Practical experiences in developing,
implementing and evaluating KT
strategies
Maureen Dobbins, RN, PhD
Fuse, Bilthoven, April 23, 2013
Evidence-informed decision making
What is it?
A model for
Evidence-Informed Public Health
Challenges in Changing Practice
in an Organization
• Time constraints – competing priorities
• Limited access to research evidence
• Limited training in information seeking
and critical appraisal skills
• Lack of organizational support
Keys to success (development and implementation)
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Leadership & strategic direction
Internal champion
Combination of f2f and virtual contact
Individual & organizational assessment
Tailored interventions
Practice-based & -relevant
cont’d
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Multiple levels of involvement
Starting “where folks are at”
Skills practice opportunities
Collaborative goal setting
Flexibility
Format (virtual or face-to-face)
Site visit schedules
Availability of Knowledge broker
Stages in the process of
Evidence-Informed Public Health
Organizational KT approach
Context
A
• Large, diverse
• MOH/AMOH vision
• EIDM strategic priority
• Resources committed
• Sept 2010 – Jun 2012
Intervention
• KB on site, 2 d/wk
Mentor Rapid Review
teams
Provide training
Participate in EIDMrelated events
One-on-one consulting
B
• Large, urban centre
• MOH committed
C
• Mid-size,
urban/rural mix
• Manager ‘champion’ • MOH committed, but
more “wait-and-see”
• EIDM strategic
priority
• Exec commitment
• Apr 2011 – Feb 2013 • Apr 2011 – Dec 2012
• KB combination of
on/off-site: 2 d/wk
• KB combination of
on/off-site: 2 d/wk
Mentor staff teams
Mentor staff teams
Provide training
Advise the RKEC on
Policy & Procedure
Meetings /
presentations
Advise Senior
Management Team
Provide training
Meetings /
presentations
Considerations for Implementation
• Adaptable plan
• Key stakeholders
• Communicate and celebrate often
• Sustainability
Instrumental Use Outcomes
• Developing processes and infrastructure
• Organizational policies
• Resources
• Skill development and training sessions
Instrumental Use (cont’d)
For EIDM
• awareness & value
• knowledge of process
• confidence & comfort
• skills across steps
• knowledge & use of relevant resources
• Organization-specific resources
• team members involved
• mentorship & peer support
• conference abstracts & presentations
Instrumental Use (cont’d)
• Evidence used to assess clients/communities
• Health outcomes
• Work life satisfaction
• Health system
Conceptual Outcomes
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# aware of program
# aware of evidence
Proportion aware of project and products
# of times evidence downloaded
# of times links to evidence are clicked
# of times links in newsletters, etc are clicked
Agenda items
NCCMT Products and Services
Registry of Methods and Tools
Online Learning
Opportunities
Networking and
Outreach
Multimedia
Workshops
Public Health+
Everest season ends with 150 reaching summit
The Nation, May 2012