Back to search

HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester

Implementation and Action for Knowledge Translation (IMPAKT) in practice and education

Alternative title: IMPlementering og Aksjon for KunnskapsTranslasjon (IMPAKT) i praksis og utdanning

Awarded: NOK 10.2 mill.

A gap continues to exist between what is known and what is provided of professional health care services, commonly referred to as the knowledge-to-action gap. Most initiatives have fallen short in solving this pressing issue. The aim of the IMPAKT project is to facilitate the implementation and translation of new knowledge into action among current and future healthcare professionals. Many efforts to implement knowledge translation strategies fail because users are not actively involved in the research process. This project is based on the concept of integrated knowledge translation (i-KT) which involves partner participation throughout the process. Participating knowledge end-users will collaborate in refinement of research questions, selection of the methodology, data collection and tool development, selection of outcome measures, interpretation of findings, crafting of messages and dissemination of results. This project addresses the knowledge-to-action gap crossing perspectives of two different sectors - within practice in nursing homes and within higher education. Nursing homes are under constant pressure to improve quality of care, while undertaking a level of care previously provided by specialist care. Staff in nursing homes may have educational needs and are dependent upon an organization that acknowledges and supports these needs. In a systematic review of effects of interventions to improve the implementation of guidelines in nursing homes it is clear there is a pressing need for new studies that can support the implementation of best practices in nursing homes. That is why we developed and carried out an intervention, where researchers and nursing home employees worked in a partnership to define needs, stakeholders and possible solutions. The intervention has two main components: In the first, a capacity building program in evidence-based practice and knowledge-to-action was offered healthcare professionals in intervention nursing homes. In the second, Practice development nurses take a lead in applying what they learnt, under facilitation, to implement NEWS2. Institutions of higher education have a societal mandate to educate candidates with life-long learning competencies to keep up with new knowledge. Little is known about levels of these competencies among candidates. Through IMPAKT we have translated and validated a questionnaire and surveyed 3rd year students in bachelor healthcare programs. The students find Evidence-based practice relevant, but reported low levels of understanding of terms, low confidence in skills and very little use of it in clinical situations. These findings serve as an important baseline for the implementation of new national guidance for bachelor programs.

A gap continues to exist between what is known and what is provided of professional health care services, commonly referred to as the knowledge-to-action gap. This project aims to address the knowledge-to-action gap from the perspectives of two different sectors - nursing homes and higher educational institutions. Addressing the gap has implications crossing both sectors. The nursing homes are under constant pressure to improve quality of care at the same time as it is expected to undertake additional tasks previously provided in specialist care. Staff in nursing homes have educational needs and are dependent upon an organisational context that acknowledges and supports these needs. Institutions of higher education have a societal mandate to educate candidates with life-long learning competencies to keep up with new knowledge. Little is known about levels of competencies among candidates. Regardless of what the students learn in school, what they experience in clinical practice weighs more. The knowledge-to-action gap exists across sectors and consequently both healthcare personnel and students in educational programs need to learn how to become effective knowledge consumers and to transfer this knowledge into practice. An important premise is to have a dual focus on the field of practice and education, which this project addresses. Involvement of end users as partners throughout the entire research process is clearly incorporated in this project as it is based on the concept of integrated knowledge translation. Participants as knowledge users will collaborate in refinement of research questions, selection of the methodology, data collection and tool development, selection of outcome measures, interpretation of findings, crafting of messages and dissemination of results. The project makes use of mixed methods to strengthen the quantitative and qualitative methodologies and increase the breadth and depth of our understanding.

Publications from Cristin

No publications found

Activity:

HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester