Knowledge Translation in the Emergency Medical Services: A Research Agenda for Advancing Prehospital Care

Cone, David C.

doi:10.1197/j.aem.2007.06.014

Cited by 31 publications

(15 citation statements)

References 50 publications

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“…Prior to the delivery of an episode of care, two important processes need to have occurred to optimise quality of care. [1][2][3] The first is the generation of fundamental clinical or scientific knowledge that has the potential to improve health. The second, dependent upon the first, is the application or implementation of this knowledge in a way that actively improves health.…”

Section: Introductionmentioning

confidence: 99%

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Informing clinical policy decision-making practices in ambulance services

Muecke

Curac

Binks

2013

International Journal of Evidence-Based Healthcare

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There is little published literature that describes the processes involved, and frameworks required, to inform clinical policy decision making within ambulance services. This review found that processes were iterative and involved collaborations across many internal and external stakeholders. In several jurisdictions, these were coordinated by a dedicated team. Success appears dependent on committed leadership and purposive human and structural resources. Although time consuming, structured processes have been developed in some jurisdictions to assist decision-making processes. Further insight is likely to be obtained from literature published by those from other disciplines.

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Section: Introductionmentioning

confidence: 99%

“…11 However, despite medical advances, patients do not always receive the care that has been shown through research to be the most efficacious. 1,2,9 Where evidence exists, this reflects a failure to achieve the second of the knowledge translation processes -the conversion of research findings into clinical policy and practice.…”

Section: Introductionmentioning

confidence: 99%

Informing clinical policy decision-making practices in ambulance services

Muecke

Curac

Binks

2013

International Journal of Evidence-Based Healthcare

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“…Both parts of this equation can be perplexing to implement and maintain in a meaningful way within Canadian EMS systems. 1 Translation of evidence from EM to EMS must be done carefully, 17 because loosely generalized research findings can lead to practices that are no longer evidence-based. The effort required to conduct literature searches, select relevant studies (consciously excluding those that are not), analyse, synthesize, and apply to the breadth of EMS care is immense.…”

Section: Process: Barriersmentioning

confidence: 99%

“…There have been calls for meaningful incorporation of these principles into EM and EMS. Several EMS research agendas from around the world have made clear recommendations about the importance of prioritizing and adequately resourcing to enable evidencebased decision-making, [1][2][3][4][5][6][7][8] with similar calls having been made in EM. 9 The notion of EBM/EBP/KT is easily appreciated and agreed to; however, meaningful incorporation into clinical and administrative practice in Canadian EMS remains a challenge nationally and at the local EMS system level.…”

Section: Introductionmentioning

confidence: 99%

Contemporary evidence-based practice in Canadian emergency medical services: a vision for integrating evidence into clinical and policy decision-making

Jensen

Travers

2016

CJEM

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Nationally, emphasis on the importance of evidencebased practice (EBP) in emergency medicine and emergency medical services (EMS) has continuously increased. However, meaningful incorporation of effective and sustainable EBP into clinical and administrative decision-making remains a challenge. We propose a vision for EBP in EMS: Canadian EMS clinicians and leaders will understand and use the best available evidence for clinical and administrative decisionmaking, to improve patient health outcomes, the capability and quality of EMS systems of care, and safety of patients and EMS professionals. This vision can be implemented with the use of a structure, process, system, and outcome taxonomy to identify current barriers to true EBP, to recognize the opportunities that exist, and propose corresponding recommended strategies for local EMS agencies and at the national level. Framing local and national discussions with this approach will be useful for developing a cohesive and collaborative Canadian EBP strategy. RÉSUMÉ

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“…Some research has not been effectively translated into practice, [3][4][5][6][7] whereas in any other areas of EMS, there continues to be few empirical data available. 8 In response, EMS organizations across Canada, including a national association, have identified the development of research as a priority.…”

Section: Ré Sumémentioning

confidence: 99%

The Canadian National EMS Research Agenda: a mixed methods consensus study

Jensen

Bigham

Blanchard

et al. 2013

CJEM

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Introduction: Research is essential for the development of evidence-based emergency medical services (EMS) systems of care. When resources are scarce and gaps in evidence are large, a national agenda may inform the growth of EMS research in Canada. This mixed methods consensus study explores current barriers and existing strengths within Canadian EMS research, provides recommendations, and suggests EMS topics for future study. Methods: Purposeful sampling was employed to invite EMS research stakeholders from various roles across the country. Study phases consisted of 1) baseline interviews of a subsample, 2) roundtable discussion, and 3) an online Delphi survey, in which participants scored each statement for importance. Consensus was defined a priori and met if 80% scored a statement as “important” or “very important.” Results: Fifty-three stakeholders participated, representing researchers (37.7%), EMS administrators (24.6%), clinicians/ providers (20.7%), and educators (17.0%). Participation rates were as follows: interviews, 13 of 13 (100%); roundtable, 47 of 53 (89%); survey round 1, 50 of 53 (94%); survey round 2, 47 of 53 (89%); and survey round 3, 40 of 53 (75%). A total of 141 statements were identified as important: 20 barriers, 54 strengths/opportunities, 31 recommendations, and 36 suggested topics for future research. Like statements were synthesized, resulting in barriers (n 5 10), strengths/opportunities (n 5 24), and recommendations (n 5 19), which were categorized as time, opportunities, and funding; education and mentorship; culture of research and collaboration; structure, process, and outcome of research; EMS and paramedic practice; and the future of the EMS Research Agenda. Conclusions: Consensus-based key messages from this agenda should be considered when designing, funding, and publishing EMS research and will advance EMS research locally, regionally, and nationally.

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Knowledge Translation in the Emergency Medical Services: A Research Agenda for Advancing Prehospital Care

Cited by 31 publications

References 50 publications

Informing clinical policy decision-making practices in ambulance services

Informing clinical policy decision-making practices in ambulance services

Contemporary evidence-based practice in Canadian emergency medical services: a vision for integrating evidence into clinical and policy decision-making

The Canadian National EMS Research Agenda: a mixed methods consensus study

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