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
Download Presentation The PPT/PDF document "Innovations and Knowledge Translations" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
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 ..... Slide5Slide6
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 Slide8Slide9
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 NBHRFSlide24Slide25Slide26Slide27Slide28
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