Improving knowledge translation for increased engagement and impact in healthcare

Eljiz, Kathy; Greenfield, David; Hogden, Anne; Taylor, Rennae S.; Siddiqui, Nazlee; Agaliotis, Maria; Milosavljevic, Marianna

doi:10.1136/bmjoq-2020-000983

Cited by 25 publications

(25 citation statements)

References 39 publications

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“…Our intervention was not designed to evaluate improvement in skills of these workers. However, there is evidence to suggest that effective knowledge dissemination of right material to underpin policy, service, and practice can result in clinical practice and service improvements (Brownson et al, 2018;Eljiz et al, 2020). Healthcare worker training is a vital step in disease control but health workforce training is currently threatened by misinformation promoted by sources such as the internet and social media (Brennen et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Introduction of Mobile Health Tools to Support COVID-19 Training and Surveillance in Ogun State Nigeria

Otu

Okuzu²,

Ebenso

et al. 2021

Front. Sustain. Cities

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Mobile health (mhealth) tools delivered through wireless technology are emerging as effective strategies for delivering quality training, ensuring rapid clinical decision making, and monitoring implementation of simple and effective interventions in under-resourced settings. We share our early experience of developing and deploying the InStrat COVID-19 health worker training application (App) in Ogun State, Western Nigeria where the country's first COVID-19 case was reported. This App was designed to directly provide frontline health workers with accurate and up-to-date information about COVID-19; enable them to quickly identify, screen and manage COVID-19 suspects; provide guidance on specimen collection techniques and safety measures to observe within wards and quarantine centers dealing with COVID-19. The App was deployed in 271 primary health care facilities in Ogun state and a total of 311 health workers were trained to use it. Of the 123 health workers who completed knowledge pre- and post-tests, their average test score improved from 47.5 (±9.4) to 73.1(±10.0) %, P < 0.0001 after using the tutorial. Rapid adoption and uptake were driven largely by public-private sector involvement as well as certification of health workers with reported satisfaction levels of over 95% among those who completed pre- and post-test surveys. Challenges encountered included a lack of universal availability of android phones for frontline health workers, lack of internet access in remote areas and a need to incentivize the workers. The timely deployment of this App targeting primary health care workers, mostly in hard-to-reach areas, obviated the need for conventional didactic training with potential of savings in training costs and time and could be applied to similar contexts.

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Section: Discussionmentioning

confidence: 99%

Introduction of Mobile Health Tools to Support COVID-19 Training and Surveillance in Ogun State Nigeria

Otu

Okuzu²,

Ebenso

et al. 2021

Front. Sustain. Cities

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“…When executing research on PM, researchers should comprehensively describe the PM intervention(s) under study and the context as this information helps end-users determine the relevance of study results to them. Other mechanisms for knowledge sharing may include publicly available reports, infographics on PM systems and operations [ 83 ], and learning collaboratives [ 84 ].…”

Section: Discussionmentioning

confidence: 99%

What do end-users want to know about managing the performance of healthcare delivery systems? Co-designing a context-specific and practice-relevant research agenda

Evans

Gilbert

Bacola

et al. 2021

Health Res Policy Sys

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Background Despite increasing interest in joint research priority-setting, few studies engage end-user groups in setting research priorities at the intersection of the healthcare and management disciplines. With health systems increasingly establishing performance management programmes to account for and incentivize performance, it is important to conduct research that is actionable by the end-users involved with or impacted by these programmes. The aim of this study was to co-design a research agenda on healthcare performance management with and for end-users in a specific jurisdictional and policy context. Methods We undertook a rapid review of the literature on healthcare performance management (n = 115) and conducted end-user interviews (n = 156) that included a quantitative ranking exercise to prioritize five directions for future research. The quantitative rankings were analysed using four methods: mean, median, frequency ranked first or second, and frequency ranked fifth. The interview transcripts were coded inductively and analysed thematically to identify common patterns across participant responses. Results Seventy-three individual and group interviews were conducted with 156 end-users representing diverse end-user groups, including administrators, clinicians and patients, among others. End-user groups prioritized different research directions based on their experiences and information needs. Despite this variation, the research direction on motivating performance improvement had the highest overall mean ranking and was most often ranked first or second and least often ranked fifth. The research direction was modified based on end-user feedback to include an explicit behaviour change lens and stronger consideration for the influence of context. Conclusions Joint research priority-setting resulted in a practice-driven research agenda capable of generating results to inform policy and management practice in healthcare as well as contribute to the literature. The results suggest that end-users are keen to open the “black box” of performance management to explore more nuanced questions beyond “does performance management work?” End-users want to know how, when and why performance management contributes to behaviour change (or fails to) among front-line care providers.

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“…19 Involving knowledge users in the research process, including dissemination of findings, is important for increased knowledge uptake. 20 The study aim was to interrogate the evidence base to derive a knowledge synthesis regarding large scale healthcare redevelopment. The research team considered the study question and purpose to determine whether a systematic or scoping review would help achieve the study goal.…”

Section: H I G H L I G H T Smentioning

confidence: 99%

“…Collaboration between multilevel stakeholders is imperative, including consumers who are the patrons, frontline workers and health managers who deliver and coordinate, and policy makers who dictate the funding and direction of care 19 . Involving knowledge users in the research process, including dissemination of findings, is important for increased knowledge uptake 20 …”

Section: Introductionmentioning

confidence: 99%

Large scale healthcare facility redevelopment: A scoping review

Eljiz

Greenfield

Vrklevski

et al. 2021

Health Planning & Management

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Internationally, organisations are undertaking large scale facility redevelopment as a strategy for the transformation of care systems. Redeveloping facilities provides a once in a generation opportunity to transform health service delivery, typically, however, system level changes are poorly understood. To address this gap, our aim was to investigate the empirical knowledge base regarding large scale redevelopment of healthcare facilities. A scoping review was undertaken, guided by the redeveloped health service management (HSM) scoping review framework (HSM-SRF). Across 17 articles, five key concepts were identified, and they form the principles for successful redevelopment. First, establish a strong governance framework integrating diverse expertise and evidence base. Second, engage with internal and external stakeholders to build effectual relationships. Third, consult with end users, including clinicians and patients, to encourage the acceptance of the redevelopment and actively manage stakeholder dynamics, including politics and power undercurrents. Fourth, commit appropriate resources, including time, workforce, technology and finance to ensure redevelopment success. Finally, reimagine workflows through consultation with end users, including staff and consumers, allowing them to conceptualise how the space will be utilised. This scoping review is the first to synthesise the empirical knowledge base of the redevelopment of healthcare facilities.

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Improving knowledge translation for increased engagement and impact in healthcare

Cited by 25 publications

References 39 publications

Introduction of Mobile Health Tools to Support COVID-19 Training and Surveillance in Ogun State Nigeria

Introduction of Mobile Health Tools to Support COVID-19 Training and Surveillance in Ogun State Nigeria

What do end-users want to know about managing the performance of healthcare delivery systems? Co-designing a context-specific and practice-relevant research agenda

Large scale healthcare facility redevelopment: A scoping review

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