Advancing coordinated care in four provincial healthcare systems: evaluating a knowledge-exchange intervention.

OBJECTIVES This research project created and evaluated a knowledge-exchange intervention designed to facilitate an increase in organizational readiness for implementing coordinated stroke care in four primarily rural provincial healthcare systems. INTERVENTION Knowledge brokers were linked to networks within, across and outside the provinces to support, inform and disseminate best practice recommendations for coordinated stroke care within the provincial healthcare systems. FINDINGS The intervention increased awareness and dissemination of recommendations, which stimulated the implementation of coordinated stroke care. Similar knowledge-exchange interventions might work in other healthcare jurisdictions with similar demographics, to promote evidence-informed improvements in healthcare.

[1]  Linda C. Li,et al.  Use of communities of practice in business and health care sectors: A systematic review , 2009, Implementation science : IS.

[2]  Lin Mp,et al.  CANADIAN BEST PRACTICE RECOMMENDATIONS FOR STROKE CARE , 2013 .

[3]  J. Denis,et al.  Convergent evolution: The academic and policy roots of collaborative research , 2003, Journal of health services research & policy.

[4]  James E. Andrews,et al.  Managing Knowledge Networks , 1999, AMIA.

[5]  G. Robert,et al.  Diffusion of innovations in service organizations: systematic review and recommendations. , 2004, The Milbank quarterly.

[6]  Jo Rycroft-Malone,et al.  Nursing Theory and Concept Development or Analysis Getting Evidence into Practice: the Meaning of 'context' , 2022 .

[7]  A. Michael Huberman,et al.  An expanded sourcebook qualitative data analysis , 1994 .

[8]  B. Weiner,et al.  Implementation Science a Theory of Organizational Readiness for Change , 2009 .

[9]  J Lomas,et al.  Using 'linkage and exchange' to move research into policy at a Canadian foundation. , 2000, Health affairs.

[10]  Mark Bayley,et al.  Toward a more effective approach to stroke: Canadian Best Practice Recommendations for Stroke Care , 2008, Canadian Medical Association Journal.

[11]  Elizabeth J. Paulsen,et al.  Evidence-informed health policy 1 – Synthesis of findings from a multi-method study of organizations that support the use of research evidence , 2008, Implementation science : IS.

[12]  Bryan J Weiner,et al.  Conceptualization and measurement of organizational readiness for change: a review of the literature in health services research and other fields. , 2008, Medical care research and review : MCRR.

[13]  A Kitson,et al.  Enabling the implementation of evidence based practice: a conceptual framework. , 1998, Quality in health care : QHC.

[14]  Roy Cameron,et al.  A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies , 2009 .

[15]  J. Creswell.  Qualitative inquiry and research design: choosing among five traditions. , 1998 .