This document provides tips and strategies for successful research participant recruitment, with a focus on recruiting underrepresented populations. It emphasizes the importance of preparing early in the research process by setting realistic recruitment goals, understanding the target population's perspective and priorities, and developing community partnerships. Specific strategies discussed include tailoring communications and the study design to the population, using various platforms like social media for outreach, addressing potential barriers to participation, and maintaining high retention through ongoing communication and convenience. The document also provides examples of recruitment materials and study summaries.
The document discusses knowledge translation (KT), which involves closing the gaps between research knowledge and practice. KT includes disseminating research findings to relevant audiences and facilitating their implementation. Effective KT requires understanding user needs, tailoring knowledge tools and activities, addressing barriers, and evaluating impact on outcomes. Key aspects of KT include knowledge synthesis to integrate evidence, dissemination to communicate findings, and implementation efforts to promote adoption into practice or policy.
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...NEQOS
Powerpoint presentation from 'Demystifying Knowledge Transfer: an introduction to Implementation Science' - 28th May 2014.
Facilitated by Professor Jeremy Grimshaw and Dr Justin Presseau
Strengthen Dissemination, Implementation and Improvement ScienceUCLA CTSI
DII Science at UCLA: Launching a New Initiative (October 25, 2013)
Presented by: Brian Mittman, Moira Inkelas, Stefanie Vassar, Ibrahima Sankare, Arturo Martinez, Arleen Brown
The UCLA CTSI Dissemination, Implementation and Improvement (DII) Science Initiative has three main goals.
1) Expand UCLA’s competitiveness for DII funding and publication opportunities
2) Position UCLA CTSI for future renewal
3) Enhance societal impact and benefits of UCLA research and improve health care quality, health behaviors and health outcomes in Los Angeles County and beyond
The DII vision is to ensure that:
- Results of clinical studies are put into practice in Southern California to benefit diverse populations
- Local providers take part in studies of how to implement, spread and scale findings and innovations
- Research, implementation and dissemination occur seamlessly by design
- Delivery systems can work with researchers to develop system solutions
- Researchers can find delivery systems and/or provider networks with which to partner on implementation-oriented funding proposals and studies
This presentation developed by Michelle Constable and Jim McManus, explores how health psychology can help the work of Environmental Health Officers and was part of an introductory workshop for the Environmental Health Profession organised by the Beds and Herts Branch of the Chartered Institute of Environmental Health
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
This document provides tips and strategies for successful research participant recruitment, with a focus on recruiting underrepresented populations. It emphasizes the importance of preparing early in the research process by setting realistic recruitment goals, understanding the target population's perspective and priorities, and developing community partnerships. Specific strategies discussed include tailoring communications and the study design to the population, using various platforms like social media for outreach, addressing potential barriers to participation, and maintaining high retention through ongoing communication and convenience. The document also provides examples of recruitment materials and study summaries.
The document discusses knowledge translation (KT), which involves closing the gaps between research knowledge and practice. KT includes disseminating research findings to relevant audiences and facilitating their implementation. Effective KT requires understanding user needs, tailoring knowledge tools and activities, addressing barriers, and evaluating impact on outcomes. Key aspects of KT include knowledge synthesis to integrate evidence, dissemination to communicate findings, and implementation efforts to promote adoption into practice or policy.
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...NEQOS
Powerpoint presentation from 'Demystifying Knowledge Transfer: an introduction to Implementation Science' - 28th May 2014.
Facilitated by Professor Jeremy Grimshaw and Dr Justin Presseau
Strengthen Dissemination, Implementation and Improvement ScienceUCLA CTSI
DII Science at UCLA: Launching a New Initiative (October 25, 2013)
Presented by: Brian Mittman, Moira Inkelas, Stefanie Vassar, Ibrahima Sankare, Arturo Martinez, Arleen Brown
The UCLA CTSI Dissemination, Implementation and Improvement (DII) Science Initiative has three main goals.
1) Expand UCLA’s competitiveness for DII funding and publication opportunities
2) Position UCLA CTSI for future renewal
3) Enhance societal impact and benefits of UCLA research and improve health care quality, health behaviors and health outcomes in Los Angeles County and beyond
The DII vision is to ensure that:
- Results of clinical studies are put into practice in Southern California to benefit diverse populations
- Local providers take part in studies of how to implement, spread and scale findings and innovations
- Research, implementation and dissemination occur seamlessly by design
- Delivery systems can work with researchers to develop system solutions
- Researchers can find delivery systems and/or provider networks with which to partner on implementation-oriented funding proposals and studies
This presentation developed by Michelle Constable and Jim McManus, explores how health psychology can help the work of Environmental Health Officers and was part of an introductory workshop for the Environmental Health Profession organised by the Beds and Herts Branch of the Chartered Institute of Environmental Health
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
This document discusses the distinctions, synergies, and infrastructures needed to optimize patient outcomes through evidence based practice, research, and quality improvement. It compares the problem solving processes of quality improvement, evidence based practice, and clinical research. Quality improvement uses a systematic, data-driven approach to improve processes and outcomes, while evidence based practice involves using the best available research evidence, clinical expertise, and patient preferences to make decisions. Clinical research aims to generate generalizable knowledge through systematic study and evaluation. Infrastructure characteristics like mentorship, leadership, and culture can promote high quality outcomes, evidence uptake, and clinical inquiry.
KT research involves studying how to effectively promote the uptake of knowledge into clinical practice. Passive educational activities like conferences are generally ineffective at changing physician behavior, while knowledge translation approaches in the clinical environment using tools like clinical pathways and decision support can impact outcomes. The examples described implemented guidelines for diagnosing pulmonary embolism and increased physician use of electronic resources through a mobile clinical decision support system.
Let's Talk Research 2015 - Hazel Roddam - Getting started in research: how t...NHSNWRD
Getting started in research: how the north west cahpr hubs can help you to create, collect and use evidence
Dr Hazel Roddam Cumbria & Lancashire CAHPR Hub & National Strategy Board
Dr Catherine Adams Greater Manchester CAHPR Hub
The document discusses knowledge management and knowledge translation in emergency medicine. It defines knowledge management as connecting people to information and each other to create new knowledge. The document also explains that knowledge translation is the process of applying research findings to improve healthcare practices and close the gap between what is known and what is done in clinical practice. It provides examples of how knowledge management and translation strategies like multifaceted interventions, education, reminders, and audit and feedback can be applied to implement guidelines and improve processes in an emergency department.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
This document discusses measurement for quality improvement. It explains that measurement in improvement aims to provide a basis for action to improve processes and outcomes, rather than just estimating parameters. Improvement measures should be simple, specific, and available in real-time. Statistical process control methods are important to separate normal variation from changes resulting from interventions. Examples are provided of run charts measuring improvements in recording BMI for mental health patients and compliance with care bundles. The document advocates making the theories behind improvement efforts more explicit.
The document describes a collaborative process used by a community-academic partnership to analyze focus group data on cancer disparities. [1] The partnership included community members, academic researchers, and healthcare providers who worked together on all stages of focus group development and analysis. [2] Pairs of community and academic partners coded transcripts using both predetermined topical codes and new interpretive codes identified during discussions. [3] This process strengthened the partnership, enriched the research, and enhanced transparency and accountability.
Slide presentation for the June 4, 2014 joint PCORI/ National Institute on Aging (NIA) of the National Institutes of Health webinar. This webinar announced the selection of the research team that will carry out a major, five-year, $30 million patient-centered study of the effectiveness of individually tailored care plans to help older individuals avoid falls and related injuries.
Embedding the Team Knowledge Officer role within clinical teams via a pilot c...Catherine Ebenezer
This document discusses embedding a Team Knowledge Officer (TKO) role within clinical teams through a pilot clinical librarian service. It provides background on clinical librarian projects and definitions of clinical librarians and their roles. The document outlines recommendations for a TKO from the 'Hill Review' to support teams through knowledge sharing and ensure evidence-based input. A past study where a librarian attended mental health team meetings is described. The document proposes a pilot to embed the TKO role within specific clinical services at Durham and potential benefits like improved skills and awareness of information resources to enhance clinical effectiveness. Issues for consideration include evaluation methods and information needs analyses.
Ian Graham Regenstrief Conference Slides October 4 2007ShawnHoke
The document discusses how knowledge translation (KT), which involves moving research into practice, can be a strategy for transformative change in healthcare. It outlines KT approaches at the Canadian Institutes of Health Research (CIHR), including end-of-grant KT and integrated KT. Integrated KT involves engaging stakeholders in the research process. The document argues that applying existing research more effectively and conducting the right collaborative, interdisciplinary research could significantly improve health outcomes. It asserts KT must focus on adapting research for local contexts and evaluating real-world impacts to drive transformative change.
Specialist and Associate Specialist (SAS) doctors are highly experienced and highly skilled doctors working in the UK NHS. Now SAS doctors can register with their employer to be recognised as 'Autonomous Practitioners'. The GMC has published guidance on becoming a recognised Autonomous Practitioner and doctors are encouraged to develop evidence of their skills in leadership, management and research. These slides provide a clear rationale for an SAS Leadership Fellow programme to support SAS doctors in their medical careers.
This document provides an introduction and table of contents for a resource guide on implementation science. The guide aims to help decision makers and practitioners apply implementation science concepts to more effectively deliver evidence-based practices. The introduction defines implementation science as a way to close the gap between innovation and real-world practice. The table of contents previews sections on whether implementation is a science, common implementation models and frameworks, relevant research methods, and examples of applying implementation science in real-world settings. The resource guide is intended to connect readers with implementation science and facilitate more effective long-term use of specific evidence-based practices.
Stakeholder Engagement in Implementation Research: VA Women's Health ResearchUCLA CTSI
Stakeholder engagement in implementation research is important for improving interventions and facilitating change in clinical practice. The presenter describes approaches to stakeholder engagement used in two VA women's health research projects. These included employing advisory boards, hiring stakeholders as research team members, and partnering with stakeholders at multiple levels including patients, providers, managers, and leadership. Meaningful engagement requires respecting stakeholders' time and priorities, sharing decision-making, and closing the research loop by sharing results. It allows implementation research to better reflect real-world contexts and needs, thereby improving outcomes.
What is implementation science and why should you careLisa Muldrew
This document provides an overview of implementation science and its aims to develop strategies for improving health processes and outcomes. It discusses the translation continuum from pre-intervention to dissemination and implementation studies. Key factors that impact successful implementation include context, innovation characteristics, recipients, and facilitation. This is illustrated through a clinical case example where a study called ASSIST used a multifaceted strategy including a quality improvement team and external facilitator to successfully improve metabolic monitoring rates for patients on antipsychotics from 70% to over 90%.
This survey of hospitalists in British Columbia found that they perceive having more time with patients, improved access to nursing and allied health staff, and better interprofessional teamwork and communication as the most effective quality improvement strategies. Hospitalists indicated that lack of time, lack of QI training, and lack lack of performance data were the top barriers to participation in QI initiatives. Factors such as years of experience as a hospitalist, work status, annual weeks worked, patient volume per day, and formal QI training were found to impact hospitalists' involvement in QI.
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
An Action Research approach to facilitating the integration of best practice in the Assessment and Management of Diabetes Related Lower Limb Problems in India.
Michael Harrison-Blount MSc. BSc (Hons). MChS. MFPM RCPS (Glasg). CSci
Lecturer in Podiatry
School of Health SciencesUniversity of Salford
t: +44 0161 2953516
email; m.j.harrison-blount@salford.ac.uk | www.salford.ac.uk
This document provides information about the UCLA Clinical and Translational Science Institute (CTSI). It discusses the purpose of the National CTSA Program in providing infrastructure for clinical and translational research. It outlines various pilot programs, awards, and funding opportunities available through the UCLA CTSI, including KL2 awards, TL1 fellowships, seed grants, and team science awards. It also describes the Clinical and Translational Research Center facilities and regional consortia like UC-BRAID that enable collaboration between UC medical centers.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Can Bureaucratic Organizations Really Innovate?Ahmad Chamy
Sponsored by Fraser Health Authority, in collaboration with Tracy Irwin (VP, Innovation) & Yabome Gilpin-Jackson (VP, OD) I conducted a qualitative evaluation of one FHA's most innovative and sustained initiatives and summarized the lessons learnt.
I believe this research will help show how public healthcare organizations can innovate!
Rede ENSI em portugal balanço de 2 anos de atividaderedeensi
Este documento resume as atividades da Rede ENSI em Portugal nos últimos 2 anos. A Rede ENSI começou em 2012 com 13 membros e 7 colaboradores e tem vindo a crescer e divulgar-se através de congressos, materiais online, redes sociais e um blogue sobre saúde infantil. Pretende angariar novos membros e estabelecer parcerias para expandir as suas atividades dirigidas a enfermeiros e pais.
El documento propone el desarrollo de competencias digitales en la educación para aprovechar las tecnologías en el aprendizaje de los estudiantes. Señala que los profesores deben capacitarse en el uso de las TIC y proponer actividades formativas con ellas. También destaca ventajas como la actualización rápida de información y desventajas como que algunos dispositivos no son accesibles o duraderos para todos.
This document discusses the distinctions, synergies, and infrastructures needed to optimize patient outcomes through evidence based practice, research, and quality improvement. It compares the problem solving processes of quality improvement, evidence based practice, and clinical research. Quality improvement uses a systematic, data-driven approach to improve processes and outcomes, while evidence based practice involves using the best available research evidence, clinical expertise, and patient preferences to make decisions. Clinical research aims to generate generalizable knowledge through systematic study and evaluation. Infrastructure characteristics like mentorship, leadership, and culture can promote high quality outcomes, evidence uptake, and clinical inquiry.
KT research involves studying how to effectively promote the uptake of knowledge into clinical practice. Passive educational activities like conferences are generally ineffective at changing physician behavior, while knowledge translation approaches in the clinical environment using tools like clinical pathways and decision support can impact outcomes. The examples described implemented guidelines for diagnosing pulmonary embolism and increased physician use of electronic resources through a mobile clinical decision support system.
Let's Talk Research 2015 - Hazel Roddam - Getting started in research: how t...NHSNWRD
Getting started in research: how the north west cahpr hubs can help you to create, collect and use evidence
Dr Hazel Roddam Cumbria & Lancashire CAHPR Hub & National Strategy Board
Dr Catherine Adams Greater Manchester CAHPR Hub
The document discusses knowledge management and knowledge translation in emergency medicine. It defines knowledge management as connecting people to information and each other to create new knowledge. The document also explains that knowledge translation is the process of applying research findings to improve healthcare practices and close the gap between what is known and what is done in clinical practice. It provides examples of how knowledge management and translation strategies like multifaceted interventions, education, reminders, and audit and feedback can be applied to implement guidelines and improve processes in an emergency department.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
This document discusses measurement for quality improvement. It explains that measurement in improvement aims to provide a basis for action to improve processes and outcomes, rather than just estimating parameters. Improvement measures should be simple, specific, and available in real-time. Statistical process control methods are important to separate normal variation from changes resulting from interventions. Examples are provided of run charts measuring improvements in recording BMI for mental health patients and compliance with care bundles. The document advocates making the theories behind improvement efforts more explicit.
The document describes a collaborative process used by a community-academic partnership to analyze focus group data on cancer disparities. [1] The partnership included community members, academic researchers, and healthcare providers who worked together on all stages of focus group development and analysis. [2] Pairs of community and academic partners coded transcripts using both predetermined topical codes and new interpretive codes identified during discussions. [3] This process strengthened the partnership, enriched the research, and enhanced transparency and accountability.
Slide presentation for the June 4, 2014 joint PCORI/ National Institute on Aging (NIA) of the National Institutes of Health webinar. This webinar announced the selection of the research team that will carry out a major, five-year, $30 million patient-centered study of the effectiveness of individually tailored care plans to help older individuals avoid falls and related injuries.
Embedding the Team Knowledge Officer role within clinical teams via a pilot c...Catherine Ebenezer
This document discusses embedding a Team Knowledge Officer (TKO) role within clinical teams through a pilot clinical librarian service. It provides background on clinical librarian projects and definitions of clinical librarians and their roles. The document outlines recommendations for a TKO from the 'Hill Review' to support teams through knowledge sharing and ensure evidence-based input. A past study where a librarian attended mental health team meetings is described. The document proposes a pilot to embed the TKO role within specific clinical services at Durham and potential benefits like improved skills and awareness of information resources to enhance clinical effectiveness. Issues for consideration include evaluation methods and information needs analyses.
Ian Graham Regenstrief Conference Slides October 4 2007ShawnHoke
The document discusses how knowledge translation (KT), which involves moving research into practice, can be a strategy for transformative change in healthcare. It outlines KT approaches at the Canadian Institutes of Health Research (CIHR), including end-of-grant KT and integrated KT. Integrated KT involves engaging stakeholders in the research process. The document argues that applying existing research more effectively and conducting the right collaborative, interdisciplinary research could significantly improve health outcomes. It asserts KT must focus on adapting research for local contexts and evaluating real-world impacts to drive transformative change.
Specialist and Associate Specialist (SAS) doctors are highly experienced and highly skilled doctors working in the UK NHS. Now SAS doctors can register with their employer to be recognised as 'Autonomous Practitioners'. The GMC has published guidance on becoming a recognised Autonomous Practitioner and doctors are encouraged to develop evidence of their skills in leadership, management and research. These slides provide a clear rationale for an SAS Leadership Fellow programme to support SAS doctors in their medical careers.
This document provides an introduction and table of contents for a resource guide on implementation science. The guide aims to help decision makers and practitioners apply implementation science concepts to more effectively deliver evidence-based practices. The introduction defines implementation science as a way to close the gap between innovation and real-world practice. The table of contents previews sections on whether implementation is a science, common implementation models and frameworks, relevant research methods, and examples of applying implementation science in real-world settings. The resource guide is intended to connect readers with implementation science and facilitate more effective long-term use of specific evidence-based practices.
Stakeholder Engagement in Implementation Research: VA Women's Health ResearchUCLA CTSI
Stakeholder engagement in implementation research is important for improving interventions and facilitating change in clinical practice. The presenter describes approaches to stakeholder engagement used in two VA women's health research projects. These included employing advisory boards, hiring stakeholders as research team members, and partnering with stakeholders at multiple levels including patients, providers, managers, and leadership. Meaningful engagement requires respecting stakeholders' time and priorities, sharing decision-making, and closing the research loop by sharing results. It allows implementation research to better reflect real-world contexts and needs, thereby improving outcomes.
What is implementation science and why should you careLisa Muldrew
This document provides an overview of implementation science and its aims to develop strategies for improving health processes and outcomes. It discusses the translation continuum from pre-intervention to dissemination and implementation studies. Key factors that impact successful implementation include context, innovation characteristics, recipients, and facilitation. This is illustrated through a clinical case example where a study called ASSIST used a multifaceted strategy including a quality improvement team and external facilitator to successfully improve metabolic monitoring rates for patients on antipsychotics from 70% to over 90%.
This survey of hospitalists in British Columbia found that they perceive having more time with patients, improved access to nursing and allied health staff, and better interprofessional teamwork and communication as the most effective quality improvement strategies. Hospitalists indicated that lack of time, lack of QI training, and lack lack of performance data were the top barriers to participation in QI initiatives. Factors such as years of experience as a hospitalist, work status, annual weeks worked, patient volume per day, and formal QI training were found to impact hospitalists' involvement in QI.
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
An Action Research approach to facilitating the integration of best practice in the Assessment and Management of Diabetes Related Lower Limb Problems in India.
Michael Harrison-Blount MSc. BSc (Hons). MChS. MFPM RCPS (Glasg). CSci
Lecturer in Podiatry
School of Health SciencesUniversity of Salford
t: +44 0161 2953516
email; m.j.harrison-blount@salford.ac.uk | www.salford.ac.uk
This document provides information about the UCLA Clinical and Translational Science Institute (CTSI). It discusses the purpose of the National CTSA Program in providing infrastructure for clinical and translational research. It outlines various pilot programs, awards, and funding opportunities available through the UCLA CTSI, including KL2 awards, TL1 fellowships, seed grants, and team science awards. It also describes the Clinical and Translational Research Center facilities and regional consortia like UC-BRAID that enable collaboration between UC medical centers.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Can Bureaucratic Organizations Really Innovate?Ahmad Chamy
Sponsored by Fraser Health Authority, in collaboration with Tracy Irwin (VP, Innovation) & Yabome Gilpin-Jackson (VP, OD) I conducted a qualitative evaluation of one FHA's most innovative and sustained initiatives and summarized the lessons learnt.
I believe this research will help show how public healthcare organizations can innovate!
Rede ENSI em portugal balanço de 2 anos de atividaderedeensi
Este documento resume as atividades da Rede ENSI em Portugal nos últimos 2 anos. A Rede ENSI começou em 2012 com 13 membros e 7 colaboradores e tem vindo a crescer e divulgar-se através de congressos, materiais online, redes sociais e um blogue sobre saúde infantil. Pretende angariar novos membros e estabelecer parcerias para expandir as suas atividades dirigidas a enfermeiros e pais.
El documento propone el desarrollo de competencias digitales en la educación para aprovechar las tecnologías en el aprendizaje de los estudiantes. Señala que los profesores deben capacitarse en el uso de las TIC y proponer actividades formativas con ellas. También destaca ventajas como la actualización rápida de información y desventajas como que algunos dispositivos no son accesibles o duraderos para todos.
Puerto Rico ofrece diversas atracciones históricas como parques indígenas ceremoniales, iglesias españolas coloniales, plantaciones de café del siglo XIX y estructuras tipo castillo construidas por los españoles. También cuenta con atracciones modernas como el radiotelescopio de Arecibo y parques de ciencia. Algunas atracciones específicas mencionadas son El Morro, El Yunque, San Juan y la Cueva del Indio.
The newsletter discusses events related to Black History Month. It provides information on new commissioners appointed to the African-American Affairs Commission. It also lists upcoming events celebrating Black history and African-American culture in Connecticut. The newsletter emphasizes the importance of learning Black history so that past struggles and accomplishments are not forgotten, in order to guide future progress.
Thailand is a country located in Southeast Asia between Burma, Laos, Cambodia and Malaysia. It has a population of over 68 million people and its capital and largest city is Bangkok. Thailand has a constitutional monarchy government and its official religion is Theravada Buddhism, though it has religious freedom. Some of Thailand's most notable features include its beaches, islands, elephants, full moon parties, and ornate royal palaces and temples. Tourism is a major contributor to Thailand's economy.
Stewart Mercer: Evaluation of primary care integration and transformation in ...STN IMPRO
This document summarizes the evaluation of primary care integration and transformation efforts in Scotland. It discusses Scotland's vision for placing primary care at the heart of the healthcare system with multidisciplinary teams providing integrated care. It outlines the need for evaluating the "middle ground" between practice and research. The Scottish School of Primary Care is evaluating Scotland's Primary Care Transformation Fund and new models of primary care through case studies and a long-term research program to support ongoing transformation efforts.
1) The document summarizes a presentation given by Debra Thornton, the Library & Knowledge Services Manager at Blackpool Teaching Hospitals Foundation Trust, about the clinical librarian service provided to the trust.
2) The service conducts literature searches and evidence reviews to support various departments, committees, and projects within the trust related to quality improvement, cost-savings, clinical pathways, and more.
3) Feedback provided indicates the service helps the trust make more evidence-based decisions and improve patient care and outcomes.
Evidence to Care: Mobilizing Childhood Disability Research into Practice
Dr. Shauna Kingsnorth
Evidence to Care Lead
Clinical Study Investigator
Assistant Professor (status), Department of Occupational Science
and Occupational Therapy, University of Toronto
Holland Bloorview Kids Rehabilitation Hospital
skingsnorth@hollandbloorview.ca
Presented at: Canadian Knowledge Mobilization Forum
Saskatoon, Saskatchewan June 9, 2014
Brad Doebbeling Slides for AHRQ Kick-Off EventShawnHoke
This document provides an overview of a project aimed at improving the integration of clinical decision support (CDS) into outpatient clinical workflow for colorectal cancer screening. The project will identify best practices for CDS integration across four health systems, develop and test redesigned CDS alternatives through simulation, and implement and evaluate the redesigned CDS in primary care clinics. The goal is to create CDS designs that improve efficiency, usability and reduce workload for providers.
NHS Improving Quality was invited to take part in a recently held event that celebrated the work that is being done in partnership between the Pennine Acute Hospitals NHS Trust and AQuA to deliver a Quality Improvement Methodologies Programme (QuIMP).
Gillian Phazey, Learning and Organisational Development Manager at Pennine Acute Hospitals NHS Trust explains:
'The Learning and Organisational Development and Governance teams at the Pennine Acute Hospitals NHS Trust have been working collaboratively with AQuA to deliver a Quality Improvement Methodologies Programme (QuIMP) to support staff in developing knowledge and skills in this topic. The programme has been specifically designed to support colleagues wanting to gain an introduction to the fundamentals and concepts of quality improvement. So far, two cohorts of staff, from clinical and non-clinical areas of the Trust have completed the programme, and have completed quality improvement projects in their own work area to apply their knowledge. On 17th July a celebration event was held for cohort 2 where staff presented their work in poster or presentation form, the aim of which is to share and spread learning across the Trust. Projects were wide ranging, from introducing new processes to reduce complaints and drug errors, to improving patient experience by implementing new tools and techniques. The day was a great success with the Chief Executive and Chief Nurse in attendance. The Trust is highly supportive of this approach in equipping staff with these important techniques, and the programme supports not only our internal quality agenda and objectives, but more widely responds to the recommendations of the Berwick report. The next cohort is starting in September this year.'
Fiona Thow, Patient Safety Collaborative Delivery Lead at NHS Improving Quality delivered a keynote speech, (link to presentation slides) providing a national perspective on the plans for improving patient safety and took the opportunity to introduce the national safety collaboratives. She also highlighted the need for organisations and individuals to think differently about safety for both patients and staff.
Application 3 Becoming a Leader in the Translation of Evidence GrazynaBroyles24
Application 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare
for this week’s section of Application 3 as follows:
Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue.
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (
DO NOT GO OVER THREE PAGES):
Your vision of yourself as a leader—specifically:
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (
see week 6 discussion attached you did for me
, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3)
How you would advocate for the use of new evidence-based practice approaches through the policy arena
(see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016).
Translation of evidence into nursing and health care practice
(2nd ed.). New York, NY: Springer.
Chapter 6, “Translation of Evidence for Leadership”
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses.
Journal of Pediatric Nursing
, 28, 479-485.
...
How to boost policy and program agencies’ use of researchSax Institute
Ms Gai Moore, Principal Analyst in the Sax Institute’s Knowledge Exchange division, presented new findings on what the evidence shows about what works in knowledge translation to the World Health Congress on Public Health in Melbourne in April.
The document examines how the NHS measures quality of care for people with mental health conditions or a learning disability. It finds that there is a lack of research into quality measurement for this group compared to other areas of healthcare. Additionally, quality measurement often focuses on metrics and minimum standards rather than the cultures and values that could lead to improved care. The paper suggests dimensionalising quality measures into more specific areas like nursing care, food services, and health outcomes to better guide quality improvement efforts.
This document discusses funding opportunities for public health research in Northern Ireland and the UK. It outlines the strategic context for public health research and infrastructure that supports it, including the Northern Ireland Public Health Research Network. Funding sources are described for both Northern Ireland and the UK, including the NIHR Public Health Research Programme. An example of a successful NIHR funded study is provided that was developed through the NIPHRN and involved collaboration between academics, health organizations, and voluntary groups.
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1CLAHRC-NDL
The document provides an overview of the NIHR infrastructure for supporting applied health research in the UK. It discusses how the NIHR was established to improve health outcomes through advancing research, improving NHS care through research participation, strengthening the UK's international research position, and driving economic growth. The NIHR aims to overcome past problems like a lack of research incentives in the NHS, low applied evidence bases, and difficulties developing sustainable research capacity. It created a national health research system to integrate patients, the NHS, universities, investigators and other stakeholders.
Presentations from the patient safety conference held at Teesside University on 1 and 2 September 2014 - Students at the forefront of continuing and improving our culture of safe care
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
Researchers at Peninsula Health are conducting several studies:
1) A study validating the use of 3D printing for surgical planning by creating models from CT scans and getting surgeon feedback.
2) The first study examining the impact of simulation-based falls prevention training for health profession students on actual patient falls.
3) A study comparing different aquatic physiotherapy exercises for improving balance and reducing falls in Parkinson's disease patients.
4) A study examining the accuracy of radiographer comments on x-rays of broken arms and legs to see if they can help in the emergency department.
Improving practice through evidence not only helps lower healthcare improve.docxwrite4
- Improving healthcare practices through evidence-based research can help lower costs, improve outcomes and safety, and increase job satisfaction for medical professionals.
- It is important to disseminate information about evidence-based practices in order to advance the healthcare system, though it often takes years for research results to be implemented in practice.
- Strategies for disseminating evidence-based practice information include unit-level education, posters, and champions to help reinforce positive results.
This document outlines a proposed research study to identify priorities and barriers to research development among health librarians. The study would involve a focus group of representatives from different areas of health librarianship to reach consensus on key questions to include in a national survey. The focus group aims to clarify priorities and barriers to inform development of the survey, which would explore these issues in greater depth among a larger sample of health librarians. The document provides details on obtaining informed consent and maintaining anonymity for focus group participants.
This document discusses research capacity building. It defines capacity building as a process that leads to higher individual and institutional skills and a greater ability to perform useful research. Research capacity building aims to augment long-term ability to carry out research and achieve objectives. The document outlines strategies used by the Collaboration for Leadership in Applied Health Research and Care, Yorkshire and Humber to build research capacity, such as providing learning opportunities, fellowships, and building skills in research, collaboration, and knowledge mobilization.
Let's Talk Research 2015 - Joanna Harrison - CLAHRC NWC Internship scheme NHSNWRD
Collaboration for Leadership in Applied Health Research and Care North West Coast (CLAHRC NWC) Research Internship Scheme
Joanna Harrison
Research Capacity Delivery Manager
The Strategy Unit was commissioned to create an evidence-based resource to support local primary care development strategies in the West Midlands. They conducted an evidence review on quality aspects of primary care that impact health outcomes and service utilization. The resulting resource provides a framework to guide discussions between commissioners, providers, and stakeholders on local priorities. It identifies key themes from the patient, clinical, and practice perspectives. Initial feedback indicates the resource will be useful to prompt conversations with patients on their vision for primary care excellence and help co-produce quality indicators for GP contracts. The Unit aims to inform ongoing primary care work through their methodology of rapidly conducting evidence reviews to balance rigor and timeliness.
This document provides an introduction and overview of Theory at a Glance: Application to Health Promotion and Health Behavior (Second Edition). It discusses the importance and role of theory in health promotion practice. The document is intended to help public health workers and practitioners design effective programs by applying relevant behavioral theories. It contains three parts, with Part 1 providing foundations on the use of theory in health promotion. Theories can help explain health behaviors, identify factors that influence behavior and how they may be changed, and guide the development and evaluation of health interventions and programs. Both explanatory and change theories are important. The document emphasizes that no single theory is suitable for all cases and that practitioners should select theories appropriate for the issue, population, and context.
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
The Nervous and Chemical Regulation of Respiration
160525 eahil presentation
1. Perspectives and insights into how
evidence and knowledge can inform
large scale change in health care
Alison Turner
June 2016
@ali_pals
@Strategy_Unit
2. 2
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Purpose of presentation
To share with you the findings of a
small study exploring the use of
evidence and knowledge in large
scale change
To reflect on the implications for
library and information
professionals
Bud Ellison CC BY 2.0
https://www.flickr.com/photos/budellison/16220593436
3. 3
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Acknowledgements
Funded by:
Health Education West Midlands, Research Fellows programme
With thanks to:
New Care Models programme, NHS England
New Care Model vanguard sites
Dr Robin Bell, Dr Lynn Nichol, Prof Eleanor Bradley, University of Worcester
Midlands and Lancashire Commissioning Support Unit
Colleagues on the Research Fellows programme
Ashashyou CC BY 3.0
https://commons.wikimedia.org/wiki/File:Thank-you-word-cloud.jpg
5. 5
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Why is this important?
The health service in England:
• is under increasing financial pressure
• is experiencing rising demand for healthcare
Solutions are needed to address these issues which involve transforming health and
social care:
• There is a growing recognition of the inherent complexity of healthcare transformation
• Transformation programmes are required to demonstrate a clear evidence base for change
BUT…
we know use of evidence is variable and inconsistent
SO….
we need a better understanding of how evidence is perceived and used
6. 6
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Research questions
What
constitutes
evidence in the
context of large
scale change
in health care?
Which
evidence is
deemed to be
of value?
What
difference does
evidence
make?
How is
evidence
framed to
support
decisions?
What are the
barriers to
using
evidence?
Perspectives Processes
7. 7
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Approach
Methodology:
Qualitative case study
Setting:
A national (England) programme to
develop and deliver new care models
Methods:
• Purposive sample of sites and
individuals (national and local level)
• Semi-structured interviews
• Document analysis
• Literature review
Analysis:
Framework analysis
Prepare
July -
September
Collect
October -
February
Analyse
December -
March
Share
April -
Design
May - JunePlan
Adapted from: Yin, R. K. (2014) Case study research: design and
methods. London: Sage.
9. 9
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Perspectives
• Broad interpretations of what constitutes
evidence
• A need to integrate multiple sources and
types of evidence, to consider evidence “in
its totality"
• “Variance in value” with preferences
towards practice-based and patient-
generated evidence
• Context is important to help understand
how evidence may apply locally
“I suppose it’s possibly information that helps
support implementation of interventions to
show a good or bad, positive or negative
impact on a person, an individual or a
society.”
“You can vary this, you absolutely can’t vary
that because if you vary that it loses the
essence of what it was. And those are the kind
of tools I think people would find genuinely
useful, kind of assessment tools to allow them
to make an assessment of it”
10. 10
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Processes
• Evidence typically used in earlier phases to
inform case for change and design
• Experiences of “information poverty” and
“information overload”
• Knowledge sharing across sites considered
important to “fail fast, learn fast”
• Time pressures suggested a “satisficing”
strategy (stopping when they feel the
information is “good enough“)
• Barriers at different levels:
• Evidence: e.g. hard to use
• Individual: e.g. skills/confidence
• Organisational: e.g. capacity
• National programme: e.g. support
not aligned with delivery
• Wider system: e.g. fragmented
support
“I suppose we didn’t go off and do formal
horizon scans and PICO [an approach to
devising a literature search strategy] things
and search for trials, we had a lot of the
information already there because this is
work that’s been built on.”
“I see my role as a clinical leader, to get on
and do what is blindingly obvious and I really
don’t want to spend a lot of my actual
personal time, or that of my team, building up
the evidence base which is out there anyway.
Somebody else can do that and put it in a
nice pack if they wish but I really need to just
get on and do what I need to do“
12. 12
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
General conclusions
• Evidence is important particularly for informing design, building consensus and challenging
assumptions
• Whilst evidence is used to support the design of large scale change, there is little to suggest
this is sustained through the lifecycle of the programme
• Iterative change advocated by systems thinking is changing users’ requirements (demand
side) but the way we all work has yet to catch up!
Highways Agency CC BY 2.0
https://en.wikipedia.org/wiki/Gravelly_Hill_Interchange
13. 13
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
Opportunities to improve evidence use
• Helping decision makers to apply evidence
locally by being more explicit about the
context of research and evaluation studies
• Balancing rigour and timeliness by identifying
which questions warrant rapid review or in-
depth research
• Embedding evidence and knowledge
mobilisation throughout the life of a
programme, aligning with formative
evaluation, through pragmatic products such
as “living reviews” and “evidence maps”
• Researchers and practitioners working
together to prioritise research questions
using methods which support iterative
change
• More collaboration in evidence support to
reduce duplication
“I think it’s the timeliness – it’s a key issue,
because for me I’d rather have something that
was 90% accurate quickly than 100%
accurate in 6 months time because the pace
at which we are expected to work doesn’t
allow for that, if that makes sense.”
15. 15
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
An extended role for information professionals?
Moving beyond a “support service” towards an
embedded role?
• Design
• Implementation – iterative experimentation
• Evaluation
Skills we can bring:
• Complex searching
• Qualitative synthesis
• Knowledge mobilisation
• Knowledge management
Are you involved in supporting large scale
change/transformation of health and care
services?
• Please get in touch
NHS Change Model
http://www.nhsiq.nhs.uk/capacity-capability/change-model.aspx
17. 17
The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
References
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The Strategy Unit
Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk
References
Naylor, C., et al. (2015) Transforming our health care system: ten priorities for commissioners. King's Fund.
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