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Kara DeCorby, MSc
                                          Paula Robeson, RN, MScN
                                          Maureen Dobbins, RN, PhD
                                           Monali Varia, MHSc, CIC
                                             Sue Fernane, RN, BScN
                                            Adele Lane, RN, BScN




Canadian Public Health Association Conference, June 16, 2010
Peel Public Health


                                                  • Located in the Greater Toronto Area
                                                    (GTA) west of Toronto, ON
                                                  • Governed by regional council that acts
                                                    as board of health
                                                  • Total population: 1,159,405 over 1254
                                                    square km of urban and rural
                                                    communities
                                                  • Diverse population: Total immigrant
                                                    population of 561,240 (48%)


                                                                        Source: Region of Peel Planning




Canadian Public Health Association Conference, June 16, 2010
Health Evidence

 Launched 2005
 @ McMaster University
 Access to pre-appraised evidence &
  capacity development support for EIDM
 Serves 4,700+ registered users




Canadian Public Health Association Conference, June 16, 2010
Canadian Public Health Association Conference, June 16, 2010
Knowledge Broker Project Goals

        facilitate development of individual and team
        capacity for evidence-informed public health
        decision making (EIDM) at Peel Public Health,
        Communicable Diseases Division

        contribute to Peel Public Health’s strategic
        initiative to foster EIDM throughout the
        organization


Canadian Public Health Association Conference, June 16, 2010
Short and Long-Term Goals
           SHORT TERM                                                 LONG TERM
    search capacity                                            EIDM across organization
    critical consumer                                          Implement full EIDM spectrum
    shift toward EIDM approach                                 address barriers
    identify /address barriers                                 internal brokers fully engaged
    internal brokers                                            to foster comfort and
                                                                 confidence in EIDM amongst all
    develop confidence
                                                                 staff




Canadian Public Health Association Conference, June 16, 2010
Evaluation Goals

     Descriptive account of brokering

     Perceptions of staff and the broker
      regarding the process

     Challenges, barriers, and facilitators of
      EIDM


Canadian Public Health Association Conference, June 16, 2010
Mentoring Dyads
Communicable                       Healthy Sexuality
Dyads involved
   Disease
   Manager,                            Manager,
 Communicable                           Healthy
    Disease                            Sexuality
   Program                             Program
                       Knowledge
                         Broker

 Research & Policy                 Research & Policy
     Analyst                           Analyst
Activities
     Through site visits, telephone and email:

      Development of questions, lit search &
       appraisal
      Awareness of resources
      Development of tools
      Sharing through conferences
      Small group work with other staff


Canadian Public Health Association Conference, June 16, 2010
Mentorship Project Timeline
  July 2008                                          Apr 8              Nov 1-3
                Oct 29-31     Jan 6-8
  proposal                                 Feb 2-4   SV#6               SV#10
                SV#1                                         Jul 20-3
 Add the slide here with the timelines
  submission                  SV#3         SV#4
                                                             SV#8




              Oct 6         Nov
                                        Jan 20           Jun 25   Sep 8-10
June 2008     initial       SV#2                 Mar 2-6
                                        t/c              SV#7     SV#9
early         meeting                            SV#5
                                        AMoH
discussions                                                             Project
                            Dec 2008                  May 2009          evaluation
                            project                   project
                            extended                  extended
Evaluation Methods
     Interviews recorded with notes kept

     Documentation and audio files were used
      in analysis to generate common themes
      and note any inconsistencies

     Report reviewed by those interviewed



Canadian Public Health Association Conference, June 16, 2010
Results



Canadian Public Health Association Conference, June 16, 2010
Impact of Brokering

     new philosophy

     becoming more critical consumers

     giving structure to the process

     resources and tools




Canadian Public Health Association Conference, June 16, 2010
EIDM Facilitators

     clear and strong organizational mandate

     strong leadership

     structured process with supporting resources




Canadian Public Health Association Conference, June 16, 2010
Brokering Work Facilitators

     personal & professional qualities

     predictable, monthly interactions

     external and internal supports




Canadian Public Health Association Conference, June 16, 2010
Challenges

     Time

     Communication

     Uncertainty

     Access




Canadian Public Health Association Conference, June 16, 2010
Qualities of a Broker

    Knowledgeable                                              Available


    Acknowledges existing expertise                            Clear, easy to understand


    Practical                                                  Not too academic


    Professional but not “stuffy”                              Easy to talk to and work with


    Non-judgmental                                             Starting where people are at


    Approachable




Canadian Public Health Association Conference, June 16, 2010
Recommendations

     Acknowledge time needed for EIDM

     Involve staff in:
                  planning of work

                  strategic planning

     Set goals & establish timeline jointly

     Provide support 1-2 years

     Tailor support


Canadian Public Health Association Conference, June 16, 2010
Recommendations, cont.

     Mid-cycle assessment

     Specific activities (conferences, speakers,
         workshops)

     Progressively more active role for staff

     Ongoing staff support

     Brokering support on “retainer”



Canadian Public Health Association Conference, June 16, 2010
Key Components

     Facilitate transition to critical consumers

     Give structure to EIDM, with resources and
      tools

     Promote positive relationship to engage staff in
      EIDM

     Provide opportunities to practice and apply
      skills

Canadian Public Health Association Conference, June 16, 2010
Contact Information

                                 For more information, contact

  Kara DeCorby kdecorby@health-evidence.ca
  Paula Robeson probeson@health-evidence.ca
  Maureen Dobbins      dobbinsm@mcmaster.ca
  Sue Fernane        sue.fernane@peelregion.ca
  Adele Lane           adele.lane@peelregion.ca
  General Inquiries:    info@health-evidence.ca


Canadian Public Health Association Conference, June 16, 2010

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Results of a knowledge brokering intervention to promote evidence informed public health decision making

  • 1. Kara DeCorby, MSc Paula Robeson, RN, MScN Maureen Dobbins, RN, PhD Monali Varia, MHSc, CIC Sue Fernane, RN, BScN Adele Lane, RN, BScN Canadian Public Health Association Conference, June 16, 2010
  • 2. Peel Public Health • Located in the Greater Toronto Area (GTA) west of Toronto, ON • Governed by regional council that acts as board of health • Total population: 1,159,405 over 1254 square km of urban and rural communities • Diverse population: Total immigrant population of 561,240 (48%) Source: Region of Peel Planning Canadian Public Health Association Conference, June 16, 2010
  • 3. Health Evidence  Launched 2005  @ McMaster University  Access to pre-appraised evidence & capacity development support for EIDM  Serves 4,700+ registered users Canadian Public Health Association Conference, June 16, 2010
  • 4. Canadian Public Health Association Conference, June 16, 2010
  • 5. Knowledge Broker Project Goals facilitate development of individual and team capacity for evidence-informed public health decision making (EIDM) at Peel Public Health, Communicable Diseases Division contribute to Peel Public Health’s strategic initiative to foster EIDM throughout the organization Canadian Public Health Association Conference, June 16, 2010
  • 6. Short and Long-Term Goals SHORT TERM LONG TERM  search capacity  EIDM across organization  critical consumer  Implement full EIDM spectrum  shift toward EIDM approach  address barriers  identify /address barriers  internal brokers fully engaged  internal brokers to foster comfort and confidence in EIDM amongst all  develop confidence staff Canadian Public Health Association Conference, June 16, 2010
  • 7. Evaluation Goals  Descriptive account of brokering  Perceptions of staff and the broker regarding the process  Challenges, barriers, and facilitators of EIDM Canadian Public Health Association Conference, June 16, 2010
  • 8. Mentoring Dyads Communicable Healthy Sexuality Dyads involved Disease Manager, Manager, Communicable Healthy Disease Sexuality Program Program Knowledge Broker Research & Policy Research & Policy Analyst Analyst
  • 9. Activities Through site visits, telephone and email:  Development of questions, lit search & appraisal  Awareness of resources  Development of tools  Sharing through conferences  Small group work with other staff Canadian Public Health Association Conference, June 16, 2010
  • 10. Mentorship Project Timeline July 2008 Apr 8 Nov 1-3 Oct 29-31 Jan 6-8 proposal Feb 2-4 SV#6 SV#10 SV#1 Jul 20-3  Add the slide here with the timelines submission SV#3 SV#4 SV#8 Oct 6 Nov Jan 20 Jun 25 Sep 8-10 June 2008 initial SV#2 Mar 2-6 t/c SV#7 SV#9 early meeting SV#5 AMoH discussions Project Dec 2008 May 2009 evaluation project project extended extended
  • 11. Evaluation Methods  Interviews recorded with notes kept  Documentation and audio files were used in analysis to generate common themes and note any inconsistencies  Report reviewed by those interviewed Canadian Public Health Association Conference, June 16, 2010
  • 12. Results Canadian Public Health Association Conference, June 16, 2010
  • 13. Impact of Brokering  new philosophy  becoming more critical consumers  giving structure to the process  resources and tools Canadian Public Health Association Conference, June 16, 2010
  • 14. EIDM Facilitators  clear and strong organizational mandate  strong leadership  structured process with supporting resources Canadian Public Health Association Conference, June 16, 2010
  • 15. Brokering Work Facilitators  personal & professional qualities  predictable, monthly interactions  external and internal supports Canadian Public Health Association Conference, June 16, 2010
  • 16. Challenges  Time  Communication  Uncertainty  Access Canadian Public Health Association Conference, June 16, 2010
  • 17. Qualities of a Broker Knowledgeable Available Acknowledges existing expertise Clear, easy to understand Practical Not too academic Professional but not “stuffy” Easy to talk to and work with Non-judgmental Starting where people are at Approachable Canadian Public Health Association Conference, June 16, 2010
  • 18. Recommendations  Acknowledge time needed for EIDM  Involve staff in:  planning of work  strategic planning  Set goals & establish timeline jointly  Provide support 1-2 years  Tailor support Canadian Public Health Association Conference, June 16, 2010
  • 19. Recommendations, cont.  Mid-cycle assessment  Specific activities (conferences, speakers, workshops)  Progressively more active role for staff  Ongoing staff support  Brokering support on “retainer” Canadian Public Health Association Conference, June 16, 2010
  • 20. Key Components  Facilitate transition to critical consumers  Give structure to EIDM, with resources and tools  Promote positive relationship to engage staff in EIDM  Provide opportunities to practice and apply skills Canadian Public Health Association Conference, June 16, 2010
  • 21. Contact Information For more information, contact Kara DeCorby kdecorby@health-evidence.ca Paula Robeson probeson@health-evidence.ca Maureen Dobbins dobbinsm@mcmaster.ca Sue Fernane sue.fernane@peelregion.ca Adele Lane adele.lane@peelregion.ca General Inquiries: info@health-evidence.ca Canadian Public Health Association Conference, June 16, 2010