Knowledge Management

Influence of Organizational Context on the Use of Research by Nurses in Canadian Pediatric Hospitals

The objective of this study was to identify dimensions of organizational context and individual nurse characteristics that influence pediatric nurses’ self-reported use of research. [from abstract]

Impact of a Decision-Support Tool on Decision Making at the District Level in Kenya

This study qualitatively assessed the process of implementing a tool developed to integrate data from health programs at the district level to enable district health management teams to review and monitor program progress for specific health issues to make informed service delivery decisions; and evaluated the tool’s effect on data-informed decision making at the district level. [adapted from abstract]

Process of Developing Evidence-Based Guidance in Medicine and Public Health: A Qualitative Study of View from the Inside

This study investigates how members of advisory groups of National Institute of Health and Clinical Excellence conceptualize evidence and experience the process of developing clinical guidelines for health workers to improve clinical and public health practice. [adapted from author]

K4Health Guide for Conducting Health Information Needs Assessments

This guide was developed in order to walk health professionals (including policy makers, program managers and health care providers) through the process of assessing information needs among individuals working at different levels of the health system; to share lessons learned and tips for various methodologies; and to provide tools that can be used or adapted in future assessments. [adapted from author]

Development of Two Shortened Systematice Review Formats for Clinicians

The purpose of this paper is to describe the development process of two shortened formats for a systematic review intended for use by primary care physicians as an information tool for clinical decision-making. [from abstract]

Sustainability of Knowledge Translation Interventions in Healthcare Decision-Making: Protocol for Scoping Review

Knowledge translation includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve health. This review seeks to identify the impact of knowlede translation interventions and develop a framework for assessing their sustainability. [adapted from abstract]

Factors Associated with Evidence-Based Practice among Registered Nurses in Sweden: A National Cross-Sectional Study

The aim of the study was to examine individual and organizational factors associated with evidence-based practice activities as a tool to increase the quality of care and patient safety activities among registered nurses 2 years post-graduation. [adapted from abstract]

Information Seeking Behaviour of Physicians in Tanzania

This study addressed an important knowledge gap in the literature by identifying the information needs of physicians during their daily clinical practice and understanding the information-seeking behavior they adopt to satisfy these needs at the major public hospital in Tanzania. [from author]

Factors Influencing Rural and Urban Emergency Clinicians' Participation in an Online Knowledge Exchange Intervention

This study explored factors influencing rural and urban emergency department clinicians’ participation in a web-based knowledge exchange intervention that focused on best practice knowledge about pediatric emergency care. [from abstract]

Are Healthcare Workers' Intentions to Vaccinate Related to Their Knowledge, Beliefs and Attitudes? A Systematic Review

The aim of the study was to compile and analyze the areas of disagreement in the existing evidence about the relationship between healthcare workers’ knowledge, beliefs and attitudes about vaccines and their intentions to vaccinate the populations they serve

Mobile Technology Supporting Trainee Doctors' Workplace Learning and Patient Care: An Evaluation

This paper reports an evaluation of an initiative which provided trainee doctors in Wales with a library of texts on a smartphone. Within a wider context of use of information sources in the workplace, the evaluation sought to find out how, when and why the Smartphone library was used and the outcomes and impact on knowledge and practice. [from author]

Barriers and Facilitators to the Implementation of Clinical Practice Guidelines: A Cross-Sectional Survey among Physicians in Estonia

The objective of this study was to assess attitudes towards clinical practice guidelines, as well as the barriers and facilitators to their use, among Estonian physicians. The study was conducted to inform the revision of the clinical practice guideline development process and can provide inspiration to other countries considering the increasing use of evidence-based medicine. [from abstract]

Knowledge Translation in Uganda: A Qualitative Study of Ugandan Midwives' and Mangers' Perceived Relevance of the Sub-Elements of the Context Cornerstone in the PARIHS Framework

A major factor to consider in the successful translation of knowledge into practice for preventing neonatal deaths is the influence of organizational context. A theoretical framework highlighting this process is Promoting Action on Research Implementation in Health Services (PARIHS). The objective of this study was to examine the perceived relevance of the subelements of the organizational context cornerstone of the PARIHS framework, and also whether other factors in the organizational context were perceived to influence knowledge translation in a specific low-income setting.

Interprofessional Communication with Hospitalist and Consultant Physicians in General Internal Medicine: A Qualitative Study

This study aims to understand how team members’ perceptions and experiences with the communication styles and strategies of either hospitalist or consultant physicians in their units influence the quality and effectiveness of interprofessional relations and work. [from abstract]

Why Do Clinicians Not Refer Patients to Online Decision Support Tools? Interviews with Front Line Clinics in the NHS

This study assessed whether clinical teams would direct patients to use web-based patient decision support interventions and whether patients would use them. The authors found that existing evidence of patient benefit and the free availability of patient decision support tools via the web are not sufficient drivers to achieve routine use, and the most significant obstacles to referral to the tools were the attitudes of clinicians and clinical teams. [adapted from abstract]

Push Versus Pull for Mobilizing Pain Evidence into Practice Across Different Health Professions: A Protocol for a Randomized Controlled Trial

The purpose of this randomized trial is to determine whether a technology-based “push” of new, high-quality pain research to physicians, nurses, and rehabilitation and psychology professionals results in better knowledge and clinical decision making around pain, when offered in addition to traditional “pull” evidence technology. [from abstract]

Finding, Organizing and Using Health Information: A Training Manual for Students, Researchers and Health Workers in Africa

Whether you are a doctor, a nurse, an allied health professional or a medical librarian, this manual provides answers to the most crucial questions that arise while searching for health information. The manual covers topics such as: available information sources, tools and techniques for searching the web, intellectual property rights, managing and storing information, and evaluating information for accuracy. The resource also includes video guides for each module.[adapted from author]

Factors Influencing the Development of Evidence-Based Practice Among Nurses: A Self-Report Study

This study aimed to examine factors influencing the implementation of evidence-based practice among nurses in a large Norwegian university hospital. [from abstract]

Data Demand and Information Use in the Health Sector: Strategies and Tools

This document outlines the steps for designing and implementing a data demand and information use (DDIU) approach. It reviews the application of the information supply and demand matrix, examines the constraints to evidence-based decision, examines strategies to encourage DDIU, outlines guidelines for implementing DDIU activities and interventions, and presents a set of tools for facilitating DDIU. [adapted from author]

Data Demand and Information Use in the Health Sector: Case Study Series

These data demand and use (DDU) case studies from a variety of settings give examples of how interventions have successfully facilitated data demand and changed how information is used. Examples are from Bangladesh, Cote d’Ivoire, Ghana, Kenya, Rwanda, Tanzania, and nine Caribbean countries. [from publisher]

Clinical Decision Support Must Be Useful, Functional Is Not Enough: A Qualitative Study of Computer-Based Clinical Decision Support in Primary Care

Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use this information. Evidence is scant on which features influence the use of computer-based clinical decision support (eCDS) in primary care and how different professional groups experience it. The aim of this research was to describe specific reasons for using or not using eCDS among primary care professionals. [from abstract]

From Dream to Reality: The National HRH Observatory Sudan Success Story

This presentation from the Irish Forum for Global Health Conference provides a background on development of observatories, and outlines the achievements, challenges and prospects of the HRH observatory in Sudan. [adapted from author]

Human Resources for Public Health Research: A Latino Perspective

This presentation discusses the the characteristics of public health research in Latin America which are poorly known in terms of scale, subjects of study, sources of funding and human resources for development. [adapted from author]

Africa's Neglected Area of Human Resources for Health Research: The Way Forward

Reviewing the status of human resources for health research (HRHR) in Africa, the authors assert that it consists of uncoordinated, small-scale activities, primarily driven from outside Africa. This article also presents examples of ongoing HRHR capacity building initiatives in Africa and a simple model to help countries plan and strategise a comprehensive approach to research capacity strengthening. [adapted from abstract]

Human Resources for Health Research (HRHR) Perspectives

This presentation outlines the need for and way forward to building human resources for health research capacity for system strengthening in Africa.

Closing the Gap: From Evidence to Action

This tool kit has been specifically designed to present an overview of the key aspects of a complex area of development need: how we close the gap between evidence and action to encourage nurses to use an evidence-based approach to their practice. [adapted from author]

Perception of Evidence-Based Practice and the Professional Environment of Primary Health Care Nurses in the Spanish Context: A Cross-Sectional Study

The main aim of this work was to assess the factors that influence an evidence-based clinical practice among nursing professionals in primary health care. [from abstract]

Meeting the Health Information Needs of Health Workers: What Have We Learned?

This issue presents three studies of health information needs in India, Senegal, and Malawi that demonstrate the information challenges of health workers, provide additional insight, and describe innovative strategies to improve knowledge and information sharing. [from abstract]

Towards a Collective Understanding of the Information Needs of Health Care Providers in Low-Income Countries, and How to Meet Them

Poor knowledge among health care providers (including health workers and citizens) leads to poor health outcomes. This article discusses current linear research-to-practice paradigms and argues that these approaches are not meeting the needs of health care providers in low- and middle-income countries and suggests a broader, needs-led approach. [adapted from abstract]

Systematic Review of Knowledge Translation Strategies in the Allied Health Professions

The present study is the first systematic review of the effectiveness of a variety of knowledge translation interventions in five allied health disciplines: dietetics, occupational therapy, pharmacy, physiotherapy, and speech-language pathology. [from abstract]