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XVI Eccuentro Internacional de                Investigacion en Cuidados      16th International Nursing Research          ...
Evaluation and accreditation of          health care research
Evaluation and accreditation of          health care research
Evaluation and accreditation of                       health care researchThe purpose of health care is to  improve and su...
Evaluation and accreditation of                         health care researchAssumption: the purpose of health care researc...
Evaluation and accreditation of                       health care researchAssumption: the purpose of health care research ...
Evaluation and accreditation of                       health care researchAssumption: the purpose of health care research ...
Evaluation and accreditation of                       health care researchResearch does not  improve and sustain public he...
Evaluation and accreditation of  health care research in clinical practiceHow do we assess the value of health care resear...
Accredited research evidence          Cochrane Collaboration (open access)Cochrane ReviewsHow do you know if one treatment...
Evaluation and accreditation of   health care research in clinical practice   Accredited evidence          Joanna Briggs I...
Evaluation and accreditation ofhealth care research in clinical practicedemonstrating what works (the pursuit of certainty...
Evaluation and accreditation ofhealth care research in clinical practicetranslate knowledge of what works into clinical pr...
Evaluation and accreditation              of health care research in practiceHow do we ensure that health care research is...
Evaluation and accreditation          of health care research in practiceDespite these challenges there is evidence of an ...
Evaluation and accreditation      of health care research in practiceThe health research and development workforce  Recogn...
Evaluation and accreditation of  health care research in clinical practiceHow do we maximise the value of health care rese...
XVI Eccuentro Internacional de                Investigacion en Cuidados      16th International Nursing Research          ...
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Evaluación y acreditación de la investigación en cuidados en la práctica clínica

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XVI Encuentro Internacional de Investigación en Cuidados

SESIÓN PLENARIA: Evaluación y acreditación de la investigación en cuidados

Ann McMahon: Evaluación y acreditación de la investigación en cuidados en la práctica clínica

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Evaluación y acreditación de la investigación en cuidados en la práctica clínica

  1. 1. XVI Eccuentro Internacional de Investigacion en Cuidados 16th International Nursing Research ConferenceCartagena, Espana6-9 November 2012Evaluation and accreditation of health care research in clinical practiceDr Ann McMahonRCN Research & Innovation Adviser
  2. 2. Evaluation and accreditation of health care research
  3. 3. Evaluation and accreditation of health care research
  4. 4. Evaluation and accreditation of health care researchThe purpose of health care is to improve and sustain public health and wellbeing and prevent ill health assure positive patient / service user experiences of health care systems and services achieve positive health outcomes and maximise the quality of life of health service users assure a peaceful deathThis is our common purpose
  5. 5. Evaluation and accreditation of health care researchAssumption: the purpose of health care research is to generate knowledge to increase understanding of : the underlying determinants of optimal health and wellbeing poor health the conditions in which optimal health and wellbeing is realised poor health is preventedin order for decision makers to improve and sustain public health and wellbeing and prevent ill health
  6. 6. Evaluation and accreditation of health care researchAssumption: the purpose of health care research is to generate knowledge to increase understanding of : what constitutes an optimal health care experience, in which conditions and how it is created and sustained the conditions in which patients are put at risk, and how risk can be mitigatedin order to make decision that seek to assure positive patient / service user experiences of health care services (and do no harm)
  7. 7. Evaluation and accreditation of health care researchAssumption: the purpose of health care research is to generate knowledge to increase understanding of : what interventions work, in which conditions and at what cost how ‘what works’ is translated into routine clinical practicein order to enable decision makers to achieve positive health outcomes, maximise the quality of life of health service users and assure a peaceful death
  8. 8. Evaluation and accreditation of health care researchResearch does not improve and sustain public health and wellbeing and prevent ill health assure positive patient / service user experiences of health care systems and services achieve positive health outcomes and maximise the quality of life of health service users assure a peaceful deathPeople do
  9. 9. Evaluation and accreditation of health care research in clinical practiceHow do we assess the value of health care research in practice?
  10. 10. Accredited research evidence Cochrane Collaboration (open access)Cochrane ReviewsHow do you know if one treatment will work better than another, or if it will do more harm than good?Cochrane reviews are systematic reviews of primary research in human care and health policy, and are internationally recognised as the highest standard in evidence based health care. They investigate the effects of interventions for prevention, treatment and rehabilitation..... .
  11. 11. Evaluation and accreditation of health care research in clinical practice Accredited evidence Joanna Briggs Institute (subsciption service)The Joanna Briggs Institute (JBI) is an international not-for-profit, research and development organisation based within the Faculty of Health Sciences at the University of Adelaide, South Australia.JBI collaborates internationally with over 70 entities across the world. The Institute and its collaborating entities promote and support the synthesis, transfer and utilisation of evidence through identifying feasible, appropriate, meaningful and effective healthcare practices to assist in the improvement of healthcare outcomes globallyJBI aims to provide the best available evidence to inform clinical decision-making at the point of care.
  12. 12. Evaluation and accreditation ofhealth care research in clinical practicedemonstrating what works (the pursuit of certainty) Randomised controlled trials (Gold Standard) Systematic reviews Health Technology Assessment (HTA)- The production of evidence to inform clinical decision making (EBP)limitations Uncertainty (DUETs) Translation gap
  13. 13. Evaluation and accreditation ofhealth care research in clinical practicetranslate knowledge of what works into clinical practice Translational research is the process of taking current scientific knowledge and ensuring it is applied in routine clinical careimplementation research (the acknowledgement of complexity) ‘… the scientific study of methods to promote the systematic uptake of clinical research findings and other evidence-based practices into routine practice, and hence to improve the quality…..of health care. It includes the study of influences on healthcare professional and organisational behaviour.’ Mixed methods Action research
  14. 14. Evaluation and accreditation of health care research in practiceHow do we ensure that health care research is relevant in clinical practice?Key messages: Demand: public demand and debate / media exposure is important in stimulating the research agenda, and motivating and engaging practitioners in EBP credibility is a key driver, with demand needing to come from practitioners to drive / advance practice standards Method the privileging of RCT methodology can be a barrier important to differentiate between primary research and evaluation of innovation practitioner scientists need to be embedded in services Use: in take up, brevity often plays an important part getting evidence noticed involved demonstrating how it is applicable to practice, saves wasted effort, achieves cost savings and fits with the changing system
  15. 15. Evaluation and accreditation of health care research in practiceDespite these challenges there is evidence of an innovative culture within today’s health services for example, in the UK, nurses are testing out innovations in practice in the RCN we are working to build nursing capability in economic assessment local innovations, themselves driven by evidence of need in clinical practice and by national policy developments should be driving national and international research agendas
  16. 16. Evaluation and accreditation of health care research in practiceThe health research and development workforce Recognise the contribution of all stakeholders and realise the potential of the multidisciplinary research workforce build capability in research and development research training mentorship public and patient involvement assure strong links between research, practice, policy and research commissioning communities clinical-academic career framework Internships ‘sandpit’ events
  17. 17. Evaluation and accreditation of health care research in clinical practiceHow do we maximise the value of health care research in practice?
  18. 18. XVI Eccuentro Internacional de Investigacion en Cuidados 16th International Nursing Research ConferenceCartagena, Espana6-9 November 2012Evaluation and accreditation of health care research in clinical practiceDr Ann McMahonRCN Research & Innovation Adviser

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