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 � Initiatives � Resources � Regionalization � Future Directions
Eastern Health RHA � Largest healthcare organization 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
Eastern Health RHA
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.
Clear message to the council
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 organization � Difficult to meet the needs of all sectors within a large RHA
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”
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
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
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
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
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
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.
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
Course Outline and Facilitators Session 1 : Developing an Dr. Brendan Barrett – Nephrologist, EH answerable question Session 2 : Conducting a literature Debra Kearsey – Librarian, EH search for health evidence Session 3: Critical Appraisal Patricia Grainger – Nurse Educator, Centre of Nursing Studies Dr. Betty Dicks – Assistant Professor, Session 4 : Research Methodology Community Health/Humanities, MUN Session 5 : Important aspects of Linda Purchase – Manager, Patient Research Centre project implementation Dr. Ann Kearney – Schools of Nursing & Session 6 : Data Collection Community Health/Humanities, MUN Session 7 : Research to action Dr. Maria Matthews – Health Policy Asst. Professor, MUN Session 8 : Evaluation of Dr. Donna Moralejo, Associate Director effectiveness School of Nursing, MUN
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)
EIP Course Certificate Recipients
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
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
Future Directions � Continue to increase EH capacity for research and promote evidence informed practice � Compile a list of ‘mentors’, ‘experts’, ‘resource people’ to support EIP initiatives � Find a way to engage ‘course” participants in EIP initiatives � Consider a name change to reflect support for “evidence informed” practice
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