scholarly journals Improving knowledge translation for increased engagement and impact in healthcare

2020 ◽  
Vol 9 (3) ◽  
pp. e000983
Author(s):  
Kathy Eljiz ◽  
David Greenfield ◽  
Anne Hogden ◽  
Robyn Taylor ◽  
Nazlee Siddiqui ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Knowledge Translation ◽  
Health Professionals ◽  
Knowledge Dissemination ◽  
Health Improvement ◽  
Diffusion Of Knowledge ◽  
Stakeholder Interaction ◽  
Research Findings ◽  
And Diffusion ◽  
Subsequent Diffusion

Ineffective knowledge dissemination contributes to clinical practice and service improvements not being realised. Meaningful knowledge translation can occur through the understanding and matching of appropriate communication mediums that are relevant for different stakeholders or audiences. To this end, we present a dissemination instrument, the ‘REAch and Diffusion of health iMprovement Evidence’ (README) checklist, for the communication of research findings, integrating both traditional and newer communication mediums. Additionally, we propose a ‘Strategic Translation and Engagement Planning’ (STEP) tool, for use when deciding which mediums to select. The STEP tool challenges the need for communicating complex and simple information against the desire for passive or active stakeholder interaction. Used collaboratively by academics and health professionals, README and STEP can promote co-production of research, subsequent diffusion of knowledge, and develop the capacity and skills of all stakeholders.

scholarly journals Engaging target users to appraise and refine clinical practice guidelines in pediatric concussion: An integrated knowledge translation approach

2021 ◽  
Vol 5 ◽  
pp. 205970022110174
Author(s):  
Melissa Paniccia ◽  
Christine Provvidenza ◽  
Shauna Kingsnorth ◽  
Christina Ippolito ◽  
Roger Zemek ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Knowledge Translation ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Health Professionals ◽  
Agree Ii ◽  
Allied Health Professionals ◽  
Pediatric Concussion

Background Clinical practice guidelines are systematically developed statements that assist clinicians in making evidence informed decisions regarding patient care. Within pediatric concussion, the Ontario Neurotrauma Foundation released the Guidelines for Diagnosing and Managing Pediatric Concussion in 2014. The purpose of this study was to evaluate the 2014 guidelines using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) evaluation tool, in addition to a brief knowledge translation survey, and to utilize the collected feedback from end users to inform improvements to support an updated version. An integrated knowledge translation approach was employed using clinical experts as guideline appraisers. Methods A purposive sample of researchers, physicians, allied health professionals, policy makers, educators and knowledge translation experts involved in updating the guidelines (N = 31) completed the AGREE II Likert scale survey regarding the 2014 guideline, and provided written justifications for their ratings. Domain and item AGREE II scaled scores were reported stratified by demographic factors, and written justifications were synthesized using content analysis to determine areas of improvement for the 2014 guideline. Results Appraisers scored the editorial independence (88.9%) and scope and purpose (80.8%) domains the highest, indicating high quality. The guidelines scored the lowest in the applicability domain (69.3%). Participants with less than 10 years of experience in their respective disciplines, as well as physicians and allied health professionals consistently provided higher ratings across domains compared to other professions. Conclusions The process of evaluating the 2014 guideline resulted in these important outcomes: (1) identified areas of the guideline that may have affected the lack of previous clinical uptake while abiding by a clinical practice guideline development framework; (2) shared and informed decision making regarding content and format of the revised clinical practice guideline; and (3) targeted content, clinical questions and dissemination strategies, which are key to clinical uptake.

Should Australia's hospitals be reviewing the use of research in patient care by nurses, managers and allied health professionals? - A systematic review of recent evidence

2003 ◽  
Vol 26 (2) ◽  
pp. 49 ◽  
Author(s):  
Hedley Peach
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Patient Care ◽  
Health Professionals ◽  
Allied Health ◽  
Allied Health Professionals ◽  
Factors Influencing ◽  
Research Findings ◽  
Remedial Strategies ◽  
Use Of Research

Recently published studies were systematically reviewed to determine whether use of research in clinical practice bynurses, managers and allied health professionals in hospitals is currently sub-optimal, the factors influencing this andpossible remedial strategies. The better studies confirmed that use of appropriate research is currently sub-optimal. Thenature of the research and access to it is partly responsible for this. However, adoption of research findings is alsocurrently hindered by factors inherent in hospitals and by the skills and attitudes of potential users of the research.Numerous remedial strategies have been suggested and hospitals could take responsibility for implementing many ofthem. However, most have yet to be evaluated. Studies into the use of research findings by nurses, managers and alliedhealth professionals in Australian hospitals and trials of remedial strategies are recommended.

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.

Developing Photo-Posters for Health Education on Perceived Teething Problems in Nigeria

2003 ◽  
Vol 21 (4) ◽  
pp. 369-375
Author(s):  
O. O. Bankole ◽  
O. O. Denloye ◽  
G. A. Aderinokun ◽  
C. O. Badejo R.N. Phn
Keyword(s):  
Weight Loss ◽  
Health Education ◽  
Health Professionals ◽  
Target Population ◽  
Participatory Approach ◽  
Culturally Appropriate ◽  
Market Women ◽  
Research Findings ◽  
Enugu State ◽  
Rural Dwellers

The development of photo-posters to educate the Nigerian community on the perceived problems of teething was prompted by research findings which revealed that misconceptions about teething were widespread within the populace and in particular among some health professionals. Studies have shown that 58% of ethnic Yoruba rural dwellers in Nigeria attributed ailments to the teething process, while 70% of market women in Enugu State perceived diarrhea in their children was due to teething. In a recent survey, 61.4% of nurses believed diarrhea should accompany the teething process. Furthermore 82.1%, 35.8%, and 27.9% of them implicated fever, weight loss, and boils respectively as signs of teething. Photo-posters adopt the use of visual representation of a problem and the goal of using photo-posters is to begin to create an understanding in the minds of people that babies can be healthy in spite of their erupting teeth. It is believed that using pictures of real babies who are seen to be healthy when their teeth first emerge should go a long way to reducing some of the misconceived ideas. In its development, the participatory approach was adopted involving selected members of the target population, thus making it a culturally appropriate tool. This article describes the rationale behind the choice of the photo-posters and the process of developing them.

A Knowledge Translation Framework for Optimizing Physical Therapy in Patients With Heart Failure

2021 ◽  
Author(s):  
Konrad J Dias ◽  
Michael J Shoemaker ◽  
Kristin M Lefebvre ◽  
John D Heick
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Physical Therapy ◽  
Knowledge Translation ◽  
Cardiorespiratory Fitness ◽  
Practice Guideline ◽  
Physical Therapist ◽  
Evidence Based ◽  
Patients With Heart Failure ◽  
The Continuum

Abstract The American Physical Therapy Association (APTA) has supported the development of clinical practice guidelines to promote and support evidence-based practice and reduce unwarranted practice variation. Essential to the success of this effort is the generation of knowledge translation—a concept that emphasizes the translation of global knowledge to an application that can be effectively integrated into clinical practice. The Physical Therapy Clinical Practice Guideline for the Management of Individuals with Heart Failure published in the Physical Therapy Journal in January 2020 provides a broad base of knowledge related to evidence-based treatment interventions for patients with heart failure. However, the application and integration of this knowledge in clinical practice need further elucidation. Therefore, this perspective paper aims to serve as a complementary knowledge translation resource to the recently published practice guideline to maximize the utilization of contemporary evidence in clinical practice. This resource provides the physical therapist with practical guidance in the management of patients with heart failure by placing research findings in the context of other knowledge and practice norms that can be applied at the point of care and across the continuum of care. We propose a novel ABCDE (Assessment, Behavior, Cardiorespiratory Fitness, Dosage, and Education) practical framework. This clinical paradigm is grounded in ongoing physical therapist assessment throughout the episode of care, along with behavior modification, assessment of cardiorespiratory fitness, appropriate selection and dosing of interventions and patient education. Examples highlighting the use of this model in patients with heart failure across the continuum of care are provided for application in clinical care.

Knowledge translation activity of a domestic violence research network: a scoping survey

2021 ◽  
Author(s):  
Jacqui Cameron ◽  
Cathy Humphreys ◽  
Kelsey Hegarty
Keyword(s):  
Domestic Violence ◽  
Knowledge Translation ◽  
Lived Experience ◽  
Online Survey ◽  
Research Process ◽  
Research Network ◽  
Translation Strategies ◽  
Inadequate Knowledge ◽  
Knowledge Translation Strategies ◽  
Research Findings

Introduction: Research networks undertake work collaboratively on complex areas of research. Few studies examine how these networks develop their knowledge translation activity. Focusing on a domestic violence research network (DVRN), the aim of this study was to answer the question: What is the shared understanding of knowledge translation and activity in a domestic violence research network?Methods: A sample of DVRN members undertook an anonymous online survey about their knowledge translation activity.Results: Completed by 49 of a potential 65 DVRN members (75% completion rate), findings suggested members use multiple knowledge translation definitions, and that different stages of the research process engage people with lived-experience and policymakers undertaking lower levels of engagement than practitioners. Innovative engagement mechanisms to communicate research findings were limited, and knowledge translation barriers included budget, time, capacity, limitation of models, organisational emphasis and support. Finally, there was inadequate knowledge translation evaluation.Conclusion: Overcoming knowledge translation barriers is essential to ensure meaningful collaboration particularly with survivors who are often the missing voice of knowledge translation. Future studies could determine what impact, if any, increasing engagement of survivors and policymakers during all stages of the research process has on knowledge translation.<br />Key messages<br /><ul><li>This study has identified the need for meaningful collaboration with survivors and policymakers during all stages of the research process.</li><br /><li>Innovative engagement mechanisms are essential to engage end-users.</li><br /><li>A focus on evaluation of knowledge translation strategies is warranted.</li></ul>

Treading the Troubled Waters of Training: Some Guidelines for Improving Learning Efficiency

1977 ◽  
Vol 5 (4) ◽  
pp. 267-302 ◽  
Author(s):  
John Lackmann
Keyword(s):  
Health Professionals ◽  
Learning Efficiency ◽  
Regional Medical ◽  
Research Findings ◽  
Training Institutions ◽  
Medical Meetings

The role of learning as a tool for enhancing human efficiency and survival is examined. The advantages of using simulations as a means of improving learning efficiency is discussed. Thirty important concepts based on research findings are presented for individuals interested in promoting learning efficiency. Based on these concepts simulations were constructed and tested at eight national and regional medical meetings.** Reactions were obtained from 846 physicians and other health professionals. This research suggests that it is possible for training institutions to significantly improve learning efficiency.

scholarly journals Knowledge translation of prediction rules: methods to help health professionals understand their trade-offs

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
K. Hemming ◽  
M. Taljaard
Keyword(s):  
Knowledge Translation ◽  
Health Professionals ◽  
Natural Frequencies ◽  
Prediction Models ◽  
Prediction Rule ◽  
Performance Measure ◽  
Essential Information ◽  
Prediction Rules ◽  
Cut Points ◽  
Trade Offs

AbstractClinical prediction models are developed with the ultimate aim of improving patient outcomes, and are often turned into prediction rules (e.g. classifying people as low/high risk using cut-points of predicted risk) at some point during the development stage. Prediction rules often have reasonable ability to either rule-in or rule-out disease (or another event), but rarely both. When a prediction model is intended to be used as a prediction rule, conveying its performance using the C-statistic, the most commonly reported model performance measure, does not provide information on the magnitude of the trade-offs. Yet, it is important that these trade-offs are clear, for example, to health professionals who might implement the prediction rule. This can be viewed as a form of knowledge translation. When communicating information on trade-offs to patients and the public there is a large body of evidence that indicates natural frequencies are most easily understood, and one particularly well-received way of depicting the natural frequency information is to use population diagrams. There is also evidence that health professionals benefit from information presented in this way.Here we illustrate how the implications of the trade-offs associated with prediction rules can be more readily appreciated when using natural frequencies. We recommend that the reporting of the performance of prediction rules should (1) present information using natural frequencies across a range of cut-points to inform the choice of plausible cut-points and (2) when the prediction rule is recommended for clinical use at a particular cut-point the implications of the trade-offs are communicated using population diagrams. Using two existing prediction rules, we illustrate how these methods offer a means of effectively and transparently communicating essential information about trade-offs associated with prediction rules.

scholarly journals Special aspects of concentrated insulins: basic characteristics and research findings

2020 ◽  
Vol 22 (5) ◽  
pp. 481-490
Author(s):  
Tatiana Y. Demidova ◽  
Olga V. Balutina
Keyword(s):  
Clinical Practice ◽  
Insulin Glargine ◽  
Microvascular Complications ◽  
Severe Hypoglycemia ◽  
Glucose Lowering ◽  
Practice Experience ◽  
Patients With Diabetes ◽  
Research Findings ◽  
Basic Characteristics ◽  
Diabetic Microvascular Complications

The appearance of concentrated insulins in clinical practice determines the need to analyze product priorities in appropriate groups of patients with diabetes. The aim of this article is to summarize the literature on concentrated insulins (i.e. insulin lispro 200 units/mL, insulin degludec 200 units/mL, insulin glargine 300 units/mL) from randomized controlled trials, derive guidance on appropriate and safe use of these agents and demonstrate experience in real clinical practice. Severe hypoglycemia in all studies was generally low (though higher with prandial plus concentrated basal analogue therapy), and statistical improvements in other hypoglycemia categories were observed for concentrated basal insulins versus insulin glargine 100 units/mL. In all analyzed data hypoglycemic effect of insulin glargine 300 units/mL was equitable to insulin glargine 100 units/mL. Other important findings demonstrate more constant and prolonged insulin action with low within-subject/ between-day variability for insulin glargine 300 units/mL versus insulin glargine 100 units/mL, therefore, more physiological treatment might prevent from diabetic microvascular complications. The results of randomized trials are comparable with our clinical practice experience and indicate efficacious and safe glucose-lowering properties without risk of severe hypoglycemia.

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