The R&D Office is responsible for organising the indemnity of Commercial trials. Effective dissemination can support staff to share information about developments in healthcare practice, and help services adopt and implement innovation. Negative as well as positive results should be published, or at least made publicly Nursing Times; 103: 1, 32-33. Foundation of Nursing Studies (2010) Developing Practice Subscribers Areas. There are several key factors which highlight the importance of joint posts in promoting the sharing and implementation of research findings within the NHS. This Chummun H, Tiran D (2008) Increasing research evidence in practice: a possible role for the consultant nurse. Ben Goldacre and Brian MacKenna argue that hospital medicines data has huge potential to improve patient care and that its use for public good is being blocked by cultural, contractual, and political barriers, rather than technical complexity In 2016-17 the NHS in England spent £17.4bn (€19.1bn; $21.4bn) on medicines,1 approximately 14% of the entire NHS budget. Many practitioners will not have the underpinning knowledge to interpret and transfer such findings into their practice (Chummun and Tiran, 2008). Dissemination is an essential component of the quality improvement cycle, ensuring the best available evidence is incorporated into routine practice with the smallest possible delay. The methods used provide a new way to share knowledge between research, practice, and policy. Effective dissemination is simply about getting the findings of your research to the people who can make use of them, to maximise the benefit of the research without delay. However, despite the opportunities presented by research, there are key challenges associated with the sharing and dissemination of research findings within and between organisations. Hall J, et al (2007) Mental health staff attitudes towards exercise programmes. One of the consequences of academics focussing on academic publications is that research is regarded by some clinicians as an activity to be carried out by university departments, or research units, and not by key NHS staff. Nursing research articles were only 7.6% of the cited documents in clinical publications. Action research stands a greater chance of application in practice as it permits change during the process of project work, in line with service needs, encourages full involvement of all participants (including staff members), and findings are implemented throughout the life of the project. Every patient should have the opportunity to take part in research, as both patients and the NHS as a whole benefit from cutting edge treatments, technologies and processes (NHS England, 2017). McSherry R, McSherry W (2001) Putting research into practice. It also provides opportunities for staff to become research aware, based on locally relevant, well-designed studies. Foster S, et al (2009) Rolling out productive ward foundation modules across a hospital trust. If service users and carers are to be supported, and encouraged, to exercise choice about their care, they need good quality, timely information which is contextually relevant and appropriate to their situation. Participants in clinical trials (excluding Phase 1 studies of healthy volunteers) and other interventional studies including diagnostic studies should be given information at the end of a study explaining: When they can expect the summary findings to be made available. Examples of publications that have arisen from such support include Foster et al (2009); Couchman et al (2008); and Hall at el (2007). Consideration should be given to providing a summary sheet of the findings or letting participants know where they can access the results. the HRA guidance on information at the end of study. This literature should inform translational research in NHs, but public health approaches may need to be modified for NHs, for dissemination strategies operate differently in different care settings (Rowe et al., 2005; Titler, 2008 Main outcome measures Proportion of trial investigators that intended to provide results to trial participants compared against what trials reported to ethics committees at the end of study. The vision for DARS is to make the data dissemination process as quick and efficient as possible while preventing the inappropriate release of data and maintaining public trust. Newman M, Papadopoulos I, Sigsworth J (1998) Barriers to evidence-based practice Intensive Critical Care Nursing 14 (5): 231-238. They should encourage article publication, presentations, and the implementation of recommendations which are locally relevant and an action research approach is key to boosting the likelihood of findings being implemented. ‘Thank you for your efforts and sacrifices this year’, 06 November, 2010 Research assistants, commonly responsible for data collection, are often employed on short-term contracts related to specific research projects and move on to other contracts on completion of project work. Academics may be aware of different theoretical models from a range of clinical fields that could support dissemination in practice. Business models, particularly those stemming from organisational development theorists, may be helpful, as well as the behavioural models of change stemming from health psychology. Nursing Times; 105: 30, 28-30. Nursing Times; 104: 2, 37-38. High quality research, making use of both qualitative and quantitative methods, into the effects and impact of interventions must be undertaken; The NHS Centre for Reviews and Dissemination, a joint collaboration between the National Institute of Health Research (NIHR) and the University of York. Nurses in joint posts may be the key to sharing of current, timely information between universities and NHS organisations and should set up formal programmes, such as mentoring, to support this knowledge transfer. It is common practice for written summaries of research findings or final reports to be circulated to participating research and This article outlines the key challenges inherent in sharing and disseminating research findings within NHS organisations. However, the nature of evidence is weighted heavily towards quantitative methods. Freemantle N, Watt I (1994) Dissemination: implementing the findings of research Health Libraries Review; 11: 2, 133-137. Lewin K (1946) Action research and minority problems. You should submit Setting Phase III clinical trials registered on the UK’s research permissions system (Integrated Research Application System) between the 1 January 2012 to 31 December 2017. participants still in the study. Song F, et al (2010) Dissemination and publication of research findings: an updated review of related biases. The NIHR has launched a new Centre for Engagement and Dissemination that brings together its activities in patient and public involvement, engagement and participation with its strengths in research dissemination. This requires in-depth knowledge and understanding of complex statistical methods. As your research ideas develop into a workable study, a written protocol will help to formalise your ideas and gain feedback from others through peer review. By NT Contributor, There are challenges in sharing research findings within the NHS. Nursing Times; 97: 23, 36- 37. Purpose: A gap between research and practice in many nursing home (NH) care areas persists despite efforts by researchers, policy makers, advocacy groups, and NHs themselves to close it.The reasons are many, but two factors that have received scant attention are the dissemination process itself and the work of the disseminators or change agents. 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This point is echoed by the NHS Institute for Innovation and Improvement (2010) and The Foundation of Nursing Studies (2010). There is a role for academics holding joint posts in clinical settings to dismantle some of the challenges to effective dissemination across NHS organisations. In today’s complex health system, the reality is research makes its way … By continuing to browse the site you are agreeing to our use of cookies. We recognise that commercial sensitivity may be a concern in some sectors and so it is possible for applicants and sponsors to submit a request to the REC to defer publication of the research summary and the full study title on the HRA website. Indeed, Newman et al (1998) found that the closer NHS staff were to the provision of care, the less aware they were of developments in their specialty areas. copies of any end of study information sheets that have been provided to In 1996, the NHS Research and Development programme introduced two mechanisms to promote the dissemination of research to clinicians: The Cochrane group have outlined a range of intervention strategies to support the dissemination and implementation of clinical guidelines to clinicians. Research information can be integrated into local teaching programmes, and any learning and support needs identified within the clinical setting should be addressed through course development or other opportunities for support. It is designed to help you to plan your dissemination and give your research every chance of being utilised. Although the NHS is keen to promote the role of the academic clinician, NHS research may be led by researchers based in universities, or trust-based, academic units. This may result in a perception of the researcher as an outsider, which can promote compliance with research protocols and data collection, but could have a negative impact on the uptake or internalising of research findings by clinicians. Within the university setting, the reverse can be a challenge for academics who are required to stay in touch with innovative practice in the NHS, in order to implement research into teaching or supervision sessions. Watt G (1996) All together now: why social deprivation matters to everyone, British Medical Journal; 312: 1026-1029. Such an approach could support practitioners to become research aware and provide opportunities for staff to experience project work. Outcomes and Dissemination There is a range of reasons why practitioners choose to conduct research projects. It is good practice to disseminate the results of research to research participants and other interested groups or communities. Research within the NHS- Guidance for UWE researchers This guidance will provide a summary for those researchers planning to conduct health research within the NHS. Research activity is increasingly a core business for the NHS. The detailed study from Song et al (2010) on the importance of sharing and dissemination and the need to avoid research dissemination bias provides useful information about the promotion of evidence-based decision making. Dissemination of evidence in nursing is the spreading of evidence-based knowledge, research, and findings by nurses to other healthcare professionals or to the general public. 1) To ensure timely dissemination of new guidance 2) To develop and maintain an accurate recording system 3) To ensure clinical audit evidence of compliance Reasons for implementing your project The original system was that NICE TAs and CGs were assessed and discussed at Medicines Management Group and assigned a clinical lead where appropriate. Journal of Social Issues; 2: 34-46. For example, they have produced a guide to obtaining data for health research, with the Medical Research Council and NHS Health Research Authority, aimed at researchers. Sign in or Register a new account to join the discussion. The move towards multidisciplinary team working, and the expectation that all team members will understand and respond to research information in the same way, is undermined by the different levels of research awareness and experiences within these teams and suggests a need for further, individualised research support. applies to the study types (as referenced above) from 1 April 2015. Chapter 9 Dissemination to clinicians, NHS managers and patients Throughout the project we presented our findings to a local group of health-care professionals working in fracture prevention services in the South Central region [the ‘FRISCy (Fracture Reduction in South Central PolicY) network’]. This article will outline some of the challenges and consider how staff working across university and NHS organisations (particularly those in formal joint posts) could use their roles to address these issues. To produce actionable messages and good practice recommendations to disseminate proactively to service users, NHS staff, DH policy makers, NICE and academic audiences to improve the selection, application and usefulness of quality indicator schemes for community nursing. participants, alongside your final report to the REC. Freemantle and Watt (1994) suggest dissemination is the mechanisms and strategies by which specific groups become aware of, obtain, and make use of information. Innovative research dissemination Kaleidoscope worked with UCL to start fresh conversations on how to achieve successful system change in the NHS. The research protocol forms an essential part of a research project. Different professional groups across the NHS receive different levels of research education during their training. THE NHS - LOCAL NHS RESEARCH AND INNOVATION PRIORITIES Since its inception, the NHS has worked at the leading edge of scientific development. Our guidance continues to be recommended as a source of good practice by agencies Action research stands a greater chance of being implemented because it is being carried out in line with local needs and issues, encourages full involvement of staff and permits change throughout the process of project work. Complex governance processes within organisations may limit the opportunities for individual clinicians to initiate changes to practice or instigate service developments. Nursing research and evidence underpinning policy dialogue and system transformation Central to the nursing profession leading transformational change is the use of evidence-based practice. Topics in Geriatric Rehabilitation; 14: 3, 67-79. Such steps would also enable clinical staff to become more research aware. NurseEducation in Practice; 8: 267- 275. This Furthermore, the adoption of action research, or consensus-building approaches, to project work, underpinned by academic knowledge and theory, could reinforce the likelihood of findings being implemented, and recommendations from project work being relevant to local teams. Irvine F, et al (2008) Research awareness: Making learning relevant for pre-registration nursing students. For information on action research see Lewin (1946) and action research projects see Endacott et al (2010); Whitehead et al (2003); and Corlett (2000). Formal programmes to support such development could be initiated by joint posts, including secondment opportunities or mentoring relationships. Please complete our short feedback form. Where staff are doing small-scale project work, academic support to promote publication in professional journals, and the preparation of seminars and presentations for local delivery, can be very helpful. However, there is lack of clarity between funding agencies as to what represents dissemination. Couchman T, et al (2008) Using well-being champions to deliver holistic care. Kajermo KN, et al (2000) Perceptions of research utilisation: comparisons between health care professionals, nursing students and a reference group of nurse clinicians. undertaking clinical trials and other interventional (i.e. Yet scientific journals are not effective in influencing practice (Watt, 1996). Links with audit committees or departments are required to strengthen the implementation of any research findings, and evaluation of successful implementation into practice, making use of appropriate outcome measures. Despite a range of research being carried out across NHS organisations, researchers themselves may provide only limited guidance as to the application of findings in practice. title, available registry reference numbers), summary of the research as submitted to the REC and the REC’s opinion. 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