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Brooks SP, Ekpe Adewuyi E, Wasylak T, Thomson D, Davison SN, Storey K. How to use communities of practice to support change in learning health systems: A landscape of roles and guidance for management. Learn Health Syst 2024; 8:e10412. [PMID: 39036528 PMCID: PMC11257050 DOI: 10.1002/lrh2.10412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 12/18/2023] [Accepted: 02/09/2024] [Indexed: 07/23/2024] Open
Abstract
Background Communities of practice support evidence-based practice and can be, in and of themselves, applied learning spaces in organizations. However, the variety of ways that communities of practice can support learning health systems are poorly characterized. Furthermore, health system leaders have little guidance on designing and resourcing communities of practice to effectively serve learning health systems. Methods We conducted a collective case study, examining a cross-section of Canadian-based communities of practice dedicated to supporting evidence-based practice. We held semi-structured interviews with 21 participants representing 16 communities of practice and 5 community of practice facilitation platforms that provide administration support, tools, and oversight for multiple communities of practice. Using the Conceptual Framework for Value-Creating Learning Health Systems, we characterized the numerous roles that communities of practice can take to support learning health systems. We also pulled insights from the interviews on properly resourcing and managing communities of practice. Results Communities of practice can advance learning health systems across learning cycles (ie, identifying learning priorities, generating data and knowledge, and implementing and evaluating change). They also act as important infrastructure required to share and coordinate across learning health systems. Community of practice facilitation platforms reduce staff members' workload, in turn, creating greater efficiency and effectiveness across community of practice lifespans. Furthermore, these platforms can be a mechanism to coordinate critical activities (e.g., priority alignment, knowledge brokerage/sharing across the broader system). Conclusion To the authors' knowledge, this is the first study to characterize communities of practice across the learning health system landscape. With these results, learning health system leaders have a catalog that clarifies the potential communities of practice roles in knowledge generation, implementation, and uptake of new evidence. Furthermore, the results provide evidence that organizational investment in overarching community of practice facilitation platforms will strengthen and accelerate community of practice supports in learning health systems.
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Affiliation(s)
- Stephanie P. Brooks
- Alberta SPOR SUPPORT Unit—Learning Health System Team, Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
- School of Public HealthUniversity of AlbertaEdmontonAlbertaCanada
| | - Esther Ekpe Adewuyi
- Alberta SPOR SUPPORT Unit—Learning Health System Team, Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
| | - Tracy Wasylak
- Alberta SPOR SUPPORT Unit—Learning Health System Team, Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
- Strategic Clinical NetworksAlberta Health ServicesEdmontonAlbertaCanada
- Faculty of NursingUniversity of CalgaryCalgaryAlbertaCanada
| | - Denise Thomson
- Alberta SPOR SUPPORT Unit—Learning Health System Team, Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
| | - Sara N. Davison
- Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
| | - Kate Storey
- School of Public HealthUniversity of AlbertaEdmontonAlbertaCanada
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McGough EL, Thompson HJ. Implementation of Evidence-Based Practice in Long-Term Care: A Scoping Review. J Am Med Dir Assoc 2024; 25:105026. [PMID: 38782040 DOI: 10.1016/j.jamda.2024.105026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 04/04/2024] [Accepted: 04/07/2024] [Indexed: 05/25/2024]
Abstract
OBJECTIVES To systematically examine implementation strategies within long-term care (LTC) settings. The goal was to identify elements that contribute to adoption and sustainability of evidence-based practices by facilities and frontline health care staff. DESIGN Scoping review. SETTING AND PARTICIPANTS LTC settings, frontline health care staff and facility administration. METHODS A scoping review of the literature across 3 databases was performed. Two researchers independently assessed literature for inclusion against criteria. The researchers independently extracted data for study characteristics following the Action, Actor, Context, Target, Time (AACTT) framework. The quality of included studies was assessed using the Melnyk and Fineout-Overholt Categorization. RESULTS Eleven studies examining implementation of a new evidence-based intervention into LTC settings met inclusion requirements. The types of new interventions shared a common classification within the Effective Practice and Organization of Care (EPOC) taxonomy, with all belonging to the Coordination of Care and Management of Care Processes category. All studies had frontline health care staff as the target of implementation strategies. Barriers to implementation included intervention timing in relation to workflow and workload, lack of interest in or skepticism regarding the new intervention, as well as perceptions that the intervention was not within scope or training. Face-to-face communication and asynchronous training were viewed positively, as was having a peer champion available for support. CONCLUSIONS AND IMPLICATIONS The results from this review highlight the importance of including communication strategies that use face-to-face delivery and peer champion approaches for successful implementation of new evidence-based interventions. Key implementation strategies also included education tailored to an individual's training and experience level.
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Affiliation(s)
- Ellen L McGough
- Physical Therapy Department, University of Rhode Island, RI, USA.
| | - Hilaire J Thompson
- Biobehavioral Nursing & Health Informatics, University of Washington, Seattle, WA, USA; Harborview Injury Prevention and Research Center, Seattle, WA, USA; Biomedical Informatics and Medical Education, School of Medicine, Seattle, WA, USA
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van der Graaf P, Burrows A, Park H, Sowden S. Developing an online knowledge sharing platform and community of practice for health professionals: Experiences from C-WorKS developed in North East England and Yorkshire during COVID-19. Health Info Libr J 2024. [PMID: 38303128 DOI: 10.1111/hir.12519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 09/19/2023] [Accepted: 01/03/2024] [Indexed: 02/03/2024]
Abstract
BACKGROUND Although knowledge sharing online has been recognised as an important strategy for health professionals to apply research findings to their practice, limited research exists on how to develop and implement these platforms to help facilitate collaboration and knowledge sharing. OBJECTIVES This study evaluated an online knowledge sharing platform and community of practice developed in the North East of England and Yorkshire during COVID-19 to support UK health and care professionals to reduce the impact of the wider consequences of COVID-19. METHODS Semi-structured interviews with stakeholders (n = 8) and users of C-WorKS (n = 13), followed by an online survey (n = 19) among a wider group of users to analyse knowledge use. RESULTS Interview and survey findings highlighted several strengths, weaknesses, opportunities and threats to support future development of online knowledge sharing platforms. DISCUSSION Online knowledge sharing supports six 'pillars' of successful research and innovation partnerships. This requires distributed forms of leadership and linking of different knowledge sharing strategies, and careful combination of platforms with communities of practice. CONCLUSION Online knowledge sharing provides pragmatic and timely strategies for health professionals in the UK to apply research evidence to their practice. Our study provides generalisable, practical insights in how to develop and implement a knowledge sharing platform.
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Affiliation(s)
- Peter van der Graaf
- Faculty of Health and Life Sciences, Department of Nursing Midwifery and Health, Northumbria University, Newcastle-upon-Tyne, UK
| | - Andrea Burrows
- School of Health and Life Sciences, Department of Allied Health Professionals, Teesside University, Middlesbrough, UK
| | - Helen Park
- Public Health England North East and Yorkshire, Newcastle-upon-Tyne, UK
| | - Sarah Sowden
- Office of Health Inequalities and Disparities (OHID)/ Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne, UK
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Mukhalalati B, Elshami S, Eljaam M, Hussain FN, Bishawi AH. Applications of social theories of learning in health professions education programs: A scoping review. Front Med (Lausanne) 2022; 9:912751. [PMID: 35966845 PMCID: PMC9367215 DOI: 10.3389/fmed.2022.912751] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 07/08/2022] [Indexed: 11/18/2022] Open
Abstract
Introduction In health professions education (HPE), acknowledging and understanding the theories behind the learning process is important in optimizing learning environments, enhancing efficiency, and harmonizing the education system. Hence, it is argued that learning theories should influence educational curricula, interventions planning, implementation, and evaluation in health professions education programs (HPEPs). However, learning theories are not regularly and consistently implemented in educational practices, partly due to a paucity of specific in-context examples to help educators consider the relevance of the theories to their teaching setting. This scoping review attempts to provide an overview of the use of social theories of learning (SToLs) in HPEPs. Method A scoping search strategy was designed to identify the relevant articles using two key concepts: SToLs, and HPEPs. Four databases (PubMed, ERIC, ProQuest, and Cochrane) were searched for primary research studies published in English from 2011 to 2020. No study design restrictions were applied. Data analysis involved a descriptive qualitative and quantitative summary according to the SToL identified, context of use, and included discipline. Results Nine studies met the inclusion criteria and were included in the analysis. Only two SToLs were identified in this review: Bandura's social learning theory (n = 5) and Lave and Wenger's communities of practice (CoP) theory (n = 4). A total of five studies used SToLs in nursing programs, one in medicine, one in pharmacy, and two used SToLs in multi-disciplinary programs. SToLs were predominantly used in teaching and learning (n = 7), with the remaining focusing on assessment (n = 1) and curriculum design (n = 1). Conclusions This review illustrated the successful and effective use of SToLs in different HPEPs, which can be used as a guide for educators and researchers on the application of SToLs in other HPEPs. However, the limited number of HPEPs that apply and report the use of SToLs suggests a potential disconnect between SToLs and educational practices. Therefore, this review supports earlier calls for collaborative reform initiatives to enhance the optimal use of SToLs in HPEPs. Future research should focus on the applicability and usefulness of other theories of learning in HPEPs and on measuring implementation outcomes. Systematic Review Registration:https://www.researchregistry.com/browse-the-registry#registryofsystematicreviewsmetaanalyses/registryofsystematicreviewsmeta-analysesdetails/60070249970590001bd06f38/, identifier review registry1069.
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Affiliation(s)
- Banan Mukhalalati
- Clinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar
- *Correspondence: Banan Mukhalalati
| | - Sara Elshami
- Clinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | - Myriam Eljaam
- Clinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | - Farhat Naz Hussain
- Pharmaceutical Sciences Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | - Abdel Hakim Bishawi
- Research and Instruction Section, Library Department, Qatar University, Doha, Qatar
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Sahay A, Mittman BS, Gholami P, Lin S, Heidenreich PA. How successful was the use of a community of practice for the implementation of evidence-based practices for heart failure within the United States Department of Veterans Affairs: Insights from a formative evaluation. Health Res Policy Syst 2022; 20:79. [PMID: 35804413 PMCID: PMC9264639 DOI: 10.1186/s12961-022-00880-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 06/14/2022] [Indexed: 12/01/2022] Open
Abstract
Background Communities of Practice (CoPs) are a promising approach to facilitate the implementation of evidence-based practices (EBPs) to improve care for chronic conditions like heart failure (HF). CoPs involve a complex process of acquiring and converting both explicit and tacit knowledge into clinical activities. This study describes the conceptualization, creation, capacity-building and dissemination of a CoP sustained over 9 years, and evaluates its value and impact on EBP. Methods In July 2006, a CoP called the Heart Failure Provider Network (HF Network) was established within the United States Department of Veterans Affairs (VA) with the overarching goal of improving the quality of care for HF patients. We assessed (formative) the HF Network in terms of its various activities (inputs) and proximal impacts (mediators) at the individual level, and its distal impacts (outcomes) at the site level including implementation of new/improved EBPs at the systemwide level. Results The HF Network membership grew steadily over the 9 years. The CoP has involved a total of 1341 multidisciplinary and multilevel members at all 144 VA Health Care Systems (sites). Most members were practising clinicians (n = 891, 66.4%), followed by administrators (n = 342, 25.5%), researchers (n = 70, 5.2%) and others (n = 38, 2.8%). Participation was assessed to be “active” for 70.6% versus “passive” for 29.4% of members. The distribution of active members (clinicians 64.7%, administrators 21.6%) was similar to the distribution of overall membership. Conclusions Survey respondents perceived the HF Network as useful in terms of its varied activities and resources relevant for patient care. Strong evidence shows that these members, particularly those who considered themselves influential in improving quality of care, noted multiple benefits of membership, which included confirmation of their own clinical practices, evidence-based changes to their practice and help in understanding facilitators and barriers in setting up or running HF clinics and other programmes. Such CoPs have strong impacts on the quality of care being delivered for both mandated and non-mandated initiatives.
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Affiliation(s)
- Anju Sahay
- United States Department of Veterans Affairs, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA.
| | - Brian S Mittman
- Department of Research & Evaluation, Kaiser Permanente Southern California, 100 South Los Robles Avenue, 3rd Floor, Pasadena, CA, 91101, USA
| | - Parisa Gholami
- United States Department of Veterans Affairs, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA
| | - Shoutzu Lin
- United States Department of Veterans Affairs, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA
| | - Paul A Heidenreich
- United States Department of Veterans Affairs, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA.,Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA
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Long T, Williamson K, Banbury S, Blake B, Connolly E, Drafz J, Foxton S, Gallagher-Carr V, Gritton S, Morris T, Mulhern J, Needham K, Smith K, Young M. Experiences of a community of research practice: a service evaluation. Nurse Res 2022; 30:36-44. [PMID: 35477790 DOI: 10.7748/nr.2022.e1820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2021] [Indexed: 11/09/2022]
Abstract
BACKGROUND A community of research practice (CRP) was established to increase research capacity and provide learning opportunities and networking for healthcare practitioners, working within a Children's Care Group. The CRP aimed to engage research-interested practitioners in research to develop their skills and confidence, encourage networking, and build research capacity. AIM To report the results of a service evaluation that was undertaken to review the CRP's value in practice. DISCUSSION Thematic analysis revealed four themes - 'positive environment', 'confidence', 'professional development' and 'networking' - highlighting benefits from the CRP, alongside the challenges encountered. CONCLUSION This article highlights the significant contribution of CRP for practitioners in the context of an innovative organisation with a supportive culture. IMPLICATIONS FOR PRACTICE A CRP empowers healthcare practitioners to engage with research while in clinical practice, enabling increased research confidence, and the development of research skill and knowledge and enhanced networking. CRP can potentially influence recruitment and retention.
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Affiliation(s)
- Tracey Long
- 0-5 Service, Children's Care Group, Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Kevin Williamson
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Sarah Banbury
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Bethany Blake
- community public health nurse - health visitor, Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Emma Connolly
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Julie Drafz
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Samantha Foxton
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | | | - Sarah Gritton
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Tracey Morris
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Jayne Mulhern
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Kellie Needham
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Kathryn Smith
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
| | - Michelle Young
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, England
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Kyaw WT, Sakakibara M. Transdisciplinary Communities of Practice to Resolve Health Problems in Southeast Asian Artisanal and Small-Scale Gold Mining Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5422. [PMID: 35564816 PMCID: PMC9104413 DOI: 10.3390/ijerph19095422] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 04/22/2022] [Accepted: 04/27/2022] [Indexed: 02/05/2023]
Abstract
Artisanal and small-scale gold mining (ASGM) has been a major part of people's livelihood in the rural areas of many developing countries, including those in Southeast Asia (SEA). Nevertheless, because of the use of mercury, ASGM activities have significant local and global adverse impacts on the environment and ASGM community health. Although there have been many monodisciplinary projects by academic researchers and governments to solve the environmental and health problems in SEA ASGM communities, they have not been sufficient to solve the complex socioeconomic problems. This review first outlines the nature of the SEA ASGM activities and the consequent environmental, community health, and socioeconomic problems and then introduces an approach using transdisciplinary communities of practice that involves both academic and nonacademic participants to relieve these wicked ASGM problems and to improve the environmental governance and community health in ASGM communities in SEA.
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Affiliation(s)
- Win Thiri Kyaw
- Research Institute for Humanity and Nature, Kyoto 603-8047, Japan;
| | - Masayuki Sakakibara
- Research Institute for Humanity and Nature, Kyoto 603-8047, Japan;
- Graduate School of Science and Engineering, Ehime University, Matsuyama 790-8577, Japan
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Communities of Practice in Acute and Forensic Psychiatry: Lessons Learned and Perceived Effects. Psychiatr Q 2021; 92:1581-1594. [PMID: 34109492 PMCID: PMC8531102 DOI: 10.1007/s11126-021-09923-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/16/2021] [Indexed: 11/05/2022]
Abstract
In the Netherlands, two new approaches have been developed for acute and forensic psychiatry, called High and Intensive Care (HIC) and Forensic High and Intensive Care (FHIC). The models provide standards for temporary high-quality clinical care for patients in crisis and combine practices to reduce seclusion. To support the implementation of these approaches, Communities of Practice (CoPs) were created, including peer providers, mental health nurses, psychiatrists and managers. CoPs are increasingly used in healthcare. However, CoPs vary greatly in form and objective, and more insight is needed in the organisation and facilitation of CoPs. Therefore, the aim of this study is to gain insight into the lessons learned and perceived effects of the CoPs. A qualitative approach was used. Data were collected through focus groups (n = 3) with participants in the CoPs, feedback meetings with teams implementing HIC (n = 78) or FHIC (n = 23), and observations by the researchers. Data were analysed thematically. Lessons learned are: 1) create an ambassador role for CoP participants, 2) organize concrete activities, 3) take care of a multidisciplinary composition, and 4) foster shared responsibility and work on sustainability. Perceived effects of the CoPs were: 1) support of HIC and FHIC implementation, 2) creation of a national movement, and 3) further development of the HIC and FHIC approaches. The audits served as an important vehicle to activate the CoPs, and stimulated the implementation of HIC and FHIC. The findings may help others in creating a CoP when it comes to the implementation of best practices and improving healthcare.
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Livergant RJ, Ludlow NC, McBrien KA. Needs assessment for the creation of a community of practice in a community health navigator cohort. BMC Health Serv Res 2021; 21:657. [PMID: 34225704 PMCID: PMC8256652 DOI: 10.1186/s12913-021-06507-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 05/04/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Community Health Navigators (CHNs) are members of a patient's care team that aim to reduce barriers in accessing healthcare. CHNs have been described in various healthcare settings, including chronic disease management. The ENhancing COMmunity health through Patient navigation, Advocacy, and Social Support (ENCOMPASS) program of research employs CHNs, who are trained to improve access to care and community resources for patients with multiple chronic diseases. With complex and demanding roles, it is essential that CHNs communicate with each other to maintain knowledge exchange and best practices. A Community of Practice (CoP) is a model of situated learning that promotes communication, dedication, and collaboration that can facilitate this communication. The objective of this study was to engage with CHNs to determine how a CoP could be implemented to promote consistency in practices and knowledge for CHNs across primary care sites. METHODS A needs assessment for a CHN CoP was conducted using sequential steps of inquiry. A preliminary focused literature review (FLR) was done to examine the ways in which other healthcare CoPs have been implemented. Results from the FLR guided the creation of an exploratory survey and group interview with key informants to understand best approaches for CoP creation. Political, economic, social, and technological (PEST) and strengths, weaknesses, opportunities, and threats (SWOT) analyses synthesized results in a comprehensive manner for strategic recommendations. RESULTS The FLR identified different approaches and components of healthcare CoPs and guided analyses of mitigatable risk factors and leverageable assets for the intervention. The survey and group interview revealed an informal and effective CoP amongst current CHNs, with preferred methods including coffee meetings, group trainings, and seminars. A well-maintained web platform with features such as an encrypted discussion forum, community resource listing, calendar of events, and semi-annual CHN conferences were suggested methods for creating an inter-regional, formal CoP. CONCLUSION The study findings recognise the presence of an informal CoP within the studied CHN cohort. Implementation of a formal CoP should complement current CoP approaches and aid in facilitating expansion to other primary care centres utilizing digital communication methods, such as a comprehensive web platform and online forum.
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Affiliation(s)
- Rachel J Livergant
- Department of Family Medicine, University of Calgary, Cumming School of Medicine, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada
| | - Natalie C Ludlow
- Department of Family Medicine, University of Calgary, Cumming School of Medicine, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada
| | - Kerry A McBrien
- Department of Family Medicine, University of Calgary, Cumming School of Medicine, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
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Hussain R, Parmenter T, Wark S, Janicki M, Knox M, Hayhoe N. Mitigating the impact of the 'silos' between the disability and aged-care sectors in Australia: Development of a Best Practice Framework. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 34:1477-1488. [PMID: 34046986 DOI: 10.1111/jar.12890] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 02/23/2021] [Accepted: 04/16/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Although a 'person-centred focus' is a legislated objective for both aged-care and disability services sectors in Australia, evidence suggests limited translation into systems and practices due to entrenched silos. This paper proposes a Best Practice Framework to mitigate these silos. METHODS Mixed-methods research comprising key informant interviews with major stakeholders across both sectors; a survey of people with/without intellectual disability aged 60+ years; qualitative in-depth interviews; and survey of health professionals. RESULTS There is an urgent need to develop inter-sectoral 'integrated care systems'. Key components include choice in accommodation; regular assessment of health and well-being indicators; development and adoption of nationally consistent policies/standards across integrated aged- and disability-care sectors; improved strategies for workforce planning; and upskilling of existing staff including place-based collaboration. CONCLUSIONS An integrated service model requires collaboration on broader public policy instruments, appropriate planning and resourcing. A strategic shift is required to ensure better quality person-centred support systems.
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Affiliation(s)
- Rafat Hussain
- Australian National University, Canberra, ACT, Australia
| | | | - Stuart Wark
- University of New England, Armidale, NSW, Australia
| | | | - Marie Knox
- University of Sydney, Sydney, NSW, Australia
| | - Nicola Hayhoe
- Nicola Hayhoe, The Housing Connection, Sydney, NSW, Australia
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Mukhalalati BA, Taylor A. Examining the Disconnect Between Communities of Practice Learning Theory and Educational Practices in the PharmD Program in Qatar. AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 2020; 84:ajpe847515. [PMID: 33012807 PMCID: PMC7523675 DOI: 10.5688/ajpe847515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 02/14/2020] [Indexed: 06/11/2023]
Abstract
Objective. To examine the Qatar University Doctor of Pharmacy (PharmD) program for evidence of incorporation of communities of practice (CoP) learning theory. Methods. A developed CoP framework was used as a theoretical instrument to analyze the evidence of CoP theory in QU PharmD program, utilizing a case study research approach. Results. The research suggests that the evidence of the CoP framework in the PharmD program falls into three categories. The first category represents elements of CoP that were fully evident, such as knowledge recontextualization, social and professional acceptance, and effective assessment measures. The second category represents elements that were partially evident, such as the formation of a co-development team, informal learning, mentoring strategies, and preceptors' orientation to assessment. The third category represents elements that were not evident, such as collaboration between faculty and preceptors and ensuring the reliability and validity of assessment tools. In cases where elements of CoP were implemented, this was an implicit rather than explicit application of CoP theory. Therefore, it was theorized that the disconnect between CoP learning theory and educational practices is at the "implicit disconnect" level. Conclusion. This research indicates that the CoP framework facilitated the identification of areas for future quality improvement and suggests that the theoretical CoP framework could be used by other programs to identify areas for improvements. We theorize that a full and explicit implementation of learning theory into educational practices is crucial, which calls for the collaboration of academic, practice, accreditation, and governmental sectors in pharmacy educational reform initiatives.
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Affiliation(s)
| | - Andrea Taylor
- University of Bath, Department of Pharmacy and Pharmacology, Bath, United Kingdom
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Bergström A, Ehrenberg A, Eldh AC, Graham ID, Gustafsson K, Harvey G, Hunter S, Kitson A, Rycroft-Malone J, Wallin L. The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature. Implement Sci 2020; 15:68. [PMID: 32854718 PMCID: PMC7450685 DOI: 10.1186/s13012-020-01003-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 05/20/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND The Promoting Action on Research Implementation in Health Services (PARIHS) framework was developed two decades ago and conceptualizes successful implementation (SI) as a function (f) of the evidence (E) nature and type, context (C) quality, and the facilitation (F), [SI = f (E,C,F)]. Despite a growing number of citations of theoretical frameworks including PARIHS, details of how theoretical frameworks are used remains largely unknown. This review aimed to enhance the understanding of the breadth and depth of the use of the PARIHS framework. METHODS This citation analysis commenced from four core articles representing the key stages of the framework's development. The citation search was performed in Web of Science and Scopus. After exclusion, we undertook an initial assessment aimed to identify articles using PARIHS and not only referencing any of the core articles. To assess this, all articles were read in full. Further data extraction included capturing information about where (country/countries and setting/s) PARIHS had been used, as well as categorizing how the framework was applied. Also, strengths and weaknesses, as well as efforts to validate the framework, were explored in detail. RESULTS The citation search yielded 1613 articles. After applying exclusion criteria, 1475 articles were read in full, and the initial assessment yielded a total of 367 articles reported to have used the PARIHS framework. These articles were included for data extraction. The framework had been used in a variety of settings and in both high-, middle-, and low-income countries. With regard to types of use, 32% used PARIHS in planning and delivering an intervention, 50% in data analysis, 55% in the evaluation of study findings, and/or 37% in any other way. Further analysis showed that its actual application was frequently partial and generally not well elaborated. CONCLUSIONS In line with previous citation analysis of the use of theoretical frameworks in implementation science, we also found a rather superficial description of the use of PARIHS. Thus, we propose the development and adoption of reporting guidelines on how framework(s) are used in implementation studies, with the expectation that this will enhance the maturity of implementation science.
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Affiliation(s)
- Anna Bergström
- Department of Women’s and Children’s health, Uppsala Global Health Research on Implementation and Sustainability (UGHRIS), Uppsala, Sweden
- Institute for Global Health, University College London, London, UK
| | - Anna Ehrenberg
- School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia
| | - Ann Catrine Eldh
- Department of Medicine and Health, Linköping University, Linköping, Sweden
- Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden
| | - Ian D. Graham
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada
- Ottawa Hospital Research Institute, Ottawa, Canada
| | - Kazuko Gustafsson
- School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden
- University Library, Uppsala University, Uppsala, Sweden
| | - Gillian Harvey
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia
| | - Sarah Hunter
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Alison Kitson
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
- Green Templeton College, University of Oxford, Oxford, UK
| | - Jo Rycroft-Malone
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| | - Lars Wallin
- School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden
- Department of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Skryabina EA, Betts N, Reedy G, Riley P, Amlôt R. The role of emergency preparedness exercises in the response to a mass casualty terrorist incident: A mixed methods study. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2020; 46:101503. [PMID: 33312855 PMCID: PMC7709486 DOI: 10.1016/j.ijdrr.2020.101503] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 01/15/2020] [Accepted: 01/23/2020] [Indexed: 06/12/2023]
Abstract
Simulation exercises are an important part of emergency preparedness activities for the healthcare community but evidence of their impact on the response to real major incidents is limited. This project studied the impact of health emergency preparedness exercises (HEPEs) on the response to a mass casualty terrorist incident. The mixed methods study design was adopted comprising an on-line survey and follow up individual interviews. Participants were healthcare staff who took part in responses to three major terrorist incidents in the UK in 2017. Descriptive statistics and analysis of variance were undertaken with quantitative data. Content and thematic analysis methods were used for qualitative data analysis. The online survey generated 86 responses; 79 (92%) were from the responders to the Manchester Arena bombing. Twenty-one survey respondents shared their experiences in in-depth interviews. Healthcare staff who took part in HEPEs felt better prepared to respond than those who did not attend an exercise. The most commonly reported benefits from HEPEs were awareness of major incident plans and having the opportunity to practice responding to a similar scenario in the recent exercise. Specific benefits included: improved coordination of the response through adherence to recently practiced incident plans; confidence with response roles; real-time modifications of the response and support provided to staff who did not take part in exercises. Exercise recency was highlighted as an important facilitating factor. The study provides strong objective evidence that the response to a mass casualty terrorist incident was enhanced by training and service development achieved through HEPEs.
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Affiliation(s)
- Elena A. Skryabina
- Behavioural Science, Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
- Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
| | - Naomi Betts
- Behavioural Science, Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
- Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
| | - Gabriel Reedy
- Faculty of Life Science and Medicine, King's College London, Waterloo Bridge Wing 5.14, London, SE1 8WA, UK
| | - Paul Riley
- Principal Expert Emergency Preparedness and Response, European Centre for Disease Prevention and Control (ECDC), Gustav III:s boulevard 40, 169 73 Solna, Sweden
| | - Richard Amlôt
- Behavioural Science, Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
- Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
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Stolee P, MacNeil M, Elliott J, Tong C, Kernoghan A. Seven lessons from the field: Research on transformation of health systems for older adults. Healthc Manage Forum 2020; 33:220-227. [PMID: 32266847 DOI: 10.1177/0840470420915229] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Research can play a key role in efforts to transform healthcare systems. Our group's long-standing research program has been aimed at understanding how to support greater integration and coordination of healthcare services for older adults with complex conditions. Drawing on this experience, we outline seven "lessons from the field" that highlight research-related challenges that may hinder health system transformation. These challenges relate to conducting research in a complex and constantly changing system; co-design approaches that are simultaneously deemed essential yet too ambiguous to fund; patient, family caregiver, and citizen engagement; limited funding for health systems research; and lack of use of research findings. We hope that these reflections will help to inform an ongoing conversation about how these challenges might be overcome.
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Affiliation(s)
- Paul Stolee
- 8430University of Waterloo, Waterloo, Ontario, Canada
| | - Maggie MacNeil
- 8430University of Waterloo, Waterloo, Ontario, Canada
- McMaster University, Hamilton, Ontario, Canada
| | - Jacobi Elliott
- 8430University of Waterloo, Waterloo, Ontario, Canada
- Lawson Health Research Institute, London, Ontario, Canada
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15
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Thomson D, Brooks S, Nuspl M, Hartling L. Programme theory development and formative evaluation of a provincial knowledge translation unit. Health Res Policy Syst 2019; 17:40. [PMID: 30971263 PMCID: PMC6458605 DOI: 10.1186/s12961-019-0437-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Accepted: 03/10/2019] [Indexed: 11/10/2022] Open
Abstract
Background Research shows a significant gap between healthcare research and evidence-based healthcare policy and practice. Knowledge translation (KT) has an important role in addressing this gap by bolstering evidence-informed healthcare. Canada’s Strategy for Patient-Oriented Research (SPOR) is a nationally mandated and supported initiative developed to respond to the gap between research and practice. One aspect of SPOR is the provincial/territorial SUpport for People and Patient-Oriented Research and Trials (SUPPORT) Units, intended to assist local health researchers and systems to reach the goal of improving the quality and quantity of patient-oriented research in Canada. This article presents the programme theory development and a formative evaluation of the KT Platform in Alberta’s SPOR SUPPORT Unit. Methods We used a mixed-methods approach to develop the KT Platform’s programme theory and subsequently conducted the formative evaluation. An extensive needs assessment, comprised of 59 qualitative interviews with researchers and health systems employees in Canada with an interest in KT, served as the basis for our programme theory design. Three years after launching the KT Platform, we hired an evaluation consultant to conduct a formative evaluation of the Platform’s programme theory and operations. The evaluation was performed by conducting nine interviews with KT Platform service users (n = 6) and KT experts acting in advisory capacities to the KT Platform (n = 3). Results The KT Platform developed a ‘4C Model’ as a summary of the Platform’s programme theory. This model is designed to meet local needs for capacity-building, a community of practice, consultation services, and contributions to KT science. This suite of services was found to help the local health system implement health evidence with measurable positive health outcomes. However, the community remains hesitant about their capacity as individuals to design and perform important KT activities independently. Conclusions With the mandate and support provided by SPOR, the KT Platform was able to design a strong programme theory based on evidence from an extensive needs assessment of the local community. The resulting 4C Model has provided a framework for KT work to assist in improving local health outcomes and can be considered by others designing KT programmes as a useful model to follow. Ongoing monitoring and assessment are required to continue to identify and respond to local needs.
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Affiliation(s)
- Denise Thomson
- Alberta Research Centre for Health Evidence, Department of Pediatrics, University of Alberta and Alberta SPOR SUPPORT UNIT Knowledge Translation Platform, 4-476 Edmonton Clinic Health Academy (ECHA), 11405 87 Ave NW, Edmonton, AB, T6G 1C9, Canada.
| | - Stephanie Brooks
- Alberta SPOR SUPPORT UNIT Knowledge Translation Platform, 3-62B Heritage Medical Research Centre (HMRC), 11207 87 Ave NW, Edmonton, AB, T6G 2S2, Canada
| | - Megan Nuspl
- Alberta SPOR SUPPORT UNIT Knowledge Translation Platform, 4-482D Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, AB, T6G 1C9, Canada
| | - Lisa Hartling
- Alberta Research Centre for Health Evidence, Department of Pediatrics, University of Alberta and Alberta SPOR SUPPORT UNIT Knowledge Translation Platform, 4-476 Edmonton Clinic Health Academy (ECHA), 11405 87 Ave NW, Edmonton, AB, T6G 1C9, Canada
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16
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Glicksman R, Ang M, Murray E, Simniceanu C, Lockhart E, Gilbert J, Gutierrez E, Warde P. Improving Quality of Radiation Therapy Care Across Ontario using a Community-of-Practice Approach. Pract Radiat Oncol 2018; 9:e242-e248. [PMID: 30447404 DOI: 10.1016/j.prro.2018.10.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 10/03/2018] [Accepted: 10/31/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE In 2003 and 2004, Cancer Care Ontario (CCO) divested its assets and staff to regional hospitals, leading to decreased contact between radiation therapy departments across Ontario's Regional Cancer Centres (RCCs). The Radiation Treatment Program (RTP) at CCO developed a communities-of-practice (CoPs) program to rebuild the provincial radiation therapy community to facilitate collaboration among centers, with the goals of decreasing variation in practice and improving the quality of patient care. RTP's CoPs are led and driven by volunteer frontline health care practitioners who identify and prioritize key quality issues and select corresponding projects to pursue. METHODS AND MATERIALS An evaluation of RTP's CoPs was conducted to assess whether they were successful in knowledge creation, knowledge transfer and exchange, and community building. The framework was developed based on the Centers for Disease Control and Prevention CoP evaluation framework and tools. Data were collected using prospectively administered member surveys (257 surveys), publications, and semistructured interviews (18 participants). RESULTS A total of 95% of participants reported that CoP projects were very relevant to their practice, and 50% reported changes in their practice stemming from CoP involvement. In addition, 90% of participants reported growth of their professional network as a result of CoPs. Overall, 93% of participants and 100% of interviewees reported that CoPs are a worthwhile initiative. The largest challenge of CoPs was the time commitment required to participate. CONCLUSIONS This approach of member-driven CoPs should be explored and modeled in other health care settings as a means to develop and share knowledge to reduce variation in care and improve the quality of radiation therapy care.
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Affiliation(s)
- Rachel Glicksman
- Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Radiation Treatment Program, Cancer Care Ontario, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
| | - Michelle Ang
- Radiation Treatment Program, Cancer Care Ontario, Ontario, Canada
| | - Elizabeth Murray
- Radiation Treatment Program, Cancer Care Ontario, Ontario, Canada
| | | | | | - Julie Gilbert
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Enhanced Program Evaluation Unit, Cancer Care Ontario, Ontario, Canada
| | - Eric Gutierrez
- Radiation Treatment Program, Cancer Care Ontario, Ontario, Canada
| | - Padraig Warde
- Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Radiation Treatment Program, Cancer Care Ontario, Ontario, Canada; Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
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Yearwood AC. Applying a logical theory of change for strengthening research uptake in policy: a case study of the Evidence Informed Decision Making Network of the Caribbean. Rev Panam Salud Publica 2018; 42:e91. [PMID: 31093119 PMCID: PMC6385801 DOI: 10.26633/rpsp.2018.91] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 02/07/2018] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVE Health policymakers in the Caribbean face challenges with research use in decision-making. Although copious approaches to strengthen evidence-informed policy can be found in the literature, these strategies should be applied and evaluated in specific settings. We developed a theory of change for strengthening research uptake in health policy, and the interventions were implemented as the Evidence Informed Decision Making Network of the Caribbean (EvIDeNCe). We assessed the model's logic and evaluated whether the expected outcome was achieved. METHODS The model was mapped in three stages: problem identification; goal determination; and backward linking of interventions. Beneficiaries were surveyed to assess the design logic and to evaluate the main outcome. RESULTS A total of 137 respondents completed evaluation questionnaires. The inclusion of evidence briefs, stakeholder dialogues, a research database, and training programs for policymakers in the model was validated. Respondents also reported their intention to act on research evidence to which they were exposed. After respondents had participated in stakeholder dialogues, the mean intention-to-use score was 6.4 on a scale of 1 (strongly disagree) to 7 (strongly agree), and 6.3 on the same scale, after exposure to training. CONCLUSIONS This work provides initial validation of EvIDeNCe as a consolidated strategy to strengthen the application of research in policy in the Caribbean. To our knowledge, it is the first study to develop and apply a comprehensive model of this type to the Caribbean. The findings support results from similar initiatives in other countries, but additional work is needed to evaluate the overall impact of the initiative.
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Affiliation(s)
- Andrea C. Yearwood
- Caribbean Public Health Agency, Policy Planning and Research Department, Port-of-Spain, Trinidad and Tobago
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18
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Bailie J, Cunningham FC, Bainbridge RG, Passey ME, Laycock AF, Bailie RS, Larkins SL, Brands JSM, Ramanathan S, Abimbola S, Peiris D. Comparing and contrasting 'innovation platforms' with other forms of professional networks for strengthening primary healthcare systems for Indigenous Australians. BMJ Glob Health 2018; 3:e000683. [PMID: 29862056 PMCID: PMC5969724 DOI: 10.1136/bmjgh-2017-000683] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Revised: 04/23/2018] [Accepted: 04/27/2018] [Indexed: 11/16/2022] Open
Abstract
Efforts to strengthen health systems require the engagement of diverse, multidisciplinary stakeholder networks. Networks provide a forum for experimentation and knowledge creation, information exchange and the spread of good ideas and practice. They might be useful in addressing complex issues or ‘wicked’ problems, the solutions to which go beyond the control and scope of any one agency. Innovation platforms are proposed as a novel type of network because of their diverse stakeholder composition and focus on problem solving within complex systems. Thus, they have potential applicability to health systems strengthening initiatives, even though they have been predominantly applied in the international agricultural development sector. In this paper, we compare and contrast the concept of innovation platforms with other types of networks that can be used in efforts to strengthen primary healthcare systems, such as communities of practice, practice-based research networks and quality improvement collaboratives. We reflect on our ongoing research programme that applies innovation platform concepts to drive large-scale quality improvement in primary healthcare for Aboriginal and Torres Strait Islander Australians and outline our plans for evaluation. Lessons from our experience will find resonance with others working on similar initiatives in global health.
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Affiliation(s)
- Jodie Bailie
- University Centre for Rural Health, University of Sydney, Sydney, New South Wales, Australia
| | | | | | - Megan E Passey
- University Centre for Rural Health, University of Sydney, Sydney, New South Wales, Australia
| | - Alison Frances Laycock
- Centre for Indigenous Health Equity Research, Central Queensland University, Brisbane, Queensland, Australia
| | - Ross Stewart Bailie
- University Centre for Rural Health, University of Sydney, Sydney, New South Wales, Australia
| | - Sarah L Larkins
- College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia
| | - Jenny S M Brands
- Centre for Indigenous Health Equity Research, Central Queensland University, Brisbane, Queensland, Australia
| | - Shanthi Ramanathan
- Hunter Research Medical Institute, University of Newcastle, Newcastle, New South Wales, Australia
| | - Seye Abimbola
- School of Public Health, The University of Sydney, Sydney, New South Wales, Australia
| | - David Peiris
- The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia
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Mehta TG, Atkins MS, Neal JW, Walden AL. Supporting mental health providers: The feasibility and promise of a virtual professional learning community. ACTA ACUST UNITED AC 2018; 3:236-251. [PMID: 31538111 DOI: 10.1080/23794925.2018.1486687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Tara G Mehta
- Institute of Juvenile Research, Department of Psychiatry, University of Illinois at Chicago
| | - Marc S Atkins
- Institute of Juvenile Research, Department of Psychiatry, University of Illinois at Chicago
| | | | - Angela L Walden
- Institute of Juvenile Research, Department of Psychiatry, University of Illinois at Chicago
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Damarell RA, Tieman JJ. How Do Clinicians Learn About Knowledge Translation? An Investigation of Current Web-Based Learning Opportunities. JMIR MEDICAL EDUCATION 2017; 3:e12. [PMID: 28705788 PMCID: PMC5532514 DOI: 10.2196/mededu.7825] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 05/26/2017] [Accepted: 05/26/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Clinicians are important stakeholders in the translation of well-designed research evidence into clinical practice for optimal patient care. However, the application of knowledge translation (KT) theories and processes may present conceptual and practical challenges for clinicians. Online learning platforms are an effective means of delivering KT education, providing an interactive, time-efficient, and affordable alternative to face-to-face education programs. OBJECTIVE This study investigates the availability and accessibility of online KT learning opportunities for health professionals. It also provides an analysis of the types of resources and associated disciplines retrieved by a range of KT synonyms. METHODS We searched a range of bibliographic databases and the Internet (Google advanced option) using 9 KT terms to identify online KT learning resources. To be eligible, resources had to be free, aimed at clinicians, educational in intent, and interactive in design. Each term was searched using two different search engines. The details of the first 100 websites captured per browser (ie, n=200 results per term) were entered into EndNote. Each site was subsequently visited to determine its status as a learning resource. Eligible websites were appraised for quality using the AACODS (Authority, Accuracy, Coverage, Objectivity, Date, Significance) tool. RESULTS We identified 971 unique websites via our multiple search strategies. Of these, 43 were health-related and educational in intent. Once these sites were evaluated for interactivity, a single website matched our inclusion criteria (Dementia Knowledge Translation Learning Centre). CONCLUSIONS KT is an important but complex system of processes. These processes overlap with knowledge, practice, and improvement processes that go by a range of different names. For clinicians to be informed and competent in KT, they require better access to free learning opportunities. These resources should be designed from the viewpoint of the clinician, presenting KT's multifaceted theories and processes in an engaging, interactive way. This learning should empower clinicians to contextualize and apply KT strategies within their own care settings.
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Affiliation(s)
- Raechel A Damarell
- Palliative and Supportive Services, Flinders University, Adelaide SA, Australia
| | - Jennifer J Tieman
- Palliative and Supportive Services, Flinders University, Adelaide SA, Australia
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Kothari A, Boyko JA, Conklin J, Stolee P, Sibbald SL. Erratum to: Communities of practice for supporting health systems change: a missed opportunity. Health Res Policy Syst 2015; 13:65. [PMID: 26541139 PMCID: PMC4636077 DOI: 10.1186/s12961-015-0033-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 09/25/2015] [Indexed: 11/24/2022] Open
Affiliation(s)
- Anita Kothari
- Western University, School of Health Studies and Schulich Interfaculty Program in Public Health, 1151 Richmond St, London, N6A 3 K7, Canada.
| | - Jennifer A Boyko
- Western University, School of Health Studies and Faculty of Information and Media Studies, London, Canada
| | - James Conklin
- Department of Applied Human Sciences and Élisabeth Bruyère Research Institute, Concordia University, Portland, USA
| | - Paul Stolee
- University of Waterloo, School of Public Health and Health Systems, Waterloo, Canada
| | - Shannon L Sibbald
- Western University, School of Health Studies, Schulich Interfaculty Program in Public Health and Department of Family Medicine, London, Canada
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