Kate Gerrish

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NIHR CLAHRC for South Yorkshire
Translating Knowledge into Action Implementation
Theme
Kate Gerrish Professor of Nursing Sheffield
Teaching Hospitals NHS FT Sheffield Hallam
University
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Aim TK into A

• To develop step change in the way research
  findings are implemented in practice
• by
• trialling and evaluating innovative
  implementation strategies to facilitate
  evidence-based care
• in order to
• enhance service quality, improve patient
  outcomes, and/or increase patient safety

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Objectives TK into A

• Develop, pilot and evaluate implementation
  strategies to promote evidence-based practice in
  response to identified service priorities
• Implementation in practice
• Implementation research
• Disseminate successful initiatives across CLAHRC
  partnership
• Develop the capacity of health care professionals
  to engage in evidence-based practice and applied
  research
• Establish collaborations between NHS and academic
  partners to facilitate knowledge translation

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• Knowledge Translation

• Knowledge translation (implementation)
• Closing the gap between what we know and what we
  do (reducing the know-do gap)
• Making users aware of knowledge / innovations
  and facilitating their use of it to improve
  health and health care systems
• Knowledge translation research
• Studying the determinants of knowledge use and
  effective methods of promoting the uptake of
  knowledge use
• Graham (2007) CIHR

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The Knowledge to Action Cycle From Graham et al
(2006) Lost in Knowledge Translation. Time for a
Map?
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• Approach to KT

• Collaboration between clinicians, managers and
  researchers
• Project management group for each clinical
  priority
• Facilitation
• Knowledge Translation Project Leads
• Knowledge Translation Facilitators
• KT Projects
• Implementation plan using Knowledge into Action
  cycle
• Dissemination plan

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Implement strategies to promote evidence-based
practice

• Identification of clinical priorities
• Review of national, regional policy directives
• 1st clinical project group
• nutrition support for patients with LTCs
• Other priorities under consideration
• NICE guidelines on management of depression in
  primary care
• NICE guidelines on medicines adherence
• Palliative care of patients with COPD and/or
  Heart Failure
• Reducing variation in the quality and service
  provision in stroke units across S Yorks

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Disseminate learning across the CLAHRC
partnership

• Knowledge Translation Case Book
• Objectives
• capture existing / new KT activity across CLAHRC
  partnership
• provide a vehicle for sharing learning about KT
• provide concrete KT examples for training and
  outreach
• demonstrate the impact of implementing research
  evidence
• Dissemination strategy built into each project
  plan

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Capacity building EBP applied research

• Clinical academic training pathway for nurses /
  AHPs
• MSc Clinical Research
• Research placements within CLAHRC themes
• Progress to clinical doctoral fellowships
• Developing skills in evidence-based practice
• STHFT education programmes on developing EBP
• Governance framework
• Ethics and clinical governance framework for
  non-research activity
• National tool commissioned by HQIP

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Collaboration between NHS and academic partners

• Strengthen primary and secondary care
  partnerships across South Yorkshire
• Draw upon expertise of academic partners from two
  universities
• Further develop knowledge translation in partner
  organisations
• Systematically evaluate clinical impact of KT
  interventions
• Systematically evaluate KT implementation
  strategies used
• Use learning to inform undergraduate and
  postgraduate curriculum development

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Knowledge translation an example

• Professor Nanette Mutrie,
• Professor of Physical Activity and Health
  ScienceUniversity of Glasgow
• Survey of women using an anxiety and depression
  scale
• Housework makes women depressed

http//news.bbc.co.uk/2/low/health/2287960.stm
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Thank you

• Contact
• k.gerrish_at_shu.ac.uk / kate.gerrish_at_sth.nhs.uk