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

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.

2018 ◽  
Vol 8 (3) ◽  
pp. 367.1-367
Author(s):  
Siobhán Fox ◽  
Jonathan Drennan ◽  
Suzanne Guerin ◽  
George Kernohan ◽  
Marie McKeon ◽  
...  

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.


2018 ◽  
Vol 23 (4) ◽  
pp. 131-136 ◽  
Author(s):  
William George Kernohan ◽  
Mary Jane Brown ◽  
Cathy Payne ◽  
Suzanne Guerin

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.


2020 ◽  
Vol 13 (4) ◽  
pp. 385-407 ◽  
Author(s):  
Keith Still ◽  
Marina Papalexi ◽  
Yiyi Fan ◽  
David Bamford

Purpose This paper aims to explore the development and application of place crowd safety management tools for areas of public assembly and major events, from a practitioner perspective. Design/methodology/approach The crowd safety risk assessment model is known as design, information, management-ingress, circulation, egress (DIM-ICE) (Still, 2009) is implemented to optimise crowd safety and potentially throughput. Three contrasting case studies represent examples of some of the world’s largest and most challenging crowd safety projects. Findings The paper provides some insight into how the DIM-ICE model can be used to aid strategic planning at major events, assess potential crowd risks and to avoid potential crowd safety issues. Practical implications It provides further clarity to what effective place management practice is. Evidence-based on the case studies demonstrates that the application of the DIM-ICE model is useful for recognising potential place crowd safety issues and identifying areas for require improvement. Originality/value Crowd science is an emerging field of research, which is primarily motivated by place crowd safety issues in congested places; the application and reporting of an evidence-based model (i.e. DIM-ICE model) add to this. The paper addresses a research gap related to the implementation of analytic tools in characterising place crowd dynamics.


2016 ◽  
Vol 11 (4) ◽  
pp. 272
Author(s):  
Steven Hayes

<p>ACT is a functional contextual form of behavioral and cognitive therapy. It shares commonalities with other contextualistic approaches such as constructivist or narrative therapies, but it differs in its scientific goals. Because of these differences, it is oriented toward manipulable processes linked to basic principles. In this commentary I describe these characteristics and link them to the target article (Muto &amp; Mitamura, 2015). I discuss how a major value of case studies of this kind is the exploration in an intensive way of the links between a model and treatment decisions, processes of change, and outcomes. This recasts somewhat the use of case studies and time series designs in the empirical investigations of ACT, and provides special opportunities for the examination of cultural factors in the application of an evidence-based model. Finally, I note how ACT may help bring together some of the wings of clinical work in Japan.</p>


Children ◽  
2018 ◽  
Vol 5 (3) ◽  
pp. 32 ◽  
Author(s):  
Katherine Nelson ◽  
James Feinstein ◽  
Cynthia Gerhardt ◽  
Abby Rosenberg ◽  
Kimberley Widger ◽  
...  

2021 ◽  
Vol 66 ◽  
Author(s):  
Mohammed AlKhaldi ◽  
Hamza Meghari ◽  
Irene Anne Jillson ◽  
Abdulsalam Alkaiyat ◽  
Marcel Tanner

Objectives: Over the last 2 decades, the World Health Organization (WHO) has proposed a global strategy and initiatives to establish a Health Research System (HRS) focusing on Health Research Quality and Standardization (HRQS), Health Research Knowledge Transfer and Dissemination (HRKTD), and Health Research Translation and Utilization into Health Care Decisions and Policies (HRTUDP). Despite the increase in health research productivity over the past several decades, HRS Capacity (HRSC) in Palestine and in the Middle East and North Africa (MENA) region has rarely been objectively evaluated. This study aims at eliciting the perceptions of HRS performers in Palestine in order to understand the status of HRSC, identify gaps, and generate policies and solutions capable of strengthening HRSC in Palestine.Methods: Key informants from three sectors, namely government, academia, and local and international organizations, were selected purposively based on different sampling methods: criterion, critical case, snowball, and homogeneous sampling. Fifty-two in-depth interviews with key informants and a total of fifty-two individuals, participating in six focus groups, were conducted by the principal investigator in Palestine. Data were analyzed by using MAXQDA 12.Results: The overall pattern of the Palestinian HRSC is relatively weak. The key findings revealed that while HR productivity in Palestine is improving, HRQS is at an average level and quality guidelines are not followed due to paucity of understanding, policies, and resources. HRKTD is a central challenge with both a dearth of conceptualization of translational science and inadequate implementation. The factors related to inadequate HRKTD include lack of awareness on the part of the researchers, inadequate regulatory frameworks and mechanisms for both communication and collaboration between and among researchers and policy-makers and clinicians, and lack of availability of, and credibility in, systematized and reliable HR data. Despite the limited knowledge translation, in general, HRTUDP is not considered an essential decision-making methodology mainly due to the lack of interface between knowledge producers (researchers) and users (policymakers), understanding level, HR credibility and availability of applied research, and governance, resources, and political fluctuations. Recommendations to strengthen HRS in Palestine include: a consolidated research regulatory framework and an effective capacity strengthening strategy overseen by Palestinian authorities; the promotion of HRQS and concepts and practices of translational science; and, most importantly, the use of findings for evidence-based policies and practice.Conclusion: Strengthening HRSC is both an imperative step and an opportunity to improve the Palestinian health system and ensure it is based on research evidence and knowledge. Building a successful HRS characterized by capacities of high-quality research and well-disseminated and translated knowledge is a prerequisite to effective health systems and services. This can be achieved by political commitment to support such strengthening, a consolidated leadership and governance structure, and a strong operational capacity strengthening strategy.


2020 ◽  
Vol 4 (2) ◽  
pp. 220-241
Author(s):  
Gill Clough ◽  
Anne Adams

Evidence-based practice is increasingly important in creating effective public services through the balance of high-quality research and valid practice. Yet even when academics and practitioners work together to use evidence in practice, barriers emerge. This paper describes research into equitable knowledge exchange between academia and practice, drawing on data from 15 Evidence Cafés run across the UK with police forces, involving 378 participants, represented here with three exemplar Evidence Café case studies. Our findings reveal the differences between one-way knowledge transfer and two-way, equitable knowledge exchange, and how champions and effectively designed and implemented discussion objects can overcome challenges of conflicting motivations and timing. We conclude that there is a need to reframe knowledge exchange through the lens of ‘evidence’ and the process of equitable co-creation of new meanings.


Sign in / Sign up

Export Citation Format

Share Document