scholarly journals Addressing the Common Pathway Underlying Hypertension and Diabetes in People Who Are Obese by Maximizing Health: The Ultimate Knowledge Translation Gap

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Elizabeth Dean ◽  
Constantina Lomi ◽  
Selma Bruno ◽  
Hamzeh Awad ◽  
Grainne O'Donoghue
Keyword(s):  
Health Care ◽  
Knowledge Translation ◽  
21St Century ◽  
Lifestyle Modification ◽  
Drug Prescription ◽  
Signs And Symptoms ◽  
Evidence Based ◽  
Major Advance ◽  
Contributing Factors ◽  
Care Community

In accordance with the WHO definition of health, this article examines the alarming discord between the epidemiology of hypertension, type 2 diabetes mellitus (T2DM), and obesity and the low profile of noninvasive (nondrug) compared with invasive (drug) interventions with respect to their prevention, reversal and management. Herein lies the ultimate knowledge translation gap and challenge in 21st century health care. Although lifestyle modification has long appeared in guidelines for medically managing these conditions, this evidence-based strategy is seldom implemented as rigorously as drug prescription. Biomedicine focuses largely on reducing signs and symptoms; the effects of the problem rather than the problem. This article highlights the evidence-based rationale supporting prioritizing the underlying causes and contributing factors for hypertension and T2DM, and, in turn, obesity. We argue that a primary focus on maximizing health could eliminate all three conditions, at best, or, at worst, minimize their severity, complications, and medication needs. To enable such knowledge translation and maximizing health outcome, the health care community needs to practice as an integrated team, and address barriers to effecting maximal health in all patients. Addressing the ultimate knowledge translation gap, by aligning the health care paradigm to 21st century needs, would constitute a major advance.

Naturalistic Decision Making and the Practice of Health Care

2018 ◽  
Vol 12 (3) ◽  
pp. 178-193 ◽  
Author(s):  
Paul R. Falzer
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Best Practices ◽  
Clinical Decision Making ◽  
Resistance To Change ◽  
Care Practice ◽  
Evidence Based ◽  
Naturalistic Decision Making ◽  
Late 20Th Century ◽  
Care Community

A recent essay in this journal identified health care as a fertile domain for extending the reach of naturalistic decision making (NDM). It targeted the “best practices regimen,” a host of initiatives begun in the late 20th century that address problems in service delivery, skyrocketing costs, and impediments in transforming products of basic science into effective treatments. Of particular importance are efforts to base treatment decisions on empirical research findings and to gauge the quality of decisions by their conformance to evidence-based practices. The challenges that the essay identified and the ways of addressing these challenges are well known in the health care community. They have had limited impact owing to several factors, including how advocates of the best practices regimen envision clinical decision making and their tendency to equate the exercise of skill with resistance to change. This paper describes the regimen’s concept of decision making and its principles and deficiencies. It also identifies a conundrum: oversimplification prevents complexity from being recognized; as a result, evidence-based recommendations frequently have unforeseeable and deleterious consequences. The paper proposes that NDM is well positioned to address these problems and make a valuable contribution to health care practice. It illustrates NDM-based theories and concepts with a research example and describes their ability to address complex issues that arise in treating chronic illnesses.

scholarly journals Meditation-Based Lifestyle Modification: Development of an Integrative Mind-Body Program for Mental Health and Human Flourishing

2020 ◽  
pp. 1-11
Author(s):  
Holger Carl Bringmann ◽  
Nicole Bringmann ◽  
Michael Jeitler ◽  
Stefan Brunnhuber ◽  
Andreas Michalsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Lifestyle Modification ◽  
Complex Interventions ◽  
Evidence Based ◽  
Processes Of Change ◽  
Clinical Context ◽  
Human Flourishing ◽  
Spiritual Perspectives

Mental disorders are a core health challenge in the 21st century. Integrative mental health care takes an individual, lifestyle-modifying, salutogenic approach, combining somatic, psychosocial, and spiritual perspectives from evidence-based conventional and complementary medicine. In particular, meditation and mindfulness have received growing research interest in the last decade. In this article, we present Meditation-Based Lifestyle Modification (MBLM), a new, complex mind-body intervention for mental health care. It is the first program to intensify meditation practice using classical yoga. The program (a) covers all areas of classical yoga, (b) considers ethical and spiritual aspects of daily life, (c) orients participants toward sustained lifestyle modification, and (d) is applicable in a clinical context. The scientific rationale of the program is outlined in this article, based on the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare. Further research is planned to show the clinical feasibility of MBLM and evaluate its efficacy, processes of change, and cost-effectiveness.

Abstracts Presented at the National Neonatal, Advanced Practice, and National Mother Baby Nurses Conference Las Vegas, NV, September 13-16, 2017

2017 ◽  
Vol 36 (6) ◽  
pp. e18-e53
Keyword(s):  
Health Care ◽  
Nursing Practice ◽  
Las Vegas ◽  
Neonatal Health ◽  
Evidence Based ◽  
Advanced Practice ◽  
Care Community ◽  
Evidence Based Nursing ◽  
Support Evidence

These are the abstracts for the poster and podium presentations from the National Neonatal, Advanced Practice, and National Mother Baby Nurses Conference in Las Vegas, Nevada. They represent a broad range of neonatal issues. By sharing this information, we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidence-based nursing practice.

Abstracts Presented at the 10th National Neonatal Nurses Conference and 13th National Mother Baby Nurses Conference Savannah, Georgia, September 13–15, 2010

2010 ◽  
Vol 29 (6) ◽  
pp. 8-25 ◽  
Keyword(s):  
Health Care ◽  
Nursing Practice ◽  
Perinatal Health ◽  
Evidence Based ◽  
Neonatal Nurses ◽  
Care Community ◽  
Perinatal Health Care ◽  
Poster Presentations ◽  
Evidence Based Nursing ◽  
Support Evidence

These are the abstracts for the poster presentations from the recent 10th National Neonatal Nurses Conference and the 13th National Mother Baby Nurses Conference in Savannah, Georgia. They represent a broad range of neonatal and perinatal issues. By sharing this information, we hope to increase awareness of research and innovative programs within the perinatal health care community, and support evidence-based nursing practice. Some abstracts have been edited for publication.

The Use of Health Care Policy to Facilitate Evidence-based Knowledge Translation in Emergency Medicine

2007 ◽  
Vol 14 (11) ◽  
pp. 1030-1035
Author(s):  
C. B. Irvin ◽  
M. Afilalo ◽  
S. C. Sherman ◽  
S. J. Stack ◽  
S. Huckson ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Knowledge Translation ◽  
Health Care Policy ◽  
Evidence Based ◽  
Care Policy ◽  
Use Of Health Care

scholarly journals Evidence-based health care: A roadmap for knowledge translation

2017 ◽  
Vol 80 (12) ◽  
pp. 747-749 ◽  
Author(s):  
Chien-Yu Chen ◽  
Tsai-Wei Huang ◽  
Ken N. Kuo ◽  
Ka-Wai Tam
Keyword(s):  
Health Care ◽  
Knowledge Translation ◽  
Evidence Based ◽  
Evidence Based Health Care

Knowledge Translation and Evidence-Based Perinatal/Neonatal Health Care

2002 ◽  
Vol 21 (5) ◽  
pp. 69-74 ◽  
Author(s):  
Arne Ohlsson
Keyword(s):  
Health Care ◽  
Knowledge Translation ◽  
Role Models ◽  
Critical Appraisal ◽  
Neonatal Health ◽  
Evidence Based ◽  
New Information ◽  
Conducting Research ◽  
Ongoing Surveillance ◽  
Study Designs

Knowledge translation is the process of bridging the gap between the overwhelming amount of research data/ information/evidence and its critical appraisal, synthesis, dissemination, and application as knowledge by influential role models. Knowledge translation includes ongoing surveillance of the results of the implementation of new knowledge. By conducting research that is driven by relevant, well-defined questions and by using the most powerful study designs available, researchers generate valid new information that can later be translated into knowledge and applied in the clinical setting. Systematic reviews of the literature serve as good examples of knowledge management, when defined as “making proper use of the sum of what is known.” Such reviews may identify that an intervention is effective without any harmful side effects, that it is noneffective, or that further research is warranted. Consumers of perinatal/neonatal health care or their ombudsmen should be encouraged to take part in setting the agenda and defining important outcomes for such research.

Transforming Health Care from the Inside Out: Advancing Evidence-Based Practice in the 21st Century

2005 ◽  
Vol 21 (6) ◽  
pp. 335-344 ◽  
Author(s):  
Ellen Fineout-Overholt ◽  
Bernadette Mazurek Melnyk ◽  
Alyce Schultz
Keyword(s):  
Health Care ◽  
21St Century ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Inside Out

Considerations for knowledge translation tool development: perspectives from French and Filipino parents (Preprint)

2021 ◽  
Author(s):  
Sarah A Elliott ◽  
Kelsey S Wright ◽  
Shannon D Scott ◽  
Lisa Hartling
Keyword(s):  
Knowledge Translation ◽  
Language Translation ◽  
First Language ◽  
Signs And Symptoms ◽  
Evidence Based ◽  
Data Sets ◽  
Structured Interviews ◽  
Cultural Adaptations ◽  
Key Stakeholders ◽  
Audio Recordings

BACKGROUND We have developed a number of evidence-based knowledge translation (KT) tools for parents of children with acute health conditions. These tools were created with parent input from, pilot-tested with, and disseminated to groups proficient in English with “westernized” cultural upbringings. It is therefore unclear if they are as useful for populations that are more diverse. To enhance the reach of our current and future KT tools, language translation and cultural adaptations may promote relevance for previously underserved knowledge users. OBJECTIVE To explore and understand considerations for cultural and linguistic adaptation of a KT tool for French and Filipino communities. METHODS A KT tool (whiteboard animation video) describing the signs and symptoms of croup was originally developed in English to provide parents with evidence-based information couched within a narrative reflecting parents’ experiences with the condition. Through feedback from key stakeholders, this KT tool was adapted (linguistics, imagery) for French and Tagalog-speaking parents and caregivers. The videos were presented to respective language speakers for usability testing and discussion. Participants were asked to view the KT tool, complete a usability survey and participate in semi-structured interviews. Audio recordings from the interviews were transcribed verbatim, translated to English, and analyzed for relevant themes using thematic analysis. RESULTS French (n=13) and Tagalog (n=13) speaking parents completed the usability survey and were interviewed. Though analyzed separately, both data sets produced similar findings with key themes relating to 1) understanding, 2) relatability, and 3) accessibility. Both French and Tagalog groups reported that the video and other KT tools were useful in their adapted forms. Participants in both groups cautioned using verbatim vocabulary and suggested that cultural competency and understanding of health language was essential for high quality translations. Parents also discussed their preference of videos with diverse visual representations of families, home environments, and healthcare workers to more broadly represent their communities. CONCLUSIONS French and Filipino parents appreciated having KT tools in their first language; however, they were also supportive of the use of English KT products. Their suggestions for improving relatability and communication of health messages are important considerations for the development and adaption of future KT products. Understanding the needs of the intended end-users is a crucial first step to produce relevant tools for health evidence dissemination.

scholarly journals Factors associated with parents’ experiences using a knowledge translation tool for vaccination pain management: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicole E. MacKenzie ◽  
Perri R. Tutelman ◽  
Christine T. Chambers ◽  
Jennifer A. Parker ◽  
Noni E. MacDonald ◽  
...  
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Qualitative Study ◽  
Knowledge Translation ◽  
Health Care Providers ◽  
Structured Interview ◽  
Vaccine Hesitancy ◽  
Evidence Based ◽  
Care Providers ◽  
Clinical Environment

Abstract Background Vaccination is a common painful procedure for children. Parents’ concern regarding vaccination pain is a significant driver of vaccine hesitancy. Despite the wealth of evidence-based practices available for managing vaccination pain, parents lack knowledge of, and access to, these strategies. Knowledge translation (KT) tools can communicate evidence-based information to parents, however little is known about what factors influence parents’ use of these tools. A two-page, electronic KT tool on psychological, physical, and pharmacological vaccination pain management strategies for children, was shared with parents as part of a larger mixed methods study, using explanatory sequential design, exploring factors related to uptake of this KT tool. The aim of this qualitative study was to understand what influenced parents’ perceptions of the relevance of the KT tool, as well as their decision as to whether to use the tool. Methods A qualitative descriptive design was used. A total of 20 parents of children aged 0–17 years (n = 19 mothers) reviewed the KT tool ahead of their child’s upcoming vaccination and participated in a semi-structured interview at follow-up. Interviews were recorded, transcribed verbatim, and analyzed with reflexive thematic analysis using an inductive approach. Results The analysis generated three interrelated themes which described factors related to parents’ use of the KT tool: (1) Relevance to parents’ needs and circumstances surrounding their child’s vaccination; (2) Alignment with parents’ personal values around, and experiences with, vaccination pain management (e.g., the importance of managing pain); and (3) Support from the clinical environment for implementing evidence-based strategies (e.g., physical clinical environment and quality of interactions with the health care provider). Conclusions Several factors were identified as central to parents’ use of the KT tool, including the information itself and the clinical environment. When the tool was perceived as relevant, aligned with parents’ values, and was supported by health care providers, parents were more inclined to use the KT tool to manage their children’s vaccination pain. Future research could explore other factors related to promoting engagement and uptake when creating parent-directed KT tools for a range of health-related contexts.

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