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Innovations and Knowledge Translations Innovations and Knowledge Translations

Innovations and Knowledge Translations - PowerPoint Presentation

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Innovations and Knowledge Translations - PPT Presentation

Frontiers of Tomorrow Orienting Questions What does the emerging science and practice of KT ask of us as nurses as health care professionals as health care educators How do we bring our nursing research findings into sustainable practices that make differences that matter for the health ID: 632909

health knowledge amp research knowledge health research amp study mmt community moms care practice action cihr settings researchers integrated

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Slide1

Innovations and Knowledge Translations

Frontiers of TomorrowSlide2

Orienting Questions...What does the emerging science and practice of KT ask of us as nurses, as health care professionals, as health care educators?

How do we bring our (nursing) research findings into sustainable practices that make differences that matter for the health care of all Canadians?Slide3

A Call For New Approaches in KT

Methods used to promote practices are

not often evidence-informed

Dearth of information on which interventions actually work and

under what circumstances

Shift efforts “from development of new interventions to consistently deliver what is already known to work”

Shift toward Action or Utilization component of KT

The interplay with setting, context, environment as active participantSlide4

Innovators and Knowledge Translators

Participators, Designers, and

Researchers ..... Slide5
Slide6

Graham, Logan, Harrison et al. (2006)Slide7

What is "knowledge translation"?

Knowledge translation

research (KT Science

) is about:

determinants of knowledge use

promoting the uptake of knowledge

Knowledge translation (

KT

) is about:

Making users aware of knowledge

Facilitating their use of it

Closing the know-do gap

Moving knowledge into action Slide8
Slide9

Strauss,

Tetroe

, & Graham (2009)Slide10

Knowledge translation at CIHR: Definition

dynamic

and

iterative

process

synthesis, dissemination, exchange and ethically sound application of knowledge

complex system of interactions

between researchers and knowledge users

may vary in intensity, complexity and level of engagement

depending on

the nature of the research and the findings

the particular knowledge user.Slide11

Two broad types of KT at CIHR

End-of-grant KT

making knowledge users aware

of the knowledge generated through a research project

Integrated KT

engages potential knowledge users as partners

in the research process

a

collaborative or participatory approach

to research that is action oriented and is solutions and impact focused Slide12

Where are the Future Frontiers?Slide13

Future Design Considerations:

It’s about

Processes & Participation

Engaging multiple audiences

– not a

uni

-disciplinary venture

Active Citizenship engagement

Partnerships & Networks – practice, education, research

Context as a complex active participant

Armamentarium of maps

Economics – cost analysis and utilitySlide14

Responding to the Frontier Challenges...

New statistical modelling

Community based opportunities and participatory action research designs

(Patrick McGrath, Patricia

Lingley

-

Pottie

, Debbie

Emberly

, Cathy Thurston, &Cathy McLean)

Evidence informed policy and practice pathway

(Shelley Bowen & Anthony

Zwi

, 2005)

Clinical Networks (SCN) interfaced with curriculum initiatives & Educator Networks (CASN)Slide15

Collaborative, participatory, action-oriented way of conducting researchResults in: 1. co-creation of knowledge(s) by researchers and knowledge users.

2. integration of research findings into practice in a more structured, efficient, expedient, and effective health service.

Integrated KT

(McGrath et al. 2009)Slide16

Community & Participatory based Principles

Community as a unit of identity and of analysis

Collaborative partnerships & long-term commitments

Strengths & resources within the community

Integrates knowledge & action for mutual benefit

Co-learning and responsive empowering processes

Health focus on capabilities

Responsive to settings

Disseminates findings & knowledge gained to all partners

(Israel, Schulz, Parker & Becker, 2001; Garrison & Vaughan, 2008;

Dopson

, 2007)Slide17

Integrated KTPlan and Implementation

Time 1

: Informing the Design

Panel of international, interdisciplinary experts and health professionals

Material development

Time 2

: During the Research

Study Management Team

Advisory Committee

Regular reporting to stakeholders

Time 3

: Following Completion of the study phase

From research recruitment to service promotion and awarenessSlide18

Community-based research with impact: Supportive Environments for Moms Living with PPD

Nicole Letourneau

Norlien

/ACHRI Chair in Parent-Infant Mental HealthSlide19

“The PHSI program supports teams of researchers and decision makers interested in conducting applied and policy-relevant

health systems and services research that

responds to

the needs of health care

decision makers

and

strengthens the Canadian health care system

.”

http://www.cihr.ca/e/36327.html

What is PHSI?Slide20

“With PHSI, you can make a difference. Research is more likely to be used in policy and practice

when researchers work hand-in-hand with decision makers.”

http://www.cihr.ca/e/36327.html

It’s all about impactSlide21

Evidence-informed Policy and Practice Pathway

Bowen &

Zwi

, 2005Slide22

The Importance of Settings for Health Promotion:

The analytic framework comprises three parts:

(a) understanding settings,

(b) changing settings, and

(c) knowledge development and knowledge translation.

Blake Poland, Gene

Krupa

& Douglas McCall (2009).

Settings for Health Promotion: An Analytic Framework to Guide Intervention Design and ImplementationSlide23

Sustainable Telephone-Based Support for Mothers with Postpartum Depression

Funded by CIHR and the NBHRFSlide24
Slide25
Slide26
Slide27
Slide28

Integrated KT (but not an end in itself)Greater buy-in – sustained ‘community’ & service

Increased chance for impact

On health care program delivery (↑ services for mothers with PPD)

On health care system efficiency (↓ wait times and emergency room visits)

Client health outcomes (↓ s/s PPD)

BenefitsSlide29

MMT MOMS Study

Supporting Mother’s Engagement in Community-based Methadone Treatment

MMT MOMS Study Slide30

MMT MOMS Study

PURPOSE:

Examine women’s and service providers’ perspectives on the characteristics of parenting supports and resources that could facilitate mothers’ engagement in MMT

Determine the influence of MMT on mothers’ parenting

MMT MOMS Study Slide31

MMT MOMS Study

I was kind of scared when I had him, that he was going to be sick because some kids are sick and have to have Morphine and stuff like that, but I made sure he breastfed so he was still getting some Methadone for the first three months of his life. So when I did wean him off my breast milk, I done it very slowly so that he wasn’t sick. [MMT 05]

MMT MOMS Study Slide32

Current Project: Addiction and Mental Health Research Network

Integrated KT approach

to build a research team and a program of research

Research Focus

: Attachment/relationship interventions with maternal addiction (triadic relations)

Four phases

proposedSlide33

Minding the Baby A COLLABORATION -Yale Child Study Center, Yale School of Nursing, Fair Haven Community Health Center, Cornell Scott Hill Health Center

Minding the Baby (MTB)

intensive home visiting program working with first-time young mothers and their families

First developed in 2002

program is interdisciplinary

home visiting team including a pediatric nurse practitioner and a licensed clinical social worker

promote positive health, mental health, life course, and attachment outcomes in babies, mothers, and their families. Slide34