Using Research to Inform Practice An Interactive Workshop SIA Conference Session 4; 2pm -3pm

Transcription

1 Using Research to Inform Practice An Interactive Workshop SIA Conference Session 4; 2pm -3pm Ms Pauline Zardo PhD Candidate, Institute for Safety, Compensation and Recovery Research & Monash University Department of Epidemiology and Preventive Medicine Professor Niki Ellis, CEO Institute for Safety, Compensation and Recovery Research

2 Session Objectives 1. Introduce research and models on Research to Action (RTA) 2. Discuss barriers and facilitators to use of evidence in practice 3. Review options for accessing and using research evidence to inform OHS professional practice

3 Context Practice change from RTA is only 8-15% True for policy as well For evidence-informed practice, we need more practice informed evidence Source: Best & Holmes 2010

4 Research to Action: Evidence Informed Practice in OHS

5 Research To Action The exchange, synthesis and effective communication of reliable and relevant research results. The focus is on promoting interaction among the producers and users of research, removing the barriers to research use, and tailoring information to different target audiences so that effective interventions are used more widely. Source: WHO, World Report on Knowledge for Better Health 2004

6 1st Generation RTA: 1960s-90s The Evidence Base: Research Push Evidence based medicine Individual practitioner level Research translation and transfer Development of practice guidelines Development of systematic reviews and hierarchies of evidence Increase in accessibility of research and research report formats

7 2nd Generation RTA: Mid 90s-Now Understanding User Context: Pull Evidence based health policy and practice Individual and organisational level Barriers and facilitators to use of evidence in practice and policy context Research timing and relevance Importance of interaction: researchers vs brokers Dissemination and adoption strategies

8 3rd Generation RTA: Now and Future Organisational Development: Pull Evidence informed health policy and practice Research of specific organisational contexts. Interventions at systems and process level Focus on developing capacity for evidence informed practice Use of models, frameworks and theory to inform the design and implementation of: research, interventions, tools, strategies

9 Barriers and Facilitators to RTA Barriers Individual: Decreased researcher and research user interaction Low relevance: topic & timing Accordance in values between researchers & research users Capacity to assess research Mistrust Negative attitudes to change Facilitators Individual: Increased interaction Ongoing collaboration Research on values Use of networks Building trust Clearly defined roles Organisational: Practice culture unsupportive of research Competing interests Incentives for researchers High staff turnover Organisational: Collaborative research partnerships Sufficient resources Authority to implement change Capacity building initiatives Readiness for change Source: Lavis 2009; Mitton 2007: systematic review evidence

10 Review of RTA Literature Evidence could be better utilised to inform public health practice and policy Evidence informed practice is affected by barriers and facilitators Barriers and facilitators are context dependent

11 Review of RTA Literature Research must be relevant to the practice context to be used in practice Products or strategies aimed at increasing use of evidence must be relevant to practice context. Models and theories should be used to guide analysis of evidence informed practice and policy research

12 RTA: Models and Frameworks

13 Utility of reported research findings Knowledge Pyramid More likely to be used Actionable messages Synthesis of research knowledge Individual studies, articles and reports Basic science, theoretical and methodology innovations Source: WHO, 2004

14 Place of Practice in the Stages of Assessment of Research Utilisation and Final Outcomes Source: Hanney et al, 2003

15 The Innovation Adoption Chain Three inter-linked elements: Production/evaluation (research evidence) Dissemination (communication) Acquire, Assess; Adapt; Apply Adoption (behaviour change) Source: Lomas 2011; Canadian Health Services Research Foundation

16 Best Predictors of Local Innovation Spread 1.The adopter already believed in the innovation before you told her about it 2. The adopter was linked into the evaluation of the innovation as a collaborator from the start Source: Lomas 2011

17 Everett Rogers Predictors of Spread Significant improvement over the status quo Compatible with extant values and beliefs Communication channels to potential adopters Dissemination rather than just diffusion Time Accommodate early, middle and late adoption Sympathetic social systems and context Value of leadership, networks and colleagues Source: Lomas 2011

18 ISCRR RTA MODEL Academic Context Policy Context ISCRR Priority Setting Questions & synthesis RTA 1 RTA 2 Priority Setting Policy Analysis Evaluation Academic Research Cycle Data analysis RTA 3 RTA 4 Evaluation Public Policy Cycle Consultation Findings & Implementation RTA 5 Holistic Intervention Implementation

19 ISCRR RTA Model: Interaction Points RTA Interaction point Examples of Activity Standard RTA RTA1- priority setting and overall plan of research Horizon scanning Think Tank RTA2- formulation of questions/methods and planning of research and research synthesis Informal consultation with key personnel Project plan Relationship Managers Policy makers on research team RTA3- producing secondary products of research Policy briefing Debriefing with key personnel Support discussion of policy implications Tools for practitioners RTA4- reviewing research projects Evaluation Aggregate qualitative information Other KPIs Enhanced RTA RTA 5 interweave policy and research processes more closely Work more closely together ; routinely

20 ISCRR RTA MODEL AIMS Directly improve OHS and worker s compensation policy and transport accident compensation policy, and indirectly improve practice and performance in the related areas. Drive and support multidirectional interactions between regulators, stakeholders and researchers that results in: generation of relevant, actionable research evidence; synthesis of existing research evidence; targeted and tailored research dissemination; application of research evidence in practice.

21 Accessing and Using Evidence in OHS Practice

22 Increasing use of research in OHS practice OHS professionals research sharing networks Building networks with regulators, industry associations and unions Registering for OHS, public health and policy research alerts and newsletters Attending research and industry conferences, seminars and master classes

23 Translating Research into OHS Practice Research translators Research consultants Training & development in research and data use: University Short Courses Public Library Courses ABS Short Courses

24 OHS Alert: news headlines and other info free; registration fee for full article viewing Access to Research for OHS Practice ICSRR Newsletter: WorkSafe Victoria: Safe Work Australia: UK Health & Safety Executive: US National Institute of Safety & Health: Canadian Health Service Research Foundation: NZ Accident Compensation Commission: Access to evidence for a fee

25 Access to Research for OHS Practice AIHW: Cochrane Collaboration: ABS: Australian Policy Online: Google Scholar: State Services Authority: State Library of Victoria: Open Access Journals Implementation Science: PloS Medicine:

26 Questions? 5 mins before we move on to the Interactive Workshop

27 Interactive Workshop

28 Workshop Outline 1. Discuss barriers and facilitators to use of evidence in practice that OHS professionals encounter (5 mins) 2. Review and rank the relevance of different sources of research evidence for OHS professionals (15 mins) 3. Feedback: activity reflections and general discussion (10 mins)