Matches in SemOpenAlex for { <https://semopenalex.org/work/W4286261730> ?p ?o ?g. }
Showing items 1 to 68 of
68
with 100 items per page.
- W4286261730 abstract "<h3>Objectives</h3> Evidence-based medicine should be complemented by evidence-based implementation (Grol & Grimshaw 1999). This project sought to combine these two disciplines to leverage and enable sustainable evidence-based interventions in our health system. Implementation science is the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice to improve the quality and effectiveness of services (Bauer et al., 2015). We adopted a multifaceted approach of implementation drivers, across health and social care, education and regulation. Our objectives were: To achieve successful adoption of research evidence, through establishing a strategic and systematic approach to support implementation of evidence-based practice in Ireland. To integrate implementation science into our teaching and practice of evidence based practice by focussing on the ‘apply’ domain. To support the translation of research evidence into practice, through communication of evidence, knowledge translation and exchange. <h3>Methods</h3> The ‘implementation gap’ refers to the difference between the evidence of what works in theory and what is actually delivered in practice. A suite of integrated implementation measures was introduced into the Irish healthcare system to support the translation of research evidence into practice. Implementation levers such as legislation, ministerial endorsement, implementation mandate, accountability frameworks, regulation, capacity building and a competency framework were introduced. As part of the suite of interventions, a competency framework was developed to enhance the teaching and practice of clinical effectiveness, which included evidence based practice, implementation science, quality improvement processes and collaborative practice. Training courses on Evidence-based Practice were also designed and delivered, which included a specific focus on the ‘apply’ domain, using an implementation science approach. <h3>Results</h3> Ireland has introduced a suite of implementation levers at national level to support an integrated sustainable approach for improving implementation of evidence-based practice in the Irish health services. This approach has addressed the ‘implementation gap’ between theory and practice, by creating effective bridges between policy and practice. An EBP training module on ‘evidence into practice’ has been developed, with very positive evaluation. Participants cited the most useful parts of the course as ‘Practical aspects of bringing EBP to patients’, ‘Connection of theory to real world practice’ and ‘Applying information in practice’. The synergy of implementation levers across systems, such as legislation, regulation and education has highlighted the importance of integrating implementation science into all of our evidence-based interventions, throughout the design and development process. Using implementation strategies, we can actively disseminate and translate evidence, to drive innovation in Healthcare. <h3>Conclusion</h3> Traditionally, the approach to EBP has focussed primarily on asking answerable questions, searching the available literature and appraising the literature for its quality and applicability. However, there has been less focus on how to apply EBP in practice. By developing an ‘evidence into practice’ module we are addressing the curriculum gap in how to teach the ‘apply’ domain of EBP. Through the identification of barriers and facilitators, assessment of implementation readiness and tailored implementation strategies, the successful adoption and sustainability of evidence-based healthcare can be optimised. Implementation levers form part of a suite of national integrated implementation measures introduced in the Irish healthcare system to support the application of research evidence into practice, reducing waste, and translating knowledge for better quality health services." @default.
- W4286261730 created "2022-07-21" @default.
- W4286261730 creator A5023793131 @default.
- W4286261730 creator A5052595460 @default.
- W4286261730 date "2022-07-01" @default.
- W4286261730 modified "2023-10-17" @default.
- W4286261730 title "9 Using implementation levers to translate evidence into practice" @default.
- W4286261730 doi "https://doi.org/10.1136/ebm-2022-ebmlive.35" @default.
- W4286261730 hasPublicationYear "2022" @default.
- W4286261730 type Work @default.
- W4286261730 citedByCount "0" @default.
- W4286261730 crossrefType "proceedings-article" @default.
- W4286261730 hasAuthorship W4286261730A5023793131 @default.
- W4286261730 hasAuthorship W4286261730A5052595460 @default.
- W4286261730 hasConcept C119857082 @default.
- W4286261730 hasConcept C141330323 @default.
- W4286261730 hasConcept C142724271 @default.
- W4286261730 hasConcept C144133560 @default.
- W4286261730 hasConcept C153083717 @default.
- W4286261730 hasConcept C160735492 @default.
- W4286261730 hasConcept C17744445 @default.
- W4286261730 hasConcept C195094911 @default.
- W4286261730 hasConcept C19648533 @default.
- W4286261730 hasConcept C199539241 @default.
- W4286261730 hasConcept C204787440 @default.
- W4286261730 hasConcept C2775884135 @default.
- W4286261730 hasConcept C2776007630 @default.
- W4286261730 hasConcept C2777921204 @default.
- W4286261730 hasConcept C2779473830 @default.
- W4286261730 hasConcept C41008148 @default.
- W4286261730 hasConcept C509550671 @default.
- W4286261730 hasConcept C56739046 @default.
- W4286261730 hasConcept C71924100 @default.
- W4286261730 hasConceptScore W4286261730C119857082 @default.
- W4286261730 hasConceptScore W4286261730C141330323 @default.
- W4286261730 hasConceptScore W4286261730C142724271 @default.
- W4286261730 hasConceptScore W4286261730C144133560 @default.
- W4286261730 hasConceptScore W4286261730C153083717 @default.
- W4286261730 hasConceptScore W4286261730C160735492 @default.
- W4286261730 hasConceptScore W4286261730C17744445 @default.
- W4286261730 hasConceptScore W4286261730C195094911 @default.
- W4286261730 hasConceptScore W4286261730C19648533 @default.
- W4286261730 hasConceptScore W4286261730C199539241 @default.
- W4286261730 hasConceptScore W4286261730C204787440 @default.
- W4286261730 hasConceptScore W4286261730C2775884135 @default.
- W4286261730 hasConceptScore W4286261730C2776007630 @default.
- W4286261730 hasConceptScore W4286261730C2777921204 @default.
- W4286261730 hasConceptScore W4286261730C2779473830 @default.
- W4286261730 hasConceptScore W4286261730C41008148 @default.
- W4286261730 hasConceptScore W4286261730C509550671 @default.
- W4286261730 hasConceptScore W4286261730C56739046 @default.
- W4286261730 hasConceptScore W4286261730C71924100 @default.
- W4286261730 hasLocation W42862617301 @default.
- W4286261730 hasOpenAccess W4286261730 @default.
- W4286261730 hasPrimaryLocation W42862617301 @default.
- W4286261730 hasRelatedWork W1510294676 @default.
- W4286261730 hasRelatedWork W1987102232 @default.
- W4286261730 hasRelatedWork W2038359615 @default.
- W4286261730 hasRelatedWork W2138274662 @default.
- W4286261730 hasRelatedWork W2385417838 @default.
- W4286261730 hasRelatedWork W2912233163 @default.
- W4286261730 hasRelatedWork W3030659865 @default.
- W4286261730 hasRelatedWork W3129682661 @default.
- W4286261730 hasRelatedWork W3196851198 @default.
- W4286261730 hasRelatedWork W4205862394 @default.
- W4286261730 isParatext "false" @default.
- W4286261730 isRetracted "false" @default.
- W4286261730 workType "article" @default.