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Kate GerrishProfessor of NursingSheffield Teaching Hospitals NHS FTSheffield Hallam University
Translating Knowledge into Action Implementation Theme
BarnsleyDoncaster
Rotherham Sheffield
NIHR CLAHRC for South Yorkshire
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
To develop step change in the way research findings are implemented in practice
by …
trialling and evaluating innovative implementation strategies to facilitate evidence-based care
in order to …
enhance service quality, improve patient outcomes, and/or increase patient safety
Aim – TK into A
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Develop, pilot and evaluate implementation strategies to promote evidence-based practice in response to identified service priorities
Implementation in practice
Implementation research
Disseminate successful initiatives across CLAHRC partnership
Develop the capacity of health care professionals to engage in evidence-based practice and applied research
Establish collaborations between NHS and academic partners to facilitate knowledge translation
Objectives – TK into A
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Knowledge Translation
Knowledge translation (implementation) Closing the gap between what we know and what we do (reducing the know-do gap)
Making users aware of knowledge / innovations and facilitating their use of it to improve health and health care systems
Knowledge translation research Studying the determinants of knowledge use and effective methods of promoting the uptake of knowledge use
Graham (2007) CIHR
The Knowledge to Action CycleFrom : Graham et al (2006) Lost in Knowledge Translation. Time for a Map?
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Approach to KT
Collaboration between clinicians, managers and researchers
Project management group for each clinical priority
Facilitation Knowledge Translation Project Leads Knowledge Translation Facilitators
KT Projects Implementation plan using Knowledge into Action cycle Dissemination plan
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Identification of clinical priorities Review of national, regional policy directives
1st clinical project group nutrition support for patients with LTCs
Other priorities under consideration NICE guidelines on management of depression in primary care
NICE guidelines on medicines adherence
Palliative care of patients with COPD and/or Heart Failure
Reducing variation in the quality and service provision in stroke units across S Yorks
Implement strategies to promote evidence-based practice
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Knowledge Translation Case Book
Objectives capture existing / new KT activity across CLAHRC partnership
provide a vehicle for sharing learning about KT
provide concrete KT examples for training and outreach
demonstrate the impact of implementing research evidence
Dissemination strategy built into each project plan
Disseminate learning across the CLAHRC partnership
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Clinical academic training pathway for nurses / AHPs MSc Clinical Research Research placements within CLAHRC themes Progress to clinical doctoral fellowships
Developing skills in evidence-based practice STHFT education programmes on developing EBP
Governance framework Ethics and clinical governance framework for non-research
activity National tool commissioned by HQIP
Capacity building EBP & applied research
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Strengthen primary and secondary care partnerships across South Yorkshire
Draw upon expertise of academic partners from two universities
Further develop knowledge translation in partner organisations
Systematically evaluate clinical impact of KT interventions
Systematically evaluate KT implementation strategies used
Use learning to inform undergraduate and postgraduate curriculum development
Collaboration between NHS and academic partners
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Knowledge translation: an example
Professor Nanette Mutrie, Professor of Physical
Activity and Health ScienceUniversity of Glasgow
Survey of women using an anxiety and depression scale
Housework makes women depressed http://news.bbc.co.uk/2/low/health/
2287960.stm
NIHR CLAHRC for South Yorkshire
Barnsley
Doncaster
Rotherham Sheffield
Thank you