scholarly journals Introducing the Canadian Thoracic Society Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation

2013 ◽  
Vol 20 (4) ◽  
pp. 263-264 ◽  
Author(s):  
Samir Gupta ◽  
Christopher Licskai ◽  
Anne Van Dam ◽  
Louis-Philippe Boulet
Keyword(s):  
Guideline Implementation ◽  
Discussion Board ◽  
Production Cycle ◽  
Dissemination And Implementation ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Action Team ◽  
Guideline Dissemination ◽  
Collaboration And Communication ◽  
Action Process

The Canadian Thoracic Society (CTS) is leveraging its strengths in guideline production to enable respiratory guideline implementation in Canada. The authors describe the new CTS Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation, which has three spheres of action: guideline production, implementation infrastructure and knowledge translation (KT) methodological support. The Canadian Institutes of Health Research ‘Knowledge-to-Action’ process was adopted as the model of choice for conceptualizing KT interventions. Within the framework, new evidence for formatting guideline recommendations to enhance the intrinsic implementability of future guidelines were applied. Clinical assemblies will consider implementability early in the guideline production cycle when selecting clinical questions, and new practice guidelines will include a section dedicated to KT. The framework describes the development of a web-based repository and communication forum to inventory existing KT resources and to facilitate collaboration and communication among implementation stakeholders through an online discussion board. A national forum for presentation and peer-review of proposed KT projects is described. The framework outlines expert methodological support for KT planning, development and evaluation including a practical guide for implementers and a novel ‘Clinical Assembly – KT Action Team’, and in-kind logistical support and assistance in securing peer-reviewed funding.

scholarly journals Knowledge translation of the Canadian 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older: a collaborative movement guideline knowledge translation process

2020 ◽  
Vol 45 (10 (Suppl. 2)) ◽  
pp. S103-S124 ◽  
Author(s):  
Jennifer R. Tomasone ◽  
Stephanie M. Flood ◽  
Amy E. Latimer-Cheung ◽  
Guy Faulkner ◽  
Mary Duggan ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Development Process ◽  
Guideline Development ◽  
Lessons Learned ◽  
Local Context ◽  
Dissemination And Implementation ◽  
Translation Process ◽  
Guideline Development Process ◽  
Knowledge To Action ◽  
Guideline Dissemination

Establishing a step-by-step process that provides practitioners with a blueprint for translating movement guidelines into action stands to optimize the investment in guideline development, improve guideline promotion and uptake, and ultimately enhance population health. The purpose of this paper is to describe how the Knowledge-to-Action framework and integrated knowledge translation were operationalized to systematically inform our knowledge translation (KT) efforts for the Canadian 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older. In October 2018, the need for a KT Process, operating in tandem with the Guideline Development Process, led to the establishment of a KT team with a specific structure and terms of reference. The KT team collaboratively agreed on decision-making principles prior to selecting target audiences to focus their efforts. We undertook formative research to assess the local context and determinants of guideline dissemination and implementation efforts among target audiences. Plans for the subsequent steps and research are outlined. We highlight recommendations and lessons learned for applying the process in other settings. Novelty We outline a collaborative and systematic process and research program for the knowledge translation of movement guidelines. This paper provides an innovative and replicable blueprint to optimize future movement guideline knowledge translation efforts.

scholarly journals Stakeholder Assessment of Evidence-Based Guideline Dissemination and Implementation in a Dental Group Practice

2020 ◽  
Vol 6 (1) ◽  
pp. 87-95
Author(s):  
I. Gruß ◽  
D.J. Pihlstrom ◽  
C.D. Kaplan ◽  
N. Yosuf ◽  
J.L. Fellows ◽  
...  
Keyword(s):  
Focus Groups ◽  
Clinical Guidelines ◽  
Resource Constraints ◽  
Care Delivery ◽  
Guideline Implementation ◽  
Implementation Process ◽  
Dissemination And Implementation ◽  
Fissure Sealant ◽  
Roles And Responsibilities ◽  
Pit And Fissure Sealant

Objective: This evaluation captures the perspectives of multiple stakeholders within a salaried dental care delivery organization (dentists, dental assistants, dental hygienists, and dental management) on the implementation of a pit-and-fissure sealant guideline in the Kaiser Permanente Dental Program. Also assessed is the role of formal processes and structures in providing a framework for guideline implementation. Methods: We collected qualitative data through field observations, stakeholder interviews (n = 6), and focus groups (30 participants in 5 focus groups). Field observation notes captured summaries of conversations and other activities. Interviews and focus groups were recorded and transcribed. We analyzed transcripts and field notes using a template analysis with NVivo 12 software to identify themes related to the existing implementation process of clinical guidelines and stakeholder perspectives on the strengths and weaknesses of this process. Results: Stakeholders perceived 2 main barriers for achieving implementation of the pit-and-fissure sealant guideline: 1) shortcomings in the implementation infrastructure resulting in lack of clarity about the roles and responsibilities in the guideline implementation process and lack of effective mechanisms to disseminate guideline content and 2) resource constraints, such as limited human, space, and material resources. Perceived opportunities for the dissemination and implementation of guidelines included recognition of the importance of guidelines in dental practice and well-functioning workflows within dental specialties. Conclusion: Our research points to the importance of developing and maintaining an infrastructure to ensure standardized, predictable mechanisms for implementation of guidelines and thereby promoting practice change. While addressing resource constraints may not be possible in all circumstances, an important step for improving guideline implementation—wherever feasible—would be the development of a robust implementation infrastructure that captures and delineates roles and responsibilities of different clinical actors in the guideline implementation process. Knowledge Transfer Statement: The results of this study can be used by health care leadership and administrators to understand possible reasons for a lack of guideline implementation and provide suggestions for establishing sustainable infrastructure to promote the adoption of clinical guidelines in salaried dental clinics.

scholarly journals Service Navigators in the Workforce: an ethical framework for practice

2018 ◽  
Vol 13 (2) ◽  
pp. i36 ◽  
Author(s):  
Jennifer Donovan ◽  
Ralph Hampson ◽  
Marie Connolly
Keyword(s):  
Best Practice ◽  
Self Determination ◽  
Ethical Framework ◽  
Power Dynamics ◽  
Relational Autonomy ◽  
Research Knowledge ◽  
Ethical Practices ◽  
Knowledge Framework ◽  
Stage Process ◽  
Action Process

Aim and Context: This paper explores the current growth of service navigators in complex health and human services and details the development of the Service Navigation Relational Autonomy Framework as a guide to assist practitioners and managers implementing this role.  Approach: The framework was developed using a research into action process. The three-stage process included knowledge inquiry: bringing together existing knowledge in practice fields and research; knowledge synthesis:debate and exchange of practitioner insights and messages from research; and knowledge framework: framework creation based on the key elements of evidence-informed best practice. Main findings: The framework centres on four practice domains: reinforcing ethical practices; fostering self-determination; supporting transitions and wellbeing; and mobilising service systems. It incorporates the concept of relational autonomy as a foundation for navigator practice by recognising the nature of relationships and power dynamics in the provision of care, and the central importance of self-determination. Conclusions: A navigation framework is critical for practice guidance and to ensure service navigators and organisations have the capacity to meet the needs of service users and their families. The framework presented in this paper seeks to encourage debate about service navigation, its implementation, and its future in health and human service organisations.

Using the Knowledge‐to‐Action Framework to understand experiences of breastfeeding guideline implementation: A qualitative study

2020 ◽  
Vol 28 (7) ◽  
pp. 1670-1685 ◽  
Author(s):  
Antonio Jesús Ramos‐Morcillo ◽  
David Harillo‐Acevedo ◽  
Maria Ruzafa‐Martinez
Keyword(s):  
Qualitative Study ◽  
Guideline Implementation ◽  
Knowledge To Action
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