You are invited to read or listen to health professionals’ experiences of implementing evidence.
Discipline: Various
Interview with Associate Professor Iona Novak, Head of Research, Research Institute, Cerebral Palsy Alliance and Lanie Campbell, PhD student at the University of Notre Dame Australia in Sydney, NSW.
Introduction: Iona and Lanie, with colleague Sarah McIntyre, have been helping allied health staff across a statewide organisation to implement evidence and provide ‘best practice’ for people with cerebral palsy. They describe their Wikipedia library for professionals (and clients/families) where the top 700 journal articles about cerebral palsy treatments/approaches were appraised and colour coded based on the strength of the evidence. Professionals were then taught how to use this resource, and plan management using case scenarios. The effectiveness of these implementation strategies were then evaluated using a randomised trial design, where measures were obtained of knowledge, behaviour and attitudes. Job descriptions were changed to reflect expectations about use of evidence. The performance management system was changed to create incentives for practice change.
Contact Email: inovak@cerebralpalsy.org.au
Click here to listen to the recording (3Mb)
Discipline: Occupational Therapy Interview with Annie McCluskey, Senior Lecturer and previously Post-Doctoral Research Fellow at the University of Sydney, Australia
Introduction: Annie discusses barriers and facilitators for implementing research evidence and strategies used to implement evidence from national clinical guidelines for stroke recovery and rehabilitation.
Contact details: annie.mccluskey@sydney.edu.au
Click here to listen to the recording (6Mb)
Interview with Karl Schurr, physiotherapist at the stroke unit, Bankstown-Lidcombe Hospital, NSW
Introduction: Karl discusses strategies used to implement evidence from national clinical guidelines for stroke recovery and rehabilitation. His department and team focussed on implementing treadmill training and sitting balance training for inpatients with stroke.
Karl discusses what practice behaviours the staff needed to change, how they knew that their daily practice was improving in line with published evidence, how they measured change, and what barriers and enablers were encountered.
Contact details: karl.schurr@sswahsnsw.gov.au
Click here to listen to Part 1 (0.9Mb) Click here to listen to Part 2 (1Mb) Click here to listen to Part 3 (0.7Mb) Click here to listen to Part 4 (1.1Mb) Click here to listen to Part 5 (0.6Mb)
Discipline: Occupational Therapy
Interview with Assoc/Professor Lindy Clemson, an occupational therapy researcher in the Discipline of Occupational Therapy at the University of Sydney, NSW
Introduction: Lindy describes the ‘Stepping on’ falls prevention program, a 7-week group education and self-management program for older people which has been implemented by NSW Health, Wisconsin in North America, and by non-health professionals in community organisations in NSW.
In the first interview, Lindy discusses the challenge of program fidelity and program ‘drift’, and the types of skills and knowledge that are required by services who run ‘Stepping on’. In the second interview, Lindy talks about barriers to implementation including physical resources and funding, as well as recruitment of older people, and methods used to measure change. Falls Prevention Audio Recording 1 (3.3Mb) Falls Prevention Audio Recording 2 (2.3Mb)
Contact details: lindy.clemson@sydney.edu.au
Interview with Leo Ross, Director of occupational therapy at QE11 hospital in Brisbane, Australia
Introduction: Leo and his staff have been implementing evidence about best practice pressure care for inpatients, and falls prevention for outpatients. Leo discusses what practice behaviours the staff needed to change, how they knew their practice was improving in line with published evidence using medical record audits, how they measured change using audit, how much practice changed over 12 months, and what barriers and enablers were encountered”.
Leo Ross Interview (3.8Mb)
