scholarly journals Organizational Knowledge Translation Strategies for Allied Health Professionals in Traumatology Settings: A Realist Review Protocol

2020 ◽  
Author(s):  
Karine Latulippe ◽  
Annie Leblanc ◽  
Marie-Pierre Gagnon ◽  
Katia Boivin ◽  
Pascale Lavoie ◽  
...  
Keyword(s):  
Service Quality ◽  
Knowledge Translation ◽  
Health Professionals ◽  
Allied Health ◽  
Organizational Capacity ◽  
Realist Review ◽  
Evidence Based ◽  
Organizational Strategies ◽  
Allied Health Professionals ◽  
Evidence Based Practices

Abstract Background: Knowledge translation (KT) is an important means of improving health service quality. Most research on the effectiveness of KT strategies has focused on individual strategies, i.e., those targeting directly the modification of allied health professionals’ knowledge, attitudes, and behaviours, for example. In general, these strategies are moderately effective in changing practices (maximum 10% change). Effecting change in organizational contexts (e.g., change readiness, general and specific organizational capacity, organizational routines) is part of a promising new avenue to service quality improvement through the implementation of evidence-based practices.Methods: A realist review will be conducted to explore the various organizational KT strategy action mechanisms (how, why, for whom, to what extent and under what circumstances) with a view to facilitating the choice of effective strategies for sustainable implementation of evidence-based practice for allied health professionals in traumatology settings. The review will begin by presenting initial theories developed by the research team, followed by the search for evidence, the selection of literature on context-mechanism-outcome configurations related to organizational KT strategies, and end with a refinement of initial theories and a synthesis.Discussion: Using a systematic and rigorous method, this review will help guide decision makers and researchers in choosing the best organizational strategies to optimize the implementation of evidence-based practices.Registration: This protocol has been submitted for registration on the PROSPERO database on October 30, 2020 (ID: 216105).

scholarly journals Organizational knowledge translation strategies for allied health professionals in traumatology settings: realist review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Karine Latulippe ◽  
Annie LeBlanc ◽  
Marie-Pierre Gagnon ◽  
Katia Boivin ◽  
Pascale Lavoie ◽  
...  
Keyword(s):  
Service Quality ◽  
Knowledge Translation ◽  
Health Professionals ◽  
Allied Health ◽  
Realist Review ◽  
Cochrane Library ◽  
Evidence Based ◽  
Allied Health Professionals ◽  
Evidence Based Practices ◽  
Review Protocol

Abstract Background Knowledge translation (KT) is an important means of improving the health service quality. Most research on the effectiveness of KT strategies has focused on individual strategies, i.e., those directly targeting the modification of allied health professionals’ knowledge, attitudes, and behaviors, for example. In general, these strategies are moderately effective in changing practices (maximum 10% change). Effecting change in organizational contexts (e.g., change readiness, general and specific organizational capacity, organizational routines) is part of a promising new avenue to service quality improvement through the implementation of evidence-based practices. The objective of this study will be to identify why, how, and under what conditions organizational KT strategies have been shown to be effective or ineffective in changing the (a) knowledge, (b) attitudes, and (c) clinical behaviors of allied health professionals in traumatology settings. Methods This is a realist review protocol involving four iterative steps: (1) Initial theory formulation, (2) search for Evidence search, (3) knowledge extraction and synthesis, and (4) recommendations. We will search electronic databases such as PubMed, Embase, CINHAL, Cochrane Library, and Conference Proceedings Citation Index - Science. The studies included will be those relating to the use of organizational KT strategies in trauma settings, regardless of study designs, published between January 1990 and October 2020, and presenting objective measures that demonstrate change in allied health professionals’ knowledge, attitudes, and clinical behaviors. Two independent reviewers will select, screen, and extract the data related to all relevant sources in order to refine or refute the context-mechanism-outcome (CMO) configurations developed in the initial theory and identify new CMO configurations. Discussion Using a systematic and rigorous method, this review will help guide decision-makers and researchers in choosing the best organizational strategies to optimize the implementation of evidence-based practices. Systematic review registration PROSPERO CRD42020216105

Do Allied Health Professionals Exercise Evidence-Based Practice in Services?

2016 ◽  
Vol 22 (12) ◽  
pp. 3983-3987
Author(s):  
Noor Hidayah Abu Bakar ◽  
Norhayati Mohd Zain ◽  
Khairiah Abdul Hamid ◽  
Mary M Dore Lim
Keyword(s):  
Health Professionals ◽  
Allied Health ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Allied Health Professionals

Urban Australian general practitioners’ perceptions of falls risk screening, falls risk assessment, and referral practices for falls prevention: an exploratory cross-sectional survey study

2017 ◽  
Vol 41 (1) ◽  
pp. 111 ◽  
Author(s):  
Kajtek Kielich ◽  
Lynette Mackenzie ◽  
Meryl Lovarini ◽  
Lindy Clemson
Keyword(s):  
Primary Care ◽  
Older People ◽  
Health Professionals ◽  
Allied Health ◽  
Falls Prevention ◽  
Evidence Based ◽  
Allied Health Professionals ◽  
Falls Risk ◽  
Referral Practices ◽  
Prevention Interventions

Objective The study aimed to explore Australian general practitioners’ (GPs) perceptions of falls risk screening, assessment and their referral practices with older people living in the community, and to identify any barriers or facilitators to implementing evidence-based falls prevention practice. Methods Hardcopy surveys and a link to an online survey were distributed to 508 GPs working at one Medicare Local (now part of a Primary Care Network) located in Sydney, Australia. Data were analysed using descriptive statistics and key themes were identified from open text responses. Results A total of 37 GPs returned the survey. Only 10 (27%) GPs routinely asked older people about falls, and five (13.5%) asked about fear of falls during clinical consultations. Barriers to managing falls risk were identified. GPs estimated that they made few referrals to allied health professionals for falls interventions. Conclusions GPs were knowledgeable about falls risk factors but this did not result in consistent falls risk screening, assessment or referral practices. Due to the small sample, further research is needed with a larger sample to augment these results. What is known about the topic? Falls are a common and serious health issue for older people and fall prevention is vital, especially in the primary care setting. General practitioners (GPs) are key health professionals to identify older people at risk of falls and refer them to appropriate health professionals for intervention. Evidence-based falls prevention interventions exist but are not easily or routinely accessed by older people. What does this paper add? GPs believe that previous falls are an important falls risk factor but they do not routinely ask about falls or fear of falls in clinical practice with older people. GP referral rates to allied health professionals for falls prevention are low, despite evidence-based falls prevention interventions being provided by allied health professionals. There are several barriers to GPs providing falls prevention assessment and intervention referrals, particularly using the current primary health systems. What are the implications for practitioners? GPs need to recognise their potential significant contribution to falls prevention in the community and may require tailored training. Sustainable evidence-based referral pathways need to be developed so that older people can be referred to allied health professionals for falls prevention interventions in the primary care setting, and better local networks need to be developed to allow this to occur. Policy makers may have to address the identified barriers to multidisciplinary practice and funding of services to facilitate effective falls prevention programs in primary care.

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