scholarly journals Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Trine-Lise Dræge Steinskog ◽  
Oscar Tranvåg ◽  
Donna Ciliska ◽  
Monica Wammen Nortvedt ◽  
Birgitte Graverholt
Keyword(s):  
Nursing Homes ◽  
Knowledge Translation ◽  
Intervention Group ◽  
Educational Programme ◽  
Integrated Knowledge Translation ◽  
Leadership Role ◽  
Individual Responsibility ◽  
Early Warning Score ◽  
Practice Development ◽  
Integrated Knowledge

Abstract Background Practice Development Nurses (PDNs) in Norwegian nursing homes (NHs) hold a specific responsibility for knowledge translation in this increasingly complex healthcare setting. They were involved as end users in an integrated knowledge translation (IKT) study, developing, testing and evaluating the IMPAKT (IMPlementation of Action to Knowledge Translation) intervention. PDNs participated in an educational programme tailored to their own defined needs. In a second intervention component, the PDNs applied their new skills with facilitation, in implementing the National Early Warning Score (NEWS2) in their respective NHs. The aim of this study was to explore 1) the PDNs’ experiences of participating in an IKT educational intervention, and 2) how they applied the learning in planning, tailoring and initial implementation of the NEWS2. Methods This is a qualitative exploratory study based on a phenomenological hermeneutical method. Study participants were PDNs working in the nine NHs in the intervention group of the IMPAKT trial. We conducted nine in-depth interviews and eight non-participatory observational sessions of the intervention delivery. Results The PDNs expressed that the educational programme met their needs and enhanced their understanding about leading knowledge translation (KT). They reported a move from operating in a “big black box of implementation” to a professional and structured mode of KT. The gamechanger was a shift from KT as the PDNs’ individual responsibility to KT as an organizational matter. The PDNs reported enhanced competencies in KT and in their ability to involve and collaborate with others in their facility. Organizational contextual factors challenged their KT efforts and implementation of the NEWS2. Conclusions This study demonstrates that an IKT approach has the potential to advance and improve staff competencies and NH readiness for KT. However, individual motivations and competencies were challenged within an organizational culture which was less receptive to this new leadership role and level of KT activity.

scholarly journals An Integrated Knowledge Translation Experience

2011 ◽  
Vol 15 (1) ◽  
pp. 34-56 ◽  
Author(s):  
Sheila T. Moodie ◽  
Marlene P. Bagatto ◽  
Linda T. Miller ◽  
Anita Kothari ◽  
Richard Seewald ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Integrated Knowledge Translation ◽  
Integrated Knowledge

scholarly journals Building a Bridge to the Community: An Integrated Knowledge Translation Approach to Improving Participation in Community-Based Exercise for People After Stroke

2019 ◽  
Vol 99 (3) ◽  
pp. 286-296 ◽  
Author(s):  
Marie-Louise Bird ◽  
B William Mortenson ◽  
Francis Chu ◽  
Nicole Acerra ◽  
Eric Bagnall ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Integrated Knowledge Translation ◽  
Community Based ◽  
Integrated Knowledge

scholarly journals An integrated knowledge translation approach to develop a shared decision-making strategy for use by Inuit in cancer care: a qualitative study

2019 ◽  
Vol 26 (3) ◽  
Author(s):  
J. Jull ◽  
A. Hizaka ◽  
A. J. Sheppard ◽  
A. Kewayosh ◽  
P. Doering ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Knowledge Translation ◽  
Shared Decision Making ◽  
Cancer Care ◽  
Community Support ◽  
Integrated Knowledge Translation ◽  
Shared Decision ◽  
Care Providers ◽  
Integrated Knowledge

Background In relation to the general Canadian population, Inuit face increased cancer risks and barriers to health services use. In shared decision-making (sdm), health care providers and patients make health care decisions together. Enhanced participation in cancer care decisions is a need for Inuit. Integrated knowledge translation (kt) supports the development of research evidence that is likely to be patient-centred and applied in practice.Objective Using an integrated kt approach, we set out to promote the use of sdm by Inuit in cancer care.Methods An integrated kt study involving researchers with a Steering Committee of cancer care system partners who support Inuit in cancer care (“the team”) consisted of 2 theory-driven phases:■ using consensus-building methods to tailor a previously developed sdm strategy and developing training in the sdm strategy; and■ training community support workers (csws) in the sdm strategy and testing the sdm strategy with community members.Results The team developed a sdm strategy that included a workshop and a booklet with 6 questions for use by csws with patients. The sdm strategy (training and booklet) was finalized based on feedback from 5 urban-based Inuit csws who were recruited and trained in using the strategy. Trained csws were matched with 8 community members, and use of the sdm strategy was assessed during interviews, reported as 6 themes. Participants found the sdm strategy to be useful and feasible for use.Conclusions An integrated kt approach of structured research processes with partners developed a sdm strategy for use by Inuit in cancer care. Further work is needed to test the sdm strategy.

scholarly journals Improving Nutrition Care, Delivery, and Intakes Among Hospitalised Patients: A Mixed Methods, Integrated Knowledge Translation Study

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1417 ◽  
Author(s):  
Shelley Roberts ◽  
Lauren T. Williams ◽  
Ishtar Sladdin ◽  
Heidi Neil ◽  
Zane Hopper ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Care Delivery ◽  
Hospital Staff ◽  
Medical Ward ◽  
Integrated Knowledge Translation ◽  
Post Intervention ◽  
Nutrition Care ◽  
Hospitalised Patients ◽  
Number Of Patients ◽  
Integrated Knowledge

Malnutrition is a common and complex problem in hospitals. This study used an integrated knowledge translation approach to develop, implement, and evaluate a multifaceted, tailored intervention to improve nutrition care, delivery, and intake among acute medical inpatients. This observational, pre-post study was conducted in a medical ward at a public hospital in Australia. The intervention was co-developed with key stakeholders and targeted three levels: individuals (nutrition intake magnets at patient bedsides), the ward (multidisciplinary hospital staff training), and the organisation (foodservice system changes). Observational data were collected pre- and post-intervention on patient demographics, food intakes, and the mealtime environment. Data were entered into SPSS and analysed using descriptive and inferential statistics. Ethical approval was gained through the hospital and university ethics committees. A total of 207 patients were observed; 116 pre- and 91 post-intervention. After intervention implementation, patients’ mean energy and protein intakes (in proportion to their estimated requirements) were significantly higher and the number of patients eating adequately doubled (p < 0.05). In summary, a multifaceted, pragmatic intervention, tailored to the study context and developed and implemented alongside hospital staff and patients, seemed to be effective in improving nutrition practices and patient nutrition intakes on an acute medical ward.

scholarly journals Integrated knowledge translation (IKT) in health care: a scoping review

2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Anna R. Gagliardi ◽  
Whitney Berta ◽  
Anita Kothari ◽  
Jennifer Boyko ◽  
Robin Urquhart
Keyword(s):  
Health Care ◽  
Knowledge Translation ◽  
Scoping Review ◽  
Integrated Knowledge Translation ◽  
Integrated Knowledge
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