-based model for the transfer and exchange of research knowledge (‘EMTReK’) to design a KTE plan. The EMTReK model was produced to support researchers developing strategic dissemination strategies in the context of palliative care.Results and discussionThe core KTE activity involves identifying key messages on an ongoing basis. De-stigmatising and raising awareness about palliative care and dementia palliative care is important. Thus public awareness is central to our KTE plan. Results are being disseminated through multiple media both traditional and non-traditional including print and broadcast media social media a purpose built website and public engagement events. KTE is a two-way process and messages received are shaping our language and research activities. By establishing KTE as a core research activity we will maximise the impact of our findings to all key audiences.

scholarly journals EMTReK: An Evidence-based Model for the Transfer & Exchange of Research Knowledge—Five Case Studies in Palliative Care

2019 ◽  
Vol 5 ◽  
pp. 237796081986185 ◽  
Author(s):  
Cathy Payne ◽  
Mary J. Brown ◽  
Suzanne Guerin ◽  
W. George Kernohan
Keyword(s):  
Palliative Care ◽  
Knowledge Transfer ◽  
Case Studies ◽  
Research Quality ◽  
Evidence Based ◽  
Research Knowledge ◽  
Positive Role ◽  
Care Research ◽  
Knowledge Transfer And Exchange ◽  
Evidence Based Model

Knowledge transfer is recognized as a vital stage in evidence-informed nursing with several models available to guide the process. Although the main components commonly involve identification of messages, stakeholders, processes and contexts, the underpinning models remain largely unrefined and untested; and they need to be evaluated. We set out to explore the use of our “Evidence-based Model for Transfer & Exchange of Research Knowledge” (EMTReK) within palliative care research. Between January 2016 and May 2017, data were collected from five case studies which used the EMTReK model as a means to transfer knowledge relating to palliative care research, undertaken in Ireland. A qualitative approach was taken with thematic analysis of case documentation, semistructured interviews, and field notes from the case studies. Qualitative analysis supports the core components of EMTReK as a model of knowledge transfer and exchange in palliative care. Results focused upon identification of messages to be transferred to defined stakeholders through interactive processes that take account of context. Case study findings show how the model was interpreted and operationalized by participants and demonstrate its impact on knowledge transfer and exchange. Eight themes were drawn from the data: Credibility of the Model, Model Accessibility, Applicability to Palliative Care, A Matter of Timing, Positive Role of Facilitation, Required Resources, Enhancing Research Quality, Limitations or Areas for Further Consideration. Study participants found EMTReK to be a useful guide when making knowledge transfer plans. Success depended upon adequate facilitation and guidance. Further exploration of the model's utility is warranted.

Barriers to providing palliative care to patients with advanced cancer: A province-wide survey of oncology clinicians’ perceptions.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 88-88
Author(s):  
Sharon Watanabe ◽  
Sharlette Dunn ◽  
Madalene Earp ◽  
Lisa Shirt ◽  
Patricia Biondo ◽  
...  
Keyword(s):  
Palliative Care ◽  
Health Professionals ◽  
Theoretical Domains Framework ◽  
Allied Health Professionals ◽  
Behaviour Change Wheel ◽  
Tumor Group ◽  
Care Systems ◽  
Negative Perceptions ◽  
Multifaceted Interventions ◽  
Competing Priorities

88 Background: Despite known benefits, cancer care systems struggle to provide early, integrated palliative care (PC). Previously, we identified barriers to providing early PC as perceived by gastrointestinal oncology clinicians in Alberta, Canada (top barrier: time/competing priorities). Here, we expand on the previous study to better understand barriers to early PC for clinicians working with all tumor groups across Alberta. Methods: A 33-item survey was emailed to oncology clinicians in Alberta between November 2017 - January 2018. Questions were informed by Michie’s Theoretical Domains Framework (TDF) and Behaviour Change Wheel (BCW) and queried (a) providing PC in oncology clinics, (b) referral to specialist PC consultation, and (c) working with PC consultants and homecare. Results: Respondents (n = 268) were nurses (42%), physicians (25%), and allied health professionals (20%). Barriers most frequently identified were "patients’ negative perceptions of PC” (68%), “my limited time/competing priorities” (66%), and "capability to manage patients’", social (65%) and spiritual (63%) concerns. These factors map to all three BCW domains: motivation, opportunity, and capability. In contrast, least frequently identified barriers were in clinician’s own motivation, e.g. perceived benefits of PC. There were few significant differences in response by tumor group or profession (χ2 test, responses coded: disagree [1-3], neutral [4], agree [5-7]). Most notably, tumor groups differed in their perception that “the criteria for PC services are too restrictive” (p = 0.003), while nurses and allied staff reported that patients’ negative perception of PC is a barrier more frequently than physicians (p = 0.003). Conclusions: Surveying across clinicians and tumor groups using Michie’s TDF/BCW revealed that the challenges to an early integrated PC approach include all three sources of behavior, though not equally for all clinicians. Determining this has allowed us to tailor multifaceted interventions, e.g. tip sheets to enhance capability, re-framing PC with patients, and earlier secondary PC nursing access, to enhance clinicians use and patients benefit from an early PC approach.

scholarly journals Perspectives of hematology oncology clinicians about integrating palliative care in oncology

2020 ◽  
Vol 27 (6) ◽  
Author(s):  
R. Booker ◽  
S. Dunn ◽  
M.A. Earp ◽  
A. Sinnarajah ◽  
P.D. Biondo ◽  
...  
Keyword(s):  
Palliative Care ◽  
Hematologic Malignancies ◽  
Solid Tumours ◽  
Limited Time ◽  
Targeted Interventions ◽  
Referral Criteria ◽  
Negative Perceptions ◽  
Survey Responses ◽  
Competing Priorities ◽  
Substantial Change

  Patients with hematologic malignancies receive palliative care (pc) less frequently and later than patients with solid tumours. We compared survey responses of hematology oncology clinicians with other oncology clinicians to better understand their challenges with providing primary pc or using secondary pc. Patients’ negative perceptions of pc and limited time or competing priorities were challenges for all clinicians. Compared with other oncology clinicians, more hematology oncology clinicians perceived pc referral criteria as too restrictive (40% vs. 22%, p = 0.021) and anticipated that integrating pc supports into their practice would require substantial change (53% vs. 28%, p = 0.014). This study highlights barriers that may need targeted interventions to better integrate pc into the care of patients with hematologic malignancies.

scholarly journals Oncology Clinicians’ Challenges to Providing Palliative Cancer Care—A Theoretical Domains Framework, Pan-Cancer System Survey

2021 ◽  
Vol 28 (2) ◽  
pp. 1483-1494
Author(s):  
Sharlette Dunn ◽  
Madelene A. Earp ◽  
Patricia Biondo ◽  
Winson Y. Cheung ◽  
Marc Kerba ◽  
...  
Keyword(s):  
Online Survey ◽  
Social Issues ◽  
Theoretical Domains Framework ◽  
Advanced Cancer Patients ◽  
Behaviour Change Wheel ◽  
Negative Perceptions ◽  
Cancer Types ◽  
Multifaceted Interventions ◽  
Competing Priorities ◽  
Pan Cancer

Despite the known benefits, healthcare systems struggle to provide early, integrated palliative care (PC) for advanced cancer patients. Understanding the barriers to providing PC from the perspective of oncology clinicians is an important first step in improving care. A 33-item online survey was emailed to all oncology clinicians working with all cancer types in Alberta, Canada, from November 2017 to January 2018. Questions were informed by Michie’s Theoretical Domains Framework and Behaviour Change Wheel (BCW) and queried (a) PC provision in oncology clinics, (b) specialist PC consultation referrals, and (c) working with PC consultants and home care. Respondents (n = 263) were nurses (41%), physicians (25%), and allied healthcare professionals (18%). Barriers most frequently identified were “clinicians’ limited time/competing priorities” (64%), “patients’ negative perceptions of PC” (63%), and clinicians’ capability to manage patients’ social issues (63%). These factors mapped to all three BCW domains: motivation, opportunity, and capability. In contrast, the least frequently identified barriers were clinician motivation and perceived PC benefits. Oncology clinicians’ perceptions of barriers to early PC were comparable across tumour types and specialties but varied by professional role. The main challenges to early integrated PC include all three BCW domains. Notably, motivation is not a barrier for oncology clinicians; however, opportunity and capability barriers were identified. Multifaceted interventions using these findings have been developed, such as tip sheets to enhance capability, reframing PC with patients, and earlier specialist PC nursing access, to enhance clinicians’ use of and patients’ benefits from an early PC approach.

scholarly journals Physical Activity Among Somali Men in Minnesota

2013 ◽  
Vol 8 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Ahmed A. Mohamed ◽  
Abdullahi M. Hassan ◽  
Jennifer A. Weis ◽  
Irene G. Sia ◽  
Mark L. Wieland
Keyword(s):  
Physical Activity ◽  
United States ◽  
Community Based Participatory Research ◽  
The United States ◽  
Success Stories ◽  
Semistructured Interviews ◽  
High Knowledge ◽  
African Refugee ◽  
Competing Priorities ◽  
Exercise Equipment

Immigrants and refugees arrive to the United States healthier than the general population, but this advantage declines with increasing duration of residence. One factor contributing to this decline is suboptimal physical activity, but reasons for this are poorly understood. Persons from Somalia represent the largest African refugee population to the United States, yet little is known about perceptions of physical activity among Somali men. Somali members of a community-based participatory research partnership implemented three age-stratified focus groups and three semistructured interviews among 20 Somali men in Rochester, Minnesota. Team-based inductive analysis generated themes for barriers and facilitators to physical activity. Barriers to physical activity included less walking opportunities in the United States, embarrassment about exercise clothing and lack of familiarity with exercise equipment/modalities, fear of harassment, competing priorities, facility costs, transportation, and winter weather. Facilitators to physical activity included high knowledge about how to be active, success stories from others in their community as inspiration, and community cohesion. Findings may be used to derive interventions aimed to promote physical activity among Somali men in the United States.

Of dilemmas and tensions: a qualitative study of palliative care physicians’ positions regarding voluntary active euthanasia in Quebec, Canada

2018 ◽  
Vol 45 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Emmanuelle Bélanger ◽  
Anna Towers ◽  
David Kenneth Wright ◽  
Yuexi Chen ◽  
Golda Tradounsky ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life Care ◽  
Patient Autonomy ◽  
Research Question ◽  
Interpretive Description ◽  
Active Euthanasia ◽  
Semistructured Interviews ◽  
Voluntary Active Euthanasia ◽  
Research Questions ◽  
Insight Into

ObjectivesIn 2015, the Province of Quebec, Canada passed a law that allowed voluntary active euthanasia (VAE). Palliative care stakeholders in Canada have been largely opposed to euthanasia, yet there is little research about their views. The research question guiding this study was the following: How do palliative care physicians in Quebec position themselves regarding the practice of VAE in the context of the new provincial legislation?MethodsWe used interpretive description, an inductive methodology to answer research questions about clinical practice. A total of 18 palliative care physicians participated in semistructured interviews at two university-affiliated hospitals in Quebec.ResultsParticipants positioned themselves in opposition to euthanasia. Their justifications were framed within their professional commitment to not hasten death, which sat in tension with the value of patients’ autonomy to choose how to die. Participants described VAE as unacceptable if it impeded opportunities to evaluate and alleviate suffering. Further, they contested government rhetoric that positioned VAE as a way to improve end-of-life care. Participants felt that VAE would diminish the potential of palliative care to relieve suffering. Dilemmas were apparent in their narratives, about reconciling respect for patient autonomy with broader palliative care values, and the value of accompanying and not abandoning patients who make requests for VAE while being committed to neither prolonging nor hastening death.ConclusionsThis study provides insight into nuanced positions of experienced palliative care physicians in Quebec and confirms expected tensions between an important stakeholder and the practice of VAE as guided by the new legislation.

scholarly journals Integrated Knowledge Transfer and Exchange: An Organizational Approach for Stakeholder Engagement and Communications

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Dwayne Van Eerd ◽  
Ron Saunders
Keyword(s):  
Knowledge Transfer ◽  
Research Process ◽  
User Engagement ◽  
Research Information ◽  
Relevant Research ◽  
Fully Integrated ◽  
The Past ◽  
Research Areas ◽  
Knowledge Transfer And Exchange ◽  
Key Concepts

Knowledge transfer and exchange (KTE) is a process of making relevant research information available and accessible for use in practice or policy. Integrated KTE, where knowledge users are engaged in the research process, is considered to better facilitate uptake and use. The objective of this paper is to describe a fully integrated KTE approach developed over the past 20 years. Key concepts related to knowledge user engagement as well as the integration of communications within KTE are described. The organizational KTE approach is flexible and can be adapted to a variety of research areas.

Sign in / Sign up

Export Citation Format

Share Document