Contextual factors to registered nurse research utilisation in an Australian adult metropolitan tertiary intensive care unit: A descriptive study

Grant, Anna; Coyer, Fiona

doi:10.1016/j.aucc.2019.01.001

Cited by 6 publications

(18 citation statements)

References 39 publications

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“…Thirteen studies met our inclusion criteria Fig 1 . A combination of qualitative [n = 7] [ 21 , 25 – 28 , 30 , 32 ], quantitative [n = 5] [ 20 , 23 , 24 , 29 , 31 ] and mixed method [n = 1] [ 22 ] research designs were represented. Table 2 provides a summary of the selected studies methodological characteristics.…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 provides a summary of the selected studies methodological characteristics. Six articles were from Australia [ 20 , 21 , 24 , 25 , 27 , 32 ], three in Canada [ 23 , 26 , 30 ], two in Saudi Arabia [ 22 , 31 ], one in China [ 29 ] and one in Denmark [ 28 ]. Seven [ 20 , 24 , 25 , 27 , 28 , 31 , 32 ] of the studies were conducted in a single site hospital setting and the other six [ 21 – 23 , 26 , 29 , 30 ] were across multiple public hospital sites.…”

Section: Resultsmentioning

confidence: 99%

“…Five of the thirteen studies did not report the length of their study [ 21 , 22 , 26 , 27 , 32 ], however those that did report on the length of their study, the majority [n = 4] were less than 6 months in duration [ 23 , 28 , 29 , 31 ]. Two studies [ 24 , 30 ] were between six to twelve months and two studies were conducted over twelve months [ 20 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Each paper was scored as either low, moderate, high, or very high. Three papers were scored as low [ 20 – 22 ], one paper as moderate [ 23 ], six high [ 24 – 29 ] and three very high [ 30 – 32 ].…”

Section: Methodsmentioning

confidence: 99%

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A systematic review of the barriers, enablers and strategies to embedding translational research within the public hospital system focusing on nursing and allied health professions

Smith

Johnson

2023

PLoS ONE

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Aim This systematic review aims to investigate, identify, and compare evidence related to the barriers, enablers, and strategies to embedding translational research within a public hospital system focussed on nursing and allied health disciplines. Methods A systematic review looking at the international literature on the barriers, enablers and strategies in embedding translational research within a public health system addressing nursing and allied health professions. The study channelled the PRISMA reporting guidelines for systematic reviews and meta-analyses. Databases searched were Medline, Embase, Scopus and Pubmed from January 2011 to December 2021 (inclusive). A quality assessment was conducted of literature using the mixed methods appraisal tool 2011 version. Results Thirteen papers met the inclusion criteria. The studies included were from Australia, Saudi Arabia, China, Denmark and Canada. Occupational therapy and physiotherapy were the only two allied health disciplines identified in the search process. The review found considerable inter-relationships between the enablers, barriers, and strategies to embedding research translation in a public hospital setting. Three over-arching themes ‘leadership, organisational culture and capabilities’ were developed to capture the complexity of factors in embedding translational research. Key subthemes identified were education, knowledge, management, time, workplace culture and resources. All thirteen articles identified that a multifactorial approach is required to embed a research culture and translate research findings into clinical practice. Conclusions The themes of leadership, organisational culture and capabilities are inherently intertwined and therefore successful strategies require a whole of health approach with organisational leadership driving the strategy, as changing organisational culture takes time and considerable investment. We recommend that public health organisations, senior executives and policy makers consider the findings of this review to provide evidence to initiate organisational changes to support and help create a research environment to drive research translation within the public sector.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of the barriers, enablers and strategies to embedding translational research within the public hospital system focusing on nursing and allied health professions

Smith

Johnson

2023

PLoS ONE

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“…Consideration in the future needs to include how we communicate to all ICU staff that new research exists on a specific topic. Culture was identified in the literature as a major factor for whether research was used or not (Bringsvor et al, 2014;A. Grant & Coyer, 2019;Livingston et al, 2020;Sauro et al, 2019).…”

Section: Future Researchmentioning

confidence: 99%

Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study

Mackle¹

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Background: Knowledge translation literature shows a delay between publication and uptake of research findings into clinical practice. There is uncertainty about whether this delay exists in the intensive care unit (ICU) context and whether participation in research influences changes in clinical practice. Knowing whether ICU participation in research increases the likelihood of research findings being incorporated into clinical care is important to funders, researchers and patients. Aim: To investigate the effects of participating in the Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen therapy (ICU-ROX) randomised controlled trial on attitudes and practices in relation to ICU oxygen therapy. Methods: The research question was examined using three different methods: a survey, an inception cohort study, and a retrospective cohort study. The practitioner attitudes survey and inception cohort study were conducted before ICU-ROX started, after ICU-ROX finished but before the results were known, and, finally, after publication of the ICU-ROX results. The retrospective cohort study (using the Australian and New Zealand ICU adult patient database) compared data from 48 weeks before and 48 weeks after publication of the ICU-ROX trial. Results: Practitioner attitudes survey: Responses were received from 112 specialist doctors and 153 ICU nurses from 11 ICU-ROX and 11 non-ICU-ROX sites. Before the ICU-ROX trial was conducted, respondents from ICU-ROX trial sites and those from non-ICU-ROX trial sites were similarly likely to indicate they would use a fraction of inspired oxygen (FIO2) of 0.21, in a ventilated patient with peripheral oxygen saturations (SpO2) of 91-96%. However, after participation in the ICU-ROX trial, and before the trial results were known, ICU-ROX trial site respondents were significantly more likely than their non-ICU-ROX trial site counterparts to state they would use an FIO2 of 0.21 in a patient with an SpO2 of 91-96%. The differences in all patient admission categories, except the ‘other ICU patients’ category, persisted after the ICU-ROX trial was published. Nurses were generally less likely to report they would use an FIO2 of 0.21 in a ventilated patient than doctors. Following ICU-ROX publication, 41.1% of the doctors compared to 13.6% of the nurses knew the ICU-ROX results (P<0.001), and 53.1% and 5.4%, respectively, reported having read the publication (P<0.001). Inception cohort study: Data were analysed from 650 patients from 11 ICU-ROX and 11 non-ICU-ROX sites. ICU-ROX site patients spent 8.2% of the time ventilated at FIO2 of 0.21, before ICU-ROX started, 7.7% after their participation in the ICU-ROX trial and 7.1% of the time after ICU-ROX publication, a change over time was not statistically significant. For the non-ICU-ROX site patients, time spent ventilated at FIO2 of 0.21 was 0.9% before ICU-ROX, 2.4% after ICU-ROX was conducted and 3.3% after publication. This change for non-ICU-ROX site patients after ICU-ROX publication was statistically significant (relative rate 3.63; 95% CI 1.39 to 9.47, P=0.01). Retrospective cohort study: The FIO2 from the arterial blood gas associated with the worst Acute Physiology and Chronic Health Evaluation III-J score in the first 24 hours of admission to ICU was analysed for 51,498 pre-publication admissions and 47,523 post-publication admissions from 15 ICU-ROX sites and 188 non-ICU-ROX sites. Although the average FIO2 values varied considerably from week to week, there was a statistically significant reduction in the average FIO2 over time in ICU-ROX sites (P=0.01) but not in non-ICU-ROX sites (P=0.49). Conclusion: Differences between attitudes of practitioners in relation to oxygen in ICU-ROX sites compared with non-ICU-ROX sites changed over time (before and after the ICU-ROX trial, and after publication of the results). Differences in oxygen therapy practice changes for ICU-ROX versus non-ICU-ROX sites shown in the inception cohort study and retrospective cohort study were small, and are unlikely to be clinically important. These studies did not demonstrate a consistent effect of participation in ICU-ROX on knowledge translation.

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Measuring nurses' perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change

Fry

Elliott

Fitzpatrick

et al. 2020

Applied Nursing Research

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Contextual factors to registered nurse research utilisation in an Australian adult metropolitan tertiary intensive care unit: A descriptive study

Cited by 6 publications

References 39 publications

A systematic review of the barriers, enablers and strategies to embedding translational research within the public hospital system focusing on nursing and allied health professions

A systematic review of the barriers, enablers and strategies to embedding translational research within the public hospital system focusing on nursing and allied health professions

Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study

Measuring nurses' perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change

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