scholarly journals How the “Understanding Research Evidence” Web-Based Video Series From the National Collaborating Centre for Methods and Tools Contributes to Public Health Capacity to Practice Evidence-Informed Decision Making: Mixed-Methods Evaluation

2017 ◽  
Vol 19 (9) ◽  
pp. e286 ◽  
Author(s):  
Linda Chan ◽  
Jeannie Mackintosh ◽  
Maureen Dobbins
Author(s):  
Saliha Ziam ◽  
Pierre Gignac ◽  
Élodie Courant ◽  
Esther Mc Sween-Cadieux

Background: Decisions related to the development and implementation of public health programmes or policies can benefit from more effective use of the best available knowledge. However, decision makers do not always feel sufficiently equipped or may lack the capacity to use evidence. This can lead them to overlook or set aside research results that could be relevant to their practice area.Aims and objectives: The objective of this systematic review was to synthesise the essential skills that facilitate the use of research evidence by public health decision makers.Methods: Thirty-nine articles that met our inclusion criteria were included. An inductive approach was used to extract data on evidence-informed decision-making-related skills and data were synthesised as a narrative review.Findings: The analysis revealed three categories of skills that are essential for evidence-informed decision-making process: interpersonal, cognitive, and leadership and influencing skills. Such cross-sectoral skills are essential for identifying, obtaining, synthesising, and integrating sound research results into the decision-making process.Discussion and conclusions: The results of this systematic review will help direct capacity-building efforts towards enhancing research evidence use by public health decision makers, such as developing different types of training that would be relevant to their needs. Also, when considering the evidence-informed decision-making skills development, there are several useful and complementary approaches to link research most effectively to action. On one hand, it is important not only to support decision makers at the individual level through skills development, but also to provide them with a day-to-day environment that is conducive to evidence use.<br />Key messages<br /><ul><li>Public health programmes or policies can benefit from more effective use of the best available knowledge;</li><br /><li>This review identified 39 studies on skills related to evidence-informed decision making;</li><br /><li>Three categories of skills are proposed: cognitive, interpersonal and leadership and influencing skills;</li><br /><li>It will help direct capacity-building efforts towards enhancing evidence use by decision makers.</li></ul>


2021 ◽  
Author(s):  
◽  
Robyn Mary Maude

<p>Intermittent Auscultation (IA) of the fetal heart (FH) is a screening tool for the assessment of fetal well-being during labour; the detection of changes in the FH rate and rhythm may signal fetal compromise. While the evidence reveals that IA is as effective as continuous cardiotocography (CTG) for FH monitoring for low-risk women, current practitioners favour the use of continuous CTG despite the risk of significantly increased maternal and fetal morbidity. Translating the knowledge of the effectiveness of IA into practice became the primary aim of this study. While auscultation and palpation are essential midwifery skills, the teaching of IA does not go beyond simply outlining the protocol for frequency, duration, and timing and less is understood about the underlying physiology associated with what is heard and the reassurance of fetal wellbeing that this provides. A knowledge translation intervention, in the form of an evidence-based informed decision-making framework for Intelligent Structured Intermittent Auscultation (ISIA) and a comprehensive educational intervention were developed to enhance midwives‘ knowledge and awareness of IA and to influence decision-making and practice for FH monitoring for low-risk women. A mixed methods non-experimental pre- and post - intervention study design was used to evaluate the knowledge intervention. Pre measures included a retrospective review of 511 medical records to assess existing FH monitoring practices, and focus groups with 14 midwives explored barriers and facilitators to the use of IA. The intervention was then delivered to a mix of 33 midwives and doctors three months later, followed by a second review of 422 medical records and focus groups with seven midwives to determine any changes in practice and to evaluate outcomes. The findings revealed a statistically significant increase in the use of ISIA with improved documentation, and a relative decrease of 14% in the use an admission CTG for low risk women. The ISIA framework has wide applicability in all maternity settings. This research has illuminated the effects of culture, organisation and the socio-political context on the ability for midwives to utilise their fundamental midwifery skills to promote, facilitate and protect normal physiological birth in the institutional maternity care setting. Engagement with a Knowledge Translation project and the introduction of the ISIA framework for FHR monitoring for low risk women has given midwives voice to generate change.</p>


2018 ◽  
Vol 21 (5-6) ◽  
pp. 217-227 ◽  
Author(s):  
Susan R. Snyder ◽  
Jing Hao ◽  
Larisa H. Cavallari ◽  
Zhi Geng ◽  
Amanda Elsey ◽  
...  

Toxicology ◽  
1995 ◽  
Vol 105 (2-3) ◽  
pp. 429-441 ◽  
Author(s):  
Ken Sexton ◽  
Barbara D. Beck ◽  
Eula Bingham ◽  
Joseph D. Brain ◽  
David M. DeMarini ◽  
...  

2013 ◽  
Vol 35 (4) ◽  
pp. 624-627 ◽  
Author(s):  
Tahna L. Pettman ◽  
Rebecca Armstrong ◽  
Kirsty Jones ◽  
Elizabeth Waters ◽  
Jodie Doyle

The Lancet ◽  
2021 ◽  
Vol 398 ◽  
pp. S74
Author(s):  
Joanne Gray ◽  
Dilupa Samarakoon ◽  
Angela Bate ◽  
Ruth McGovern ◽  
Anna Christie ◽  
...  

2021 ◽  
Vol 64 (1) ◽  
pp. 14-16
Author(s):  
Andrea Powers ◽  
T. Pelletier ◽  
R. Ray ◽  
A. Reynolds ◽  
C. Howarth ◽  
...  

Although evidence-informed decision making is an important part of the field of public health inspection, finding the time to stay informed of current research can be a challenge amidst day-to-day job expectations. This article will explore how two Public Health Inspectors (PHIs) from Ottawa Public Health, a municipal public health unit in Ontario, incorporated evidence-informed decision making (EIDM) into their work. They built their EIDM skills through participating in the 18-month Knowledge Broker (KB) Mentoring Program offered by the National Collaborating Centre for Methods and Tools. The program required a substantial time commitment, including nine in-person workshop days and dedicated hours to practice research appraisal skills and to complete a rapid review. The inspectors were approved and supported to spend the necessary time; however, they still found it difficult to designate hours for learning while balancing their frontline inspection workload. This article will share observations about the PHI’s involvement, including benefits and challenges as well as factors that facilitated their successful completion of the KB Mentoring Program.


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