scholarly journals Paving the way for electronic patient-centred measurement in team-based primary care: an integrated knowledge translation approach (Preprint)

10.2196/33584 ◽  
2021 ◽  
Author(s):  
Selena Davis ◽  
Marcy Antonio ◽  
Mindy Smith ◽  
Paul Burgener ◽  
Danielle C. Lavallee ◽  
...  
Keyword(s):  
Primary Care ◽  
Knowledge Translation ◽  
Integrated Knowledge Translation ◽  
The Way ◽  
Integrated Knowledge

Paving the way for electronic patient-centered measurement in team-based primary care: an integrated knowledge translation approach (Preprint)

2021 ◽  
Author(s):  
Selena Davis ◽  
Marcy Antonio ◽  
Mindy Smith ◽  
Paul Burgener ◽  
Danielle C. Lavallee ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Knowledge Translation ◽  
Mental Health Care ◽  
Integrated Knowledge Translation ◽  
Care Pathways ◽  
Patient Portal ◽  
Integrated Knowledge

BACKGROUND Patient-centred measurement (PCM) aims to improve overall quality of care through the collection and sharing of patients’ values and perspectives. Yet, the use of PCM in care team decisions remains limited. Integrated knowledge translation (IKT) offers a collaborative, adaptive approach to explore best practices for incorporating PCM into primary care practices by involving knowledge users, including patients and providers, in the exploratory process. OBJECTIVE (i) test the feasibility of using patient-generated data (PGD) in team-based care; (ii) describe use of these data for team-based mental health care; and (iii) summarize patient and provider care experiences with PCM. METHODS We conducted a multi-methods exploratory study in a rural team-based primary care clinic using IKT to co-design, implement and evaluate use of PCM in team-based mental health care. Care pathways, workflows, and quality improvement activities were iteratively adjusted to improve integration efforts. Patient and provider experiences were evaluated using individual interviews relating use of PCM and patient portal in practice. All meeting notes, interview summaries, and emails were analyzed to create a narrative evaluation. RESULTS During co-design, a care workflow was developed for incorporating electronically-collected PGD from the patient portal into the electronic medical record (EMR), and customized educational tools and resources were added. During implementation, care pathways and patient workflows for PCM were developed. Patients found portal use easy, educational, and validating, but data entries were not used during care visits. Providers saw the portal as extra work and lack of portal/EMR integration was a major barrier. The IKT approach was invaluable for addressing workflow changes and understanding ongoing barriers to PCM use and quality improvement. CONCLUSIONS Although the culture towards PCM is changing, use of PCM during care was not successful. Patients felt validated and supported through portal use and could be empowered to bring these data to their visits. Training, modeling, and adaptable PCM methods are needed before PCM can be integrated into routine care.

scholarly journals An Integrated Knowledge Translation Experience

2011 ◽  
Vol 15 (1) ◽  
pp. 34-56 ◽  
Author(s):  
Sheila T. Moodie ◽  
Marlene P. Bagatto ◽  
Linda T. Miller ◽  
Anita Kothari ◽  
Richard Seewald ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Integrated Knowledge Translation ◽  
Integrated Knowledge

scholarly journals Building a Bridge to the Community: An Integrated Knowledge Translation Approach to Improving Participation in Community-Based Exercise for People After Stroke

2019 ◽  
Vol 99 (3) ◽  
pp. 286-296 ◽  
Author(s):  
Marie-Louise Bird ◽  
B William Mortenson ◽  
Francis Chu ◽  
Nicole Acerra ◽  
Eric Bagnall ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Integrated Knowledge Translation ◽  
Community Based ◽  
Integrated Knowledge

scholarly journals An integrated knowledge translation approach to develop a shared decision-making strategy for use by Inuit in cancer care: a qualitative study

2019 ◽  
Vol 26 (3) ◽  
Author(s):  
J. Jull ◽  
A. Hizaka ◽  
A. J. Sheppard ◽  
A. Kewayosh ◽  
P. Doering ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Knowledge Translation ◽  
Shared Decision Making ◽  
Cancer Care ◽  
Community Support ◽  
Integrated Knowledge Translation ◽  
Shared Decision ◽  
Care Providers ◽  
Integrated Knowledge

Background In relation to the general Canadian population, Inuit face increased cancer risks and barriers to health services use. In shared decision-making (sdm), health care providers and patients make health care decisions together. Enhanced participation in cancer care decisions is a need for Inuit. Integrated knowledge translation (kt) supports the development of research evidence that is likely to be patient-centred and applied in practice.Objective Using an integrated kt approach, we set out to promote the use of sdm by Inuit in cancer care.Methods An integrated kt study involving researchers with a Steering Committee of cancer care system partners who support Inuit in cancer care (“the team”) consisted of 2 theory-driven phases:■ using consensus-building methods to tailor a previously developed sdm strategy and developing training in the sdm strategy; and■ training community support workers (csws) in the sdm strategy and testing the sdm strategy with community members.Results The team developed a sdm strategy that included a workshop and a booklet with 6 questions for use by csws with patients. The sdm strategy (training and booklet) was finalized based on feedback from 5 urban-based Inuit csws who were recruited and trained in using the strategy. Trained csws were matched with 8 community members, and use of the sdm strategy was assessed during interviews, reported as 6 themes. Participants found the sdm strategy to be useful and feasible for use.Conclusions An integrated kt approach of structured research processes with partners developed a sdm strategy for use by Inuit in cancer care. Further work is needed to test the sdm strategy.

scholarly journals Improving Nutrition Care, Delivery, and Intakes Among Hospitalised Patients: A Mixed Methods, Integrated Knowledge Translation Study

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1417 ◽  
Author(s):  
Shelley Roberts ◽  
Lauren T. Williams ◽  
Ishtar Sladdin ◽  
Heidi Neil ◽  
Zane Hopper ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Care Delivery ◽  
Hospital Staff ◽  
Medical Ward ◽  
Integrated Knowledge Translation ◽  
Post Intervention ◽  
Nutrition Care ◽  
Hospitalised Patients ◽  
Number Of Patients ◽  
Integrated Knowledge

Malnutrition is a common and complex problem in hospitals. This study used an integrated knowledge translation approach to develop, implement, and evaluate a multifaceted, tailored intervention to improve nutrition care, delivery, and intake among acute medical inpatients. This observational, pre-post study was conducted in a medical ward at a public hospital in Australia. The intervention was co-developed with key stakeholders and targeted three levels: individuals (nutrition intake magnets at patient bedsides), the ward (multidisciplinary hospital staff training), and the organisation (foodservice system changes). Observational data were collected pre- and post-intervention on patient demographics, food intakes, and the mealtime environment. Data were entered into SPSS and analysed using descriptive and inferential statistics. Ethical approval was gained through the hospital and university ethics committees. A total of 207 patients were observed; 116 pre- and 91 post-intervention. After intervention implementation, patients’ mean energy and protein intakes (in proportion to their estimated requirements) were significantly higher and the number of patients eating adequately doubled (p < 0.05). In summary, a multifaceted, pragmatic intervention, tailored to the study context and developed and implemented alongside hospital staff and patients, seemed to be effective in improving nutrition practices and patient nutrition intakes on an acute medical ward.

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