Development of a Provincial initiative to improve glucose control in critically ill patients

Dodek, Peter; McKeown, Shari; Young, Eric W.; Dhingra, Vinay

doi:10.1093/intqhc/mzy101

Cited by 2 publications

(9 citation statements)

References 17 publications

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“…The most common frequent country that the studies were published in was Canada with 12 studies [ 7 , 16 , 19 , 35 , 38 , 40 , 41 , 43 , 45 , 47 , 54 , 56 ], followed closely by the USA with 10 studies [ 9 , 10 , 14 , 17 , 23 – 25 , 48 , 51 , 55 ], and the UK with 8 studies [ 8 , 12 , 13 , 15 , 18 , 22 , 31 , 37 ]. Other notable contributions came from Australia with 6 studies [ 26 , 29 , 33 , 34 , 44 , 50 ] and Spain with 4 studies [ 20 , 27 , 39 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

The aims and effectiveness of communities of practice in healthcare: A systematic review

Noar,

Jeffery,

Subbiah Ponniah

et al. 2023

PLoS ONE

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Communities of practice (CoPs) are defined as "groups of people who share a concern, a set of problems, or a passion about a topic, and who deepen their knowledge and expertise by interacting on an ongoing basis". They are an effective form of knowledge management that have been successfully used in the business sector and increasingly so in healthcare. In May 2023 the electronic databases MEDLINE and EMBASE were systematically searched for primary research studies on CoPs published between 1st January 1950 and 31st December 2022. PRISMA guidelines were followed. The following search terms were used: community/communities of practice AND (healthcare OR medicine OR patient/s). The database search picked up 2009 studies for screening. Of these, 50 papers met the inclusion criteria. The most common aim of CoPs was to directly improve a clinical outcome, with 19 studies aiming to achieve this. In terms of outcomes, qualitative outcomes were the most common measure used in 21 studies. Only 11 of the studies with a quantitative element had the appropriate statistical methodology to report significance. Of the 9 studies that showed a statistically significant effect, 5 showed improvements in hospital-based provision of services such as discharge planning or rehabilitation services. 2 of the studies showed improvements in primary-care, such as management of hepatitis C, and 2 studies showed improvements in direct clinical outcomes, such as central line infections. CoPs in healthcare are aimed at improving clinical outcomes and have been shown to be effective. There is still progress to be made and a need for further studies with more rigorous methodologies, such as RCTs, to provide further support of the causality of CoPs on outcomes.

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Section: Resultsmentioning

confidence: 99%

The aims and effectiveness of communities of practice in healthcare: A systematic review

Noar,

Jeffery,

Subbiah Ponniah

et al. 2023

PLoS ONE

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“…In most studies, detailed information was lacking about the extent of stakeholder engagement and how the stakeholder engagement informed intervention selection or design. There were only 3 studies (7.1%) in which the intervention was entirely based on stakeholder engagement [ 84 , 131 , 150 ].…”

Section: Resultsmentioning

confidence: 99%

“… 2, 1.7% [ 69 , 101 ] 36, 30.5% [ 42 , 46 , 50 , 51 , 53 , 55 , 56 , 58 , 60 , 62 , 66 , 67 , 70 , 72 , 78 , 80 , 91 , 92 , 94 , 96 , 116 , 118 , 119 , 123 , 125 , 130 , 132 , 137 , 139 , 143 , 150 – 153 , 155 , 157 ] 38, 32.2% Present guideline materials at meetings 4, 3.4% [ 76 , 81 , 101 , 126 ] 33, 28% [ 42 , 46 , 56 , 58 , 61 , 65 , 67 , 68 , 72 , 74 , 78 , 84 , …”

Section: Resultsunclassified

“…[ 42 , 46 , 49 , 52 , 55 , 56 , 58 , 61 , 62 , 65 , 67 , 71 , 72 , 78 , 80 , 84 , 86 , 91 , 93 , 96 – 100 , 103 , 107 , 112 , 114 , 118 – 120 , 123 , 128 – 131 , 133 , 134 , 137 , 141 , 143 , 150 – 152 , 155 , 157 ]…”

Section: Resultsunclassified

“…[ 45 , 49 , 51 , 52 , 54 , 55 , 59 , 62 , 71 , 73 , 84 , 94 , 97 , 99 , 114 , 131 , 132 , 139 , 141 , 151 , 153 ]…”

Section: Resultsunclassified

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Trends in guideline implementation: an updated scoping review

et al. 2022

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Background Guidelines aim to support evidence-informed practice but are inconsistently used without implementation strategies. Our prior scoping review revealed that guideline implementation interventions were not selected and tailored based on processes known to enhance guideline uptake and impact. The purpose of this study was to update the prior scoping review. Methods We searched MEDLINE, EMBASE, AMED, CINAHL, Scopus, and the Cochrane Database of Systematic Reviews for studies published from 2014 to January 2021 that evaluated guideline implementation interventions. We screened studies in triplicate and extracted data in duplicate. We reported study and intervention characteristics and studies that achieved impact with summary statistics. Results We included 118 studies that implemented guidelines on 16 clinical topics. With regard to implementation planning, 21% of studies referred to theories or frameworks, 50% pre-identified implementation barriers, and 36% engaged stakeholders in selecting or tailoring interventions. Studies that employed frameworks (n=25) most often used the theoretical domains framework (28%) or social cognitive theory (28%). Those that pre-identified barriers (n=59) most often consulted literature (60%). Those that engaged stakeholders (n=42) most often consulted healthcare professionals (79%). Common interventions included educating professionals about guidelines (44%) and information systems/technology (41%). Most studies employed multi-faceted interventions (75%). A total of 97 (82%) studies achieved impact (improvements in one or more reported outcomes) including 10 (40% of 25) studies that employed frameworks, 28 (47.45% of 59) studies that pre-identified barriers, 22 (52.38% of 42) studies that engaged stakeholders, and 21 (70% of 30) studies that employed single interventions. Conclusions Compared to our prior review, this review found that more studies used processes to select and tailor interventions, and a wider array of types of interventions across the Mazza taxonomy. Given that most studies achieved impact, this might reinforce the need for implementation planning. However, even studies that did not plan implementation achieved impact. Similarly, even single interventions achieved impact. Thus, a future systematic review based on this data is warranted to establish if the use of frameworks, barrier identification, stakeholder engagement, and multi-faceted interventions are associated with impact. Trial registration The protocol was registered with Open Science Framework (https://osf.io/4nxpr) and published in JBI Evidence Synthesis.

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Development of a Provincial initiative to improve glucose control in critically ill patients

Abstract: In this, 4-year observation of glucose control in ICUs within a CoP, the lack of sustained improvement suggests the need for more active and durable interventions.

Cited by 2 publications

References 17 publications

The aims and effectiveness of communities of practice in healthcare: A systematic review

The aims and effectiveness of communities of practice in healthcare: A systematic review

Trends in guideline implementation: an updated scoping review

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