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E-raamat: Knowledge Translation in Nursing and Healthcare: A Roadmap to Evidence-informed Practice

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(Queen's University, Canada), (University of Ottawa, Canada)
  • Formaat: PDF+DRM
  • Ilmumisaeg: 01-Mar-2021
  • Kirjastus: Wiley-Blackwell
  • Keel: eng
  • ISBN-13: 9781119123330
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Knowledge Translation in Nursing and Healthcare: A Roadmap to Evidence-informed PracticeSuurem pilt
  • Formaat: PDF+DRM
  • Ilmumisaeg: 01-Mar-2021
  • Kirjastus: Wiley-Blackwell
  • Keel: eng
  • ISBN-13: 9781119123330
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Knowledge Translation in Nursing and Healthcare provides authoritative guidance on the implementation of evidence-informed practice, covering issue identification and clarification, solution building and implementation, evaluation, and sustainment. Integrating theory, empirical research, and experiential knowledge, this hands-on resource assists nurses and healthcare practitioners in collecting quality evidence, transforming it into a useable, customized recommendation, and then applying best practice in various point-of-care settings.  

Written by highly experienced researchers and practitioners, the book demonstrates how the synthesis and translation of evidence supports improvement of existing care and service delivery models, and produces increased benefit for both patients and health services. Examples drawn from the authors’ first-hand experience—such as pressure injury prevention in acute care, transition of care for people with heart failure, and community leg ulcer care—illustrate the use of best practice in addressing care and quality issues. This important reference and guide:  

  • Outlines a planning framework that activates research and evidence in practice settings, moving knowledge into action and sustaining the use of best practice 
  • Introduces the framework that enables effective evidence-informed methodology and decision-making  
  • Features numerous illustrative field examples of both successful and unsuccessful implementations in a variety of practical situations  
  • Offers perspectives on best practice implementation from experienced practitioners and researchers  

Knowledge Translation in Nursing and Healthcare is a must-have for those wanting to implement, evaluate, and sustain best practice in the delivery of evidence-informed healthcare to patients, families, and communities. 

Arvustused

"Changing behavior using theory and evidence can be a daunting challenge - Drs. Harrison and Graham have risen to this challenge by providing us with a thoughtful and pragmatic "Roadmap" to guide our implementation activities from planning to sustainability. These authors have integrated the science and practice of implementation into a user-friendly "Roadmap" to optimize our success as implementers on the clinical frontline." Dr. Sharon E. Straus, HBSc, MSc, MD, FRCP (C), Professor, Dept. of Medicine, University of Toronto; Physician-in-Chief, St. Michael's Hospital; Director, KT Program, St. Michael's Hospital

"This is exactly what I've been looking for, something practical to use to teach KT and evidence implementation." Professor Jed Duff RN PhD FACORN, Professor and Chair of Nursing, Metro North Hospital and Health Service and Queensland University of Technology, Royal Brisbane & Women's Hospital, Nursing & Midwifery Research Centre, Herston, Queensland 4029

"As a healthcare leader with many years of experience in the practice environment and within accreditation, this book offers you a way for moving best practice into the healthcare environment, that is relevant and in touch with your reality. With a focus on improved outcomes for both care recipients and the providers, the approach outlined in this guide is easy to follow and simplifies the pathway to enabling implementation of best practice. In the complex world within which healthcare is provided, these authors demonstrate their deep understanding of your reality and provide you with this valuable guide. Enjoy the journey guided by The Roadmap!" Wendy Nicklin RN, BN, MSc(A), CHE, FACHE FISQ,ua, UCD.D, Former Vice President of Clinical Services, Chief Nurse Executive, The Ottawa Hospital, subsequently President and CEO of Accreditation Canada, President (Board Chair) of International Society for Quality in Health Care (ISQUA)

"Drs. Harrison and Graham are global leaders in knowledge translation and implementation science. Their book provides a practical and science-based approach to move evidence from the page to the hands of the knowledge user where it makes a difference." Lisa Hopp PhD RN FAAN, Dean and Professor; Director, Indiana Center for Evidence Based Nursing Practice, Purdue University Northwest, Hammond IN

"This book is full of outstanding practical advice, based on solid research and real world experiences, on how to best overcome barriers in the implementation of evidence-based care. It should be a staple resource for enhancing the quality and safety of healthcare." Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, Vice President for Health Promotion, University Chief Wellness Officer Dean and Professor, College of Nursing Executive Director, the Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare The Ohio State University and safety of healthcare

About the Authors xiv
Acknowledgments xvi
Foreword xvii
Glossary xvi
1 Introduction
1(9)
Introduction
1(2)
Activating Evidence in Practice
3(1)
Knowledge to Action
4(1)
Evidence-Informed Practice Is a Quality Factor
5(1)
Organization of the Book
6(2)
References
8(2)
2 Perspectives from the Field: Improving Care Through Evidence-Informed Practice
10(10)
Introduction
10(1)
Case 1: Improving Community-Based Chronic Wound Care
10(3)
The Knowledge Translation Initiative
11(1)
Results of the Knowledge Translation Experience
12(1)
Making Research Evidence Work for Policy Makers
13(1)
A Note on Funding
13(1)
Conclusions and Implications
13(1)
Case 2: Improving Transition from Hospital to Home
13(3)
The Knowledge Translation Initiative
14(1)
Results of the Knowledge Translation Experience
15(1)
Conclusions and Implications of the CHF Case
15(1)
Overarching Conclusions and Lessons Learned from the Wound Care and Transitional Care Implementations
16(1)
Lessons Learned from the Two Cases
16(1)
References
17(3)
3 Guiding Theories, Models, and Frameworks
20(23)
Introduction
20(2)
Finding Theories, Models, and Frameworks
22(1)
Our Approach to Theories, Models, and Frameworks
23(1)
On to More Practical Background
24(9)
Quality: Structure, Process, Outcome
25(1)
The Knowledge-to-Action (K2A) Framework
26(2)
Tackling the Guideline Quagmire: The Practice Guideline Evaluation and Adaptation Cycle
28(1)
The International ADAPTE Process
29(1)
CAN-IMPLEMENT
29(2)
Thinking Inside and Outside of the Box - Other Frameworks
31(2)
Transitions
31(1)
Supportive Care
32(1)
The Roadmap for Knowledge Implementation
33(1)
Working Together as Patients, Practitioners, Decision-Makers and Researchers: Guiding Principles and Assumptions
33(1)
Research as a Means to an End
33(3)
Engagement
34(2)
Additional Resources
36(1)
References
36(7)
4 A Roadmap for Implementing Best Practice
43(26)
The Journey to Best Practice
43(1)
The Implementation Road
43(12)
Phase I: Issue Identification and Clarification
43(3)
Phase II: Build Solutions and Field Test
46(3)
Phase III: Implement, Evaluate, and Sustain
49(1)
Sustainability
49(1)
Navigating Roadmap (Some Obvious and Less Obvious Points)
50(5)
Appendix 4.A: Leadership for Implementation and Facilitation of Implementation
55(1)
Leadership for Implementation
55(5)
Facilitation of Implementation
60(4)
Internal, External, and Partnered Facilitation
64(1)
Summary
65(1)
References
66(3)
Part 1 Phase I: Issue Identification and Clarification 69(38)
5 The Call-to-Action
71(8)
Introduction
71(1)
Form a Working Group
72(1)
Create the Strategic Alliance
73(2)
Leverage Committed Partners
74(1)
Get the Mindset Right
74(1)
Keep the Focus on the Issue
74(1)
Know and Share the Local Evidence
74(1)
Build Team Capacity
75(1)
Respect Boundaries
75(1)
Summary
75(1)
Getting Organized: Draft an Action Map
76(2)
References
78(1)
6 Find the Best Practice Evidence
79(16)
Introduction
79(1)
The External Evidence
80(2)
Sifting the Evidence Wheat from the Chaff
80(1)
A Note on Guidelines and Standards
81(1)
Getting Started - Find Best Practices in Guidelines
82(2)
Range of Guidelines
83(1)
Assess the Quality of a Guideline
84(2)
Guideline Appraisal Instruments
84(1)
Assess the Strength of Evidence: Classification Systems
85(1)
Determine Guideline Currency, Content, and Consistency
86(3)
Guideline Currency
86(1)
Assess Guideline Content: Prepare a Recommendations Matrix
87(1)
Assess Guideline Consistency
88(1)
Identify Indicators of Best Practice
89(1)
A Note on Renewal
90(1)
Summary
90(2)
References
92(3)
7 Assemble Local Evidence on Context and Current Practices
95(12)
Introduction
95(1)
Determine the Magnitude of the Issue Within the Local Context
96(3)
Population Prevalence and Profile Studies
96(2)
Profiling Studies
98(1)
Determine Current Practice - What Are We Doing Now?
99(2)
Health Care Provider Review
99(1)
Perspectives of the Recipients of Care
100(1)
Expenditure Review
100(1)
Measure the Evidence-Practice Gap
101(2)
Documenting and Synthesizing the Local Evidence
103(2)
Summary
105(1)
References
105(2)
Part 2 Phase II: Build Solutions 107(188)
8 Customize Best Practices to the Local Context
109(28)
Introduction
109(1)
Who Should Be Involved in Selecting Best Practices?
109(2)
Determine the Best Practice
111(4)
Consider Guideline Quality
111(2)
Consider Guideline Currency (Is the Guideline up-to-Date?)
113(1)
Consider Adequacy of the Guideline Content (Does the Content of the Guideline Adequately Address the Issue of Concern?)
114(1)
Consider Clinical Usefulness (Is Each Recommendation Clinically Sound?)
114(1)
Select Guideline and Recommendations for Local Use as Best Practice
115(6)
Consider Strength of the Evidence
116(1)
Additional Considerations
117(1)
Is the Recommendation Acceptable?
117(1)
Is the Recommendation Implementable?
118(1)
Is the Recommendation Sustainable?
119(1)
What Might the Discussion Sound Like?
120(1)
Customize Selected Best Practice (What Will Work Here and How?)
121(2)
Decide on Indicators of Best Practice Use and Impact
123(1)
Establish a Renewal Plan
124(1)
Seek Endorsement of the Proposed Best Practice
124(2)
Summary
126(1)
Appendix 8.A: The AGREE II Instrument - Online Access and Support
126(2)
Appendix 8.B: Best Practice Protocol/Guideline Report Template
128(8)
References
136(1)
9 Discover Barriers and Drivers to Best Practice implementation
137(34)
Introduction
137(1)
Why Is it Important to Assess What Might Be Barriers and Drivers to Implementing Best Practice?
137(1)
Frameworks for Thinking About Determinants of Implementation
138(4)
Attributes of Innovations
139(3)
Conduct a Stakeholder Analysis
142(1)
Barriers Assessment
142(3)
Assess Factors Related to the Best Practice
143(1)
Assess Factors Related to Potential Adopters
144(1)
Assess Characteristics of the Context
144(1)
Measures and Means of Assessing Barriers and Drivers
145(6)
Summary
151(2)
Appendix 9.A: Improving Physician Hand Hygiene Compliance Using Behavioural Theories
153(3)
Appendix 9.B: Factors Influencing Nurses Using Symptom Practice Guides for Remote Support of Patients Undergoing Cancer Treatments
156(5)
Appendix 9.C: Example of a KAP Survey
161(4)
Appendix 9.D: The Clinicians' Assessments of Practice Guidelines in Oncology (CAPGO) Survey
165(1)
References
166(5)
10 Implementation Strategies: What Do We Know Works?
171(67)
Introduction
171(1)
Taxonomies of Implementation Strategies
172(2)
What Is Known About the Effectiveness of Implementation Strategies?
174(3)
Intervention and Implementation Mapping
177(5)
Approaches to Intervention Mapping
178(3)
Semi-structured Interview Methods
178(1)
Plan-Do-Study-Act Approach
179(1)
Intervention Mapping
179(1)
Behavior Change Technique Matrix
180(1)
Implementation Mapping
180(1)
Reporting Guidelines for Interventions
181(1)
Summary
182(1)
Appendix 10.A: EPOC Taxonomy - Topics List
182(11)
Appendix 10.B: Cochrane Consumers and Communication Group: Topics list
193(3)
Appendix 10.C: ERIC discrete implementation strategy compilation (n = 73)
196(5)
Appendix 10.D: Summary of effectiveness of disseminating strategies
201(22)
Appendix 10.E: Behaviour Change Techniques and Labels Identified in Three Stages: (a) Reviews; (b) Brainstorming; (c) Textbook Consultation
223(4)
Appendix 10.F: TIDieR Checklist
227(3)
Appendix 10.G: WIDER recommendations to improve reporting of the content of behavior change interventions
230(1)
Appendix 10.H: The AIMD Framework
230(1)
References
231(7)
11 Tailor Implementation Strategies
238(23)
The Decision-Making Process for Tailoring Implementation Strategies
239(2)
Prioritize Barriers to Implementation Strategies
241(1)
Tailor Implementation Strategies to Barriers and Drivers to Use of Best Practice
241(10)
Some Thoughts on Educational Implementation Strategies
244(7)
A Note on Fidelity
251(1)
Develop Implementation Strategy Delivery Fidelity Checklist
252(1)
Summary
252(3)
Writing Up the Description of the Implementation Strategy
254(1)
Appendix 11.A: Data from Consensus Process for Linking behavior Change Techniques with Determinants of behavior
255(2)
References
257(4)
12 Field Test, Plan Evaluation, and Prepare to Launch
261(34)
Field Test Implementation Strategies
262(3)
Plan the Evaluation
265(6)
Consider the Purpose(s) of the Evaluation
266(1)
Identify Intended Users of the Evaluation and Their Evaluation Questions
267(1)
Decide on Evaluation Design
267(1)
Select Indicators, Data Sources and Collection Methods
268(1)
Evaluation Timeline, Resources, and Sign Off
269(1)
RE-AIM
270(1)
Implementation Science Study Designs
271(1)
Prepare to Launch
271(2)
Summary
273(2)
Appendices: Conceptual and Measurement Issues Related to Implementation Evaluation
275(1)
Appendix 12.A: Some Background Information About Evaluation
275(10)
Knowledge Use and Impact
275(6)
Conceptual and Methodical Issues with Measuring Best Practice
275(4)
Measuring Knowledge Use
279(1)
Who Is the Focus of the Knowledge Use?
280(1)
How Much Knowledge Use Is Enough?
281(1)
Evaluating the Impact of Knowledge Use
281(4)
General Advice on Selecting and Developing Indicators or Measures of Knowledge Use or Impact
285(3)
Appendix 12.B: Resources for Conducting Evaluations
288(1)
References
289(6)
Part 3 Phase III: Implement, Evaluate, and Sustain 295(38)
13 Launch and Evaluate
297(8)
Introduction
297(1)
Launch
298(1)
Run Through Launch Checklist
298(1)
Activate the Launch
298(1)
Oversee the Implementation and Evaluation
299(1)
Gaining as Much as Possible from the Evaluation
300(1)
Use Process Evaluation Results to Manage the Implementation
300(1)
Manage Summative Evaluation (Outcomes and Impacts) Results
301(1)
Sharing Good News and Breaking Bad News
302(1)
Summary
302(3)
14 Sustain the Gains
305(21)
Introduction
305(1)
What Is Sustainability
306(2)
Planning for Sustained Use of Best Practice
308(3)
Our Approach to Sustainability
311(2)
Spread and Scaling
313(2)
Integrating Roadmap with Organizational Quality Improvement Approaches
315(2)
Summary
317(1)
Appendix 14.A: Sustainability
317(5)
Appendix 14.B: Selective List of Sustainability References
322(1)
Appendix 14.C: Selective List of Spread and Scale References
322(2)
References
324(2)
15 Reflections: Is It Worth it?
326(7)
But Is It Worth It?
327(3)
More Consistent, Evidence-Informed Care
328(1)
Ownership of Practice Issues and Their Solutions
328(1)
Improved Team Functioning and Interdisciplinary Practice
329(1)
Capacity Building
330(1)
Greater Professional Satisfaction
330(1)
Summary
330(3)
Index 333
Margaret B. Harrison, BN, MHA, PhD, Professor Emerita, School of Nursing, Queens University, Kingston, Canada. She is a practice-based researcher who focuses on improving care with the use of evidence.

Ian D. Graham, PhD, FCAHS, FNYAM, FRSC, Professor, School of Epidemiology and Public Health, University of Ottawa, and Senior Scientist, Centre for Practice-Changing Research, The Ottawa Hospital Research Institute, Ottawa, Canada. He is an applied implementation science practitioner.
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