Academic Department
Cabrini – Deakin Centre for Nursing Research
Projects
Program 3: Implementation of Research into Practice
Translation of evidence into pain management practices in acute care environments.
Botti, M., Kent, B., Bucknall, T., Johnstone MJ, Duke, M., Considine J., Watts R., Redley B., de Steiger R.
Contact: mari.botti@deakin.edu.au
A major focus of the drive to improve the quality and safety of health care is to standardise care processes to ensure patients receive care based on best available evidence and do not experience variations in the quality of care. Management of post surgical pain is a care process known to be highly variable and inadequate. In Australia, over 40% of patients experience significant pain and hence, unnecessary suffering and increased associated risk. In partnership with clinicians, the aim is to develop, implement and evaluate an improved method of treating pain using a clinical decision support system based on best available evidence for managing postoperative pain. The method will be tested in three sites to assess external applicability.
This study was funded by a 2010 Australian Research Council Linkage grant in collaboration with Deakin University, Cabrini Health, Eastern Health and Epworth Healthcare ($246,380)
A realist synthesis of the evidence underpinning strategies and interventions that enable evidence-informed healthcare (ReS-IS)
McCormack, B., Rycroft-Malone, J., Bucknall, T., DeCorby, K., Hutchinson, A., Kent, B., Schultz,A., Snelgrove-Clarke, E., Stetler, C., Titler, M., Wallin, L. & Wilson, V.
Contact: tracey.bucknall@deakin.edu.au
The purpose of this synthesis is to identify knowledge translation interventions and strategies that are considered to be effective in enabling evidence-informed healthcare. This work is being conducted by an international consortium of researchers and decision makers who are dedicated to advancing the field of knowledge utilization. Established in 2006, the consortium has worked collaboratively towards achieving the aims of this synthesis. Using the methodology of realist synthesis, the consortium is synthesising the evidence of the knowledge translation strategies on Change Agents, Systems Change, Technology, and Education and Learning, in order to provide a comprehensive understanding of the current evidence in this field. The theoretical framework aims to determine: what works, for whom it works, the circumstances and respects in which it works, why it works, and with what outcome/s. A systematic, iterative process of data sourcing, retrieval, management, extraction, analysis and synthesis is being used to guide each stage of the review process.
Data for Improvement and Clinical Excellence (DICE)
Sales, A., Schalm, C., Andreson, M., Elliot, K., Estabrooks, C., Lai, V., Liu, L., Maisey, S.,Mansell, L., Maxwell, C., Neumann, I., Warren, S. & Bucknall, T.
Contact: tracey.bucknall@deakin.edu.au
There is recent evidence to suggest that the Resident Assessment Instrument (RAI) is useful in continuing care settings for improving quality and safety of residents. Building on this knowledge and literature from quality improvement and knowledge translation, this proposal systematically approaches the use of data from multiple perspectives. It will first, determine how Canadian organisations interact with and use RAI information, and second, assess the effectiveness of a feedback intervention delivering RAI data to different provider groups within continuing care organisations. Using a multi-method approach this study will conduct a systematic review of the literature to determine use of data, observations and interviews with clinicians and managers in continuing care organisations and test an intervention strategy to determine the effectiveness of audit and feedback on provider behaviour. This study is being lead by Professor Anne Sales from the University of Alberta, Edmonton, Canada.
The study is funded by the Canadian Health Services Research Foundation, Alberta Heritage Foundation for Medical Research, Capital Health, Shepherd’s Care Foundation, Capital Care, Alberta Health and Wellness (CAN$286,932)
