A Call for Knowledge Translation in Nursing Research

Lorenzini, Elisiane; Banner, Davina; Plamondon, Katrina; Oelke, Nelly D.

doi:10.1590/1980-265x-tce-2019-0001-0004

Cited by 18 publications

(23 citation statements)

References 6 publications

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“…Our methodological approach is also to integrate principles of deliberative dialogue with the restorative approach in focus group sessions to support active engagement in critical reflection and collective debate (Lorenzini et al, 2017). Deliberative dialogue principles are an integrated knowledge translation strategy that is intended to accelerate the application of research findings into practice (Canadian Institutes of Health Research, 2012;Acosta et al, 2018;Lorenzini et al, 2019).…”

Section: Study Theorymentioning

confidence: 99%

Safety culture in healthcare: mixed method study

Lorenzini

Oelke

Marck

2021

JHOM

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PurposeHealthcare providers’ perceptions of management's effectiveness in achieving safety culture improvements are low, and there is little information in the literature on the subject. Objective: The overall aim of this study was to examine the patient safety culture within an interprofessional team – physicians, nurses, nurse technicians, speech therapist, psychologist, social worker, administrative support – practicing in an advanced neurology and neurosurgery center in Southern Brazil.Design/methodology/approachThe authors applied the safety attitudes questionnaire (SAQ) in a mixed methods study, with a quan→QUAL sequential explanatory approach.FindingsIn the quantitative phase, the authors found a negative safety climate through the SAQ. In the qualitative phase, the approach enabled participants to identify specific safety problems. For that, participants proposed improvements that were directly and quickly implemented in the workplace during the study. The joint analysis of the quantitative and qualitative data inferred that the information and reflections of the focus group participants supported and validated the SAQ statistical analysis results. This integrated approach illustrated the importance of various safety culture aspects as a multifaceted phenomenon related to healthcare quality.Originality/valueThis study provides explanations for why management is associated negatively with safety climate in healthcare institutions. In addition, the study provides a novel contribution adding value to mixed methods research methodology.

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Section: Study Theorymentioning

confidence: 99%

Safety culture in healthcare: mixed method study

Lorenzini

Oelke

Marck

2021

JHOM

Self Cite

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“…During the second FG meeting, the participants were encouraged to define strategies to implement improvements in the patient safety culture, based on the materials shared in the synthesis and their own experiences in the local context. In this meeting, the principles of DD 11,12,23,24 were employed to increase the applicability of research results at the study location. This means actions such as the following: actions that aim at the identification and planning of joint actions to generate improvements in safety culture, actions that are based on tacit knowledge and local context of the stakeholders, and so forth.…”

Section: Qualitative Phasementioning

confidence: 99%

“…This means actions such as the following: actions that aim at the identification and planning of joint actions to generate improvements in safety culture, actions that are based on tacit knowledge and local context of the stakeholders, and so forth. Therefore, this was an Integrated Knowledge Translation (IKT) approach by facilitating the co-development of solutions, 24 which facilitates better implementation of evidence into practice. An IKT approach refers to collaboration between researchers and decision-makers in an attempt to ensure that they engage in a mutually beneficial research study or program of research to support decision-making.…”

Section: Qualitative Phasementioning

confidence: 99%

Study and promotion of safety culture using mixed methods research

Alves

Lorenzini

Oelke

et al. 2021

Frontiers of Nursing

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Objective With a positive safety culture, institutions offer the best quality and safe care to their patients. The objective of this study was to analyze patient safety culture from the perspective of the multidisciplinary team, to identify factors that influence patient safety culture, and to create/promote—jointly with the study participants—strategies for improving processes of change. Methods The study design represented a mixed methods research approach, with a sequential explanatory design. A multidisciplinary team of workers at a general hospital was eligible for the study. To collect quantitative data, we administered the Safety Attitudes Questionnaire (SAQ). The qualitative phase was accomplished via focus groups (FGs), with participants from the first phase of the study using the principles of deliberative dialogue (DD) as a knowledge-translation strategy. The STROBE guideline was used to develop the study. Results The overall SAQ score was positive (75.1 ± 10.4). Negative scores were found in the fields of Safety Climate, Working Conditions, and Stress Recognition. Focus group discussions identified the aspects that create a negative impact on safety culture, such as ineffective communication, punitive approach in the event of errors, the lack of commitment and adherence to the protocols, and the non-recognition of the stress and the mistakes. Actions for the promotion of safety culture were developed and implemented during the study. Conclusions The use of the principles of DD as a strategy for knowledge translation (KT) made it possible to identify and plan for joint actions to generate improvements in safety culture.

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“…In view of this setting, the care recommendations in this axis point to the importance of establishing plans, so that, with safety, food hygiene care, menu options and choice of physical activities with limits become factors that contribute to graft and quality of life maintenance. Healthy living habits, combined with a rehabilitation plan, provide effective improvement in post-transplantation (12,(16)(17) .…”

Section: Referral Of the Special Medication Process (Immunosuppressants)mentioning

confidence: 99%

“…Authors point out that transition from hospital to home should involve planned health actions capable of ensuring continuity of care in the discharge process. Patient, family and health staff experience different moments of adjustments in their routines and patient care (11)(12) .…”

Section: Introductionmentioning

confidence: 99%

Good Practices in Transitional Care: continuity of care for patients undergoing liver transplantation

et al. 2021

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Objectives: to develop a guide of care recommendations for good practices in care transition for adult patients undergoing liver transplantation. Methods: a methodological study, based on the Appraisal of Guidelines for Research & Evaluation in the updated version, II. Care recommendations were sustained by conducting an integrative literature review and qualitative research. Results: from evidence, three topics emerged: Care Transition Planning; Health Education for Self-Care; Care Management. Each of the central topics has respective subtopics, totaling six, giving rise to 30 care recommendations. Concerning evaluators’ scores, in all domains the scores were higher than 90%. Final Considerations: the proposed guide assists professionals in conducting care transition in liver transplantation, ensuring greater safety for patients in continuity of home care.

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A Call for Knowledge Translation in Nursing Research

Cited by 18 publications

References 6 publications

Safety culture in healthcare: mixed method study

Safety culture in healthcare: mixed method study

Study and promotion of safety culture using mixed methods research

Good Practices in Transitional Care: continuity of care for patients undergoing liver transplantation

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