Nurses in joint posts may be the key to sharing of current, timely information between universities and NHS organisations and should set up formal programmes, such as mentoring, to support this knowledge transfer. One example is protection motivation theory designed to address change, and the vulnerability that may stem from a refusal to change. Corlett J (2000) The perceptions of nurse teachers, student nurses and preceptors of the theory-practice gap in nurse education. In 1996, the NHS Research and Development programme introduced two mechanisms to promote the dissemination of research to clinicians: The Cochrane group have outlined a range of intervention strategies to support the dissemination and implementation of clinical guidelines to clinicians. Action research stands a greater chance of being implemented because it is being carried out in line with local needs and issues, encourages full involvement of staff and permits change throughout the process of project work. Where staff are doing small-scale project work, academic support to promote publication in professional journals, and the preparation of seminars and presentations for local delivery, can be very helpful. clinical interventions) or diagnostic studies involving patients. Hunt (1984) proposed that nurses may experience specific difficulties when attempting to make use of research findings in practice. If service users and carers are to be supported, and encouraged, to exercise choice about their care, they need good quality, timely information which is contextually relevant and appropriate to their situation. Nursing research and evidence underpinning policy dialogue and system transformation Central to the nursing profession leading transformational change is the use of evidence-based practice. Research activity is increasingly a core business for the NHS. Nurse Education Today; 20: 6, 499-505. Our guidance continues to be recommended as a source of good practice by agencies Rachel Richardson, Research Fellow, NHS Centre for Reviews and Dissemination The NHS Centre for Reviews and Dissemination (CRD) was established in 1994 and aims to provide the NHS with important information on the effectiveness and cost-effectiveness of treatments and the delivery and organisation of healthcare. This article outlines the key challenges inherent in sharing and dissemination of research findings within NHS organisations. This site uses cookies. The UK Cochrane Centre (www.cochrane.org.uk). The joint post may be the key to sharing of current, timely information between universities and NHS organisations. Indeed, Newman et al (1998) found that the closer NHS staff were to the provision of care, the less aware they were of developments in their specialty areas. A goal of the researcher according to Pellecchia (1999) should be “to disseminate the findings, thereby adding new knowledge to the field”. Chapter 9 Dissemination to clinicians, NHS managers and patients Throughout the project we presented our findings to a local group of health-care professionals working in fracture prevention services in the South Central region [the ‘FRISCy (Fracture Reduction in South Central PolicY) network’]. The Cochrane group have outlined a range of intervention strategies to support the dissemination and implementation of clinical guidelines to clinicians. The difficulty prioritising research activity within busy clinical settings may be further aggravated by the poor dissemination of findings, and so limited uptake of findings, particularly from regional research or project work. Please complete our short feedback form. apply to early phase clinical trials in healthy volunteers. This may result in a perception of the researcher as an outsider, which can promote compliance with research protocols and data collection, but could have a negative impact on the uptake or internalising of research findings by clinicians. this independent report by the niHr Dissemination Centre presents a synthesis of niHr and other research. For example, they have produced a guide to obtaining data for health research, with the Medical Research Council and NHS Health Research Authority, aimed at researchers. Journal of Clinical Nursing; 18: 8, 1085-1095. Although the findings of a research project remain static, the ways in which findings are presented differs according to the needs and knowledge of local audiences. Business models, particularly those stemming from organisational development theorists, may be helpful, as well as the behavioural models of change stemming from health psychology. Setting Phase III clinical trials registered on the UK’s research permissions system (Integrated Research Application System) between the 1 January 2012 to 31 December 2017. Where researchers are no longer available to share and disseminate information about completed research, an academic in a joint post could take on this role, and disseminate information in a range of creative, context-appropriate ways. NHS staff can engage with research in a variety of ways. This provides feedback to participants on the outcome of research towards which they have contributed. This provides feedback to participants on the outcome of research towards which they have contributed. Different professional groups across the NHS receive different levels of research education during their training. The Free Press: New York. There are seven Health Boards and three all-Wales Trusts and all organisations have a … It also provides opportunities for staff to become research aware, based on locally relevant, well-designed studies. For information on action research see Lewin (1946) and action research projects see Endacott et al (2010); Whitehead et al (2003); and Corlett (2000). Chapter 9 Dissemination to clinicians, NHS managers and patients Throughout the project we presented our findings to a local group of health-care professionals working in fracture prevention services in the South Central region [the ‘FRISCy (Fracture Reduction in South Central PolicY) network’]. It is designed to help you to plan your dissemination and give your research every chance of being utilised. Project work that is informed by teams which include academic and practitioner members is more likely to be shared and disseminated successfully across academic and NHS organisations. As there are various guidelines and legislation, we have produced a. We recognise that commercial sensitivity may be a concern in some sectors and so it is possible for applicants and sponsors to submit a request to the REC to defer publication of the research summary and the full study title on the HRA website. This literature should inform translational research in NHs, but public health approaches may need to be modified for NHs, for dissemination strategies operate differently in different care settings (Rowe et al., 2005; Titler, 2008 Research projects may be undertaken in order to attract funding to an organisation, to support the funding of research posts, or to promote areas of specialty. In 1996, the NHS Research and Development programme introduced two mechanisms to promote the dissemination of research to clinicians: 1. Plans for disseminating the findings of this research Although all researchers are required to provide their plans for dissemination prior to being granted ethical permission, not all researchers engage actively in the dissemination of their research findings to participating NHS organisations or services. Researchers have a role in adjusting the presentation of findings to meet the needs of professionals in order to support application into practice, as well as to help professionals consider the relevance of research findings to them. The Health Research Authority website uses essential cookies. They should encourage article publication, presentations, and the implementation of recommendations which are locally relevant and an action research approach is key to boosting the likelihood of findings being implemented. DOI: 10.1136/emj.2009.082859. Purpose: A gap between research and practice in many nursing home (NH) care areas persists despite efforts by researchers, policy makers, advocacy groups, and NHs themselves to close it.The reasons are many, but two factors that have received scant attention are the dissemination process itself and the work of the disseminators or change agents. It is good practice to disseminate the results of research to research participants and other interested groups or communities. NHS Institute for Innovation and Improvement (2010) Knowledge Improvement and Research. Dissemination needs to be considered at the earliest stage of project planning, with bids for funding including a period of time specifically for dissemination at the end of project work. Rycroft-Malone J, Bucknall T (2010) Models and Frameworks for Implementing Evidence-Based Practice. Newman M, Papadopoulos I, Sigsworth J (1998) Barriers to evidence-based practice Intensive Critical Care Nursing 14 (5): 231-238. studies involving Journal of Advanced Nursing; 31: 1, 99-109. Rogers E (1985) Diffusion of Innovation. How to disseminate your research: Getting your message heard - and used This guide is for researchers who are applying for funding or have research in progress. This record consists of some basic information about the research (e.g. Effective dissemination can support staff to share information about developments in healthcare practice, and help services adopt and implement innovation. Rycroft-Malone and Bucknall (2010) outline and critique several models and frameworks designed to facilitate getting evidence into practice, a key factor in successful sharing and dissemination of research findings. CONCLUSIONS: Dissemination of research findings in the clinical … You should submit NIHR Evidence presents high quality summaries of Journal of Nursing Management; 16: 327-333. participants still in the study. This As well as ensuring that staff members have access to research findings, and the ability to critique these findings, it is vital that service users and carers also have access to recent research as well as any support needed to interpret the findings of locally conducted research work. It is important that all teaching contains recent research and findings from innovative practice, particularly carried out locally. The NHS Centre for Reviews and Dissemination, a joint collaboration between the National Institute of Health Research (NIHR) and the University of York; 2. the HRA guidance on information at the end of study. By Steven Williams, Communications Manager, NIHR Dissemination Centre  Published: 22 February 2017 We all know that it is important to use the best available research evidence to make health and social care decisions. Topics in Geriatric Rehabilitation; 14: 3, 67-79. For example, the Rogers’(1985)  diffusion of innovation model challenges a ‘top down’ approach to change, encouraging a diffusion approach and the full involvement of all participants in research. Outcomes and Dissemination These are outlined in box 1. Couchman T, et al (2008) Using well-being champions to deliver holistic care. Such steps would also enable clinical staff to become more research aware. Moreover, the expectations and guidance provided to researchers vary from one agency to another. It is common practice for written summaries of research findings, or final reports, to be circulated to participating research and development departments of NHS organisations, but there is not always the opportunity for researchers to re-enter the organisation to support the interpretation of findings, or to explore opportunities for dissemination and implementation where appropriate. About the Centre for Reviews and Dissemination, University of York, UK The Centre for Reviews and Dissemination (CRD) specialises in evidence synthesis, assembling and evaluating data from multiple research studies to generate robust evidence to inform health policy and practice. Background: Working within a modern National Health Service in the United Kingdom, the place for research and its dissemination is increasingly important. It is important for local trusts to carry out research which is contextually relevant, rather than having to rely solely on national findings which may be difficult to apply in practice. Veeramah V (2007) Use of research findings in nursing practice. Publication in academic journals is a key activity for academic researchers in disseminating their work. Yet scientific journals are not effective in influencing practice (Watt, 1996). The Centre for Reviews and Dissemination (CRD) is a health services research centre based at the University of York, England. We are still testing the new HRA website to ensure it meets your needs. Health Technology Assessment; 14: 8, 1-218. This article will outline some of the challenges and consider how staff working across university and NHS organisations (particularly those in formal joint posts) could use their roles to address these issues. This point is echoed by the NHS Institute for Innovation and Improvement (2010) and The Foundation of Nursing Studies (2010). Kajermo KN, et al (2000) Perceptions of research utilisation: comparisons between health care professionals, nursing students and a reference group of nurse clinicians. However, the nature of evidence is weighted heavily towards quantitative methods. The research protocol forms an essential part of a research project. Although the NHS is keen to promote the role of the academic clinician, NHS research may be led by researchers based in universities, or trust-based, academic units. To produce actionable messages and good practice recommendations to disseminate proactively to service users, NHS staff, DH policy makers, NICE and academic audiences to improve the selection, application and usefulness of quality indicator schemes for community nursing. The detailed study from Song et al (2010) on the importance of sharing and dissemination and the need to avoid research dissemination bias provides useful information about the promotion of evidence-based decision making. By continuing to browse the site you are agreeing to our use of cookies. Ext. Dissemination of evidence in nursing is the spreading of evidence-based knowledge, research, and findings by nurses to other healthcare professionals or to the general public. This definition introduces the notion of targeting specific groups with information that may be relevant, but also highlights the necessity of such groups being able to make use of the information once received. Is Eleanor Bradley, BSc, MSc, PhD, CPsych, is professor in healthcare research and evaluation and director, Wilfred McSherry is professor in dignity of care for older people both at the Centre for Practice and Service Improvement at Staffordshire University; Robert McSherry, PGCE, PhD, MSc, BSc, RGN, DipN, is professor of nursing and practice development at the School of Health and Social Care, University of Teesside. Research assistants, commonly responsible for data collection, are often employed on short-term contracts related to specific research projects and move on to other contracts on completion of project work. Their contributions span all phases of the research process, from idea to design to dissemination, and include setting Examples of publications that have arisen from such support include Foster et al (2009); Couchman et al (2008); and Hall at el (2007). Hunt J (1984) Research: Why don’t we use these findings? The vision for DARS is to make the data dissemination process as quick and efficient as possible while preventing the inappropriate release of data and maintaining public trust. Many practitioners will not have the underpinning knowledge to interpret and transfer such findings into their practice (Chummun and Tiran, 2008). Health Education Journal; 62: 1, 5-22. They can help support change and provide support for clinicians to interpret findings and consider how to implement any changes to practice. For example, nurses and occupational therapists have traditionally received little information about research methods during their pre-registration training, although as Veeramah (2007) indicates this situation has been addressed in recent years. Dissemination is an essential component of the quality improvement cycle, ensuring the best available evidence is incorporated into routine practice with the smallest possible delay. THE NHS - LOCAL NHS RESEARCH AND INNOVATION PRIORITIES Since its inception, the NHS has worked at the leading edge of scientific development. Associate Medical Director, Research & Development and this is only done following approval from a Research Ethics Committee and the Health Board Research Risk Review Committee. This Enabling NHS staff to contribute to research Reflecting on current practice and informing future opportunities Sashka Dimova, Rob Prideaux, Sarah Ball, Amelia Harshfield,i RAND Europe was commissioned by The Healthcare Journal of Social Issues; 2: 34-46. Effective dissemination is simply about getting the findings of your research to the people who can make use of them, to maximise the benefit of the research without delay. These research assistants may have been the ‘face’ of the research project, and would be helpful to clinicians interpreting findings, and applying results to the context of their own services. Research information can be integrated into local teaching programmes, and any learning and support needs identified within the clinical setting should be addressed through course development or other opportunities for support. Staff working in joint posts between universities and clinical settings are in a unique position to address these challenges. The methods used provide a new way to share knowledge between research, practice, and policy. Work informed by academic and practitioner teams is more likely to be successfully disseminated. Close contact between staff working within these organisations can support joint project work as well as encouraging article publication, presentations, and the implementation of recommendations which are contextually relevant, individualised, and based on the skills of the members of multidisciplinary teams. Foundation of Nursing Studies (2010) Developing Practice Subscribers Areas. copies of any end of study information sheets that have been provided to A range of different teaching methods are now being used to engage and develop research awareness in pre-registration education (Irvine et al, 2008). How they will be given access to the summary findings. The move towards multidisciplinary team working, and the expectation that all team members will understand and respond to research information in the same way, is undermined by the different levels of research awareness and experiences within these teams and suggests a need for further, individualised research support. Despite a range of research being carried out across NHS organisations, researchers themselves may provide only limited guidance as to the application of findings in practice. Information sheet 2 Research and Development Office Education Centre, The Hillingdon Hospital. Irvine F, et al (2008) Research awareness: Making learning relevant for pre-registration nursing students. EmergencyMedicine Journal; 26 June. Hall J, et al (2007) Mental health staff attitudes towards exercise programmes. Nursing Times; 105: 30, 28-30. Protecting and promoting the interests of patients and the public in health research… Emails are being used in addition to letters to ensure where patients have an email address registered with the NHS, they receive timely information on their risk status, shielding policy, advice and guidance. John Wiley: London. Addressing deficiencies in the dissemination and transfer of research-based knowledge into routine clinical practice is high on the policy agenda both in the UK and internationally. High quality research, making use of both qualitative and quantitative methods, into the effects and impact of interventions must be undertaken; The NHS Centre for Reviews and Dissemination, a joint collaboration between the National Institute of Health Research (NIHR) and the University of York. The NIHR has launched a new Centre for Engagement and Dissemination that brings together its activities in patient and public involvement, engagement and participation with its strengths in research dissemination. This HRA guidance applies to those Foster S, et al (2009) Rolling out productive ward foundation modules across a hospital trust. This requirement does not apply to Phase 1 studies. Bradley E et al (2010) The dissemination of healthcare research: Utilising joint posts. Academics working across organisations can help support change and provide support for clinicians to interpret findings and consider how to implement any changes to practice.
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