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Developing knowledge brokers in a regional health care authority - - PowerPoint PPT Presentation
Developing knowledge brokers in a regional health care authority - - PowerPoint PPT Presentation
Developing knowledge brokers in a regional health care authority Janet Templeton Regional Director Clinical Efficiency Chairperson, EIPC Janet.Templeton@easternhealth.ca Presentation Overview Overview of EH RHA Mandate Membership
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Eastern Health RHA
Largest healthcare
- rganization in Newfoundland
and Labrador Catchment area of over 290,000 people Full continuum of services: acute care, cancer care, long term care, continuing care and community based services Total of 2,700 beds (Acute and LTC) 7 acute care facilities Distance is 3.5 hrs of travel from capital
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Eastern Health RHA
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Needs Identified
Researchers have identified that there is a 10- 20 year gap between the availability of research evidence and its integration into practice. Two of the major obstacles for staff in applying evidenced based care is the volume and complexity of published information. A survey of our staff showed that in general, clinical staff were not comfortable in their ability to transfer evidence/research knowledge to practice.
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Clear message to the council
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Initial Challenges
Identified a need to improve the use of evidence in practice to support quality of care and efficient use of resources Struggled to defining a purpose for the group and membership No one person responsible for EIP within an
- rganization
Difficult to meet the needs of all sectors within a large RHA
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Keys to success
Committed to moving forward to promote and use evidence in practice Strong linkage with university and professional schools facilities collaborative approach Staff interest to learn and apply evidence to practice Expanding supporting structures within EH Identified as one of the lines of business for EH in the strategic plan – “Advance research, education and knowledge dissemination”
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EIPC Mandate
Guide the development, application and evaluation of evidence based (informed) practice Terms of reference include: Review and identify EIP in workplace Focus on key initiatives/emerging trends Promote cross program application Inventory EIP within EH Develop and select Student Fellowship Develop and implement a short course in EIP Evaluate the effectiveness of strategies
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Membership
Interdisciplinary membership Mix of academic/ clinical representation- professional practice (nursing & allied health), clinical programs, health information, research, human resources policy and planning, quality and risk, Centre of Nursing Studies, Schools of Social Work, Medicine, Pharmacy
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Initiatives to focus committee:
Developed an action plan to guide and focus the Council: Clinical program/department team meetings – guided discussion on EIP Developed Policy – Clinical Decision Support Tools Began to inventory EIP within EH CHSRF Survey – Is research working for you? A self assessment tool and discussion guide for health
services management and policy organizations
Staff resource manual – Improving effectiveness by using evidence
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Resources
Focused on providing support /resources for EIP regionally by: Inventory of EIP on the NL Health Boards Association website EIP Council section on the EH Intranet Student Research Fellowship – EIP Education- introductory course in EIP CADTH linkage NLCAHR linkage EH Research centre linkage
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Survey of use of EIP
CHSRF survey – Self assessment tool “Is Research Working for You?” Finding showed the majority of respondents did not feel they had the knowledge and skill to promote, use, initiate or conduct research to inform practice Eye opener for the Council – mainly leaders in the organization responded that they and their staff did not feel prepared
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Capacity Building
Develop a short course for staff on how to assess research when faced with a research/practice question. Select a diverse group of staff for a pilot. Accessed expertise within the hospital and university to conduct course sessions. Conducted a survey pre and 4 months post completion, to assess the change in staff’s knowledge-base and comfort level.
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Short Course in EPB
Piloted the course in the fall of 2006. Introductory level course in how to apply evidence to practice 8 two hour sessions every two weeks (5 courses since September 2006)
In class sessions Urban and rural
150 interdisciplinary staff thus far with in leadership or front line care provider roles
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Course Outline and Facilitators
Session 1: Developing an answerable question Session 2: Conducting a literature search for health evidence Session 3: Critical Appraisal Session 4: Research Methodology Session 5: Important aspects of project implementation Session 6: Data Collection Session 7: Research to action Session 8: Evaluation of effectiveness
- Dr. Brendan Barrett – Nephrologist, EH
Debra Kearsey – Librarian, EH Patricia Grainger – Nurse Educator, Centre of Nursing Studies
- Dr. Betty Dicks – Assistant Professor,
Community Health/Humanities, MUN Linda Purchase – Manager, Patient Research Centre
- Dr. Ann Kearney – Schools of Nursing &
Community Health/Humanities, MUN
- Dr. Maria Matthews – Health Policy Asst.
Professor, MUN
- Dr. Donna Moralejo, Associate Director
School of Nursing, MUN
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Short Course
Feedback on pilot was very favorable Facilitators are ‘top notch” Resurveyed pilot group in late April using CHSRF survey Continue to offer course twice per year while interest continues Expand to reach the entire region – be creative in approach (teleconference, remote sessions, Webinar)
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EIP Course Certificate Recipients
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Regionalization
Council needs to focus on meeting the needs of the RIHA: Recognize EIP should reach along the continuum beyond acute care Challenged to meet the needs of all sectors, geographically dispersed Expand membership to represent all sectors meaningfully
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Future Directions
Update the inventory regionally and develop a review/evaluation process Develop and educate staff on a EIP model for Eastern Health Focus each program/department to commit to working on two EIP initiatives per year Establish a monitoring process
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