Resources
The Resources page provides links to websites and resources of interest to InspireNet members.
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►Research, Quality Improvement, Program Evaluation, and Evidence-based (or Evidence-informed) Practice are different. More information is available on the Research Skills page.
►Open Access scholarly articles are linked in InspireNet's Scholarly Articles Library.
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Being a nurse practitioner is a demanding profession and, these 10 best iPhone apps for nurses have been solely created for this demanding, yet, rewarding career. The clever apps are fitting to a nurse's professional and lifelstyle requirements. Make a wise investment in your career with these 10 best iPhone apps for Nurses.
Nursing education is an ongoing process. Even if you're enrolled in a nursing school, your learning should extend beyond the classroom. You can stay tuned in to nursing any time by just following these Twitter feeds for nursing students.
Health & Nursing News - Find health and nursing news on these Twitter feeds.
Mobile medicine is everywhere. There's the iPhone app that lets you cut away images of muscle layers to see what lies beneath, an e-health record system for the iPad, and a smartphone-based blood pressure monitor. Here are a dozen innovative ones.
The 2009-2010 Health Care Criteria for Performance Excellence (referred to as the Health Care Criteria) is used by organizations that are primarily engaged in furnishing medical, surgical, or other health services directly to people.
When you decide to be a nurse, chances are that you made the decision in order to help people. You can be a great help to people when you better understand how to treat them. The good news is that there are a number of tutorial sites available so that you can learn about being a better health care professional.
Health care professionals can use the Internet as a resource. From information about different diseases and conditions, to case studies, to creating treatment plans, to understanding health care law and ethics. You can learn a lot about health care and improved outcomes by looking online. If you are interested in becoming a better nurse, you can use these 40 tutorial sites for information and help:
General Information, Reference and Tutorials
If you are looking for general information on health care, you can visit these web sites. This information can include reference resources and tutorials related to general health care subjects. These great resources can help you become a better nurse.
"How do you eat in elephant? In small bites." The same rule probably applies to staying current with the ever expanding avalanche of medical literature.
For new nurses, the world of healthcare, hospitals, and more can be overwhelming. And a degree, certification, and license can only do so much. This is why getting advice from someone with experience can be a life saver.
With that in mind, below are the 50 best blogs for new nurses. Whether looking locally or overseas, from a man or woman, or looking to work in a specific area of medicine, they can help immensely.
What are the key principles that maximize potential for successful transformational change in healthcare?
7C Principles Explained:
The excerpt is draft version from HealthCare Leaders’ Association of BC (HCLABC) Sept. 2010 Newsletter. The complete article is available at http://www.hclabc.bc.ca/files/HCLABC%20September%202010%20Newsletter.pdf See page 7.
Researched by Paul Gallant with input from Graham Dickson, Geoff Rowlands & Marilynn Kendall for HCLABC.
People and Processes reflects leading practices and lessons learned for managing change in eHealth projects from across Canada. Based on this experience, this guide and toolkit has been developed as:
- a support for change management (CM) leaders and practitioners working within eHealth, particularly for jurisdictional level and large institutional projects and programs.
- a useful resource for front line clinicians, managers and senior leaders with a project implementation / quality / risk focus.
- an introductory resource for individuals with CM as part of their role but who may not yet have any formal education.
We are pleased to launch the third Guidebook to Patient Safety Leading Practices entitled, Advancing Patient Safety through Ideas and Innovations. The aim of the 2010 Guidebook is to highlight and share innovative patient safety initiatives in Ontario hospitals, focused on four themes: boards and leadership, teamwork and communication, transparency of data and accountability, and patient and family
and engagement.
McMaster University's Evidence-Based Practice Centre
Invited presentation .pdf of short course on systematic reviews
- To understand the terms ‘systematic review’ and ‘meta-analysis’
- To be familiar with different types of reviews (advantages/disadvantages)
- To understand the complexities of reviews of health systems and health services
Welcome to the Aboriginal Health Resource Directory. This directory provides a full spectrum of content spanning multiple categories, serving the interests of students, researchers, and communities in the area of Aboriginal Health.
These Resource Centres have been developed in collaboration with parents and experts at The Hospital for Sick Children, and are offered to families in partnership with BC Children's Hospital.
AEA365 is sponsored by the American Evaluation Association (AEA) and is dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. Beginning on January 1, 2010, our goal is to feature a post a day from and for evaluators around the globe.
If you are interested in contributing to the aea365 blog, or want to recommend someone to contribute, please review the contribution guidelines and contact the aea365 curators at aea365@eval.org.
The U.S. Agency for Healthcare Research and Quality created the Health Care Innovations Exchange to speed the implementation of new and better ways of delivering health care. The Innovations Exchange supports the Agency's mission to improve the quality of health care and reduce disparities.
The Innovations Exchange helps you solve problems, improve health care quality, and reduce disparities.
- Find evidence-based innovations and QualityTools.
- View new innovations and tools published biweekly.
- Learn from experts through events and articles.
The purpose of ANIA-CARING is to advance the field of nursing informatics through communication, education, research and professional activities.
Benefits of Membership in ANIA-CARING
* access to a network of over 3000 informatics professionals in 50 states and 34 countries,
* reduced rate at the annual conference,
* an active e-mail list,
* quarterly newsletter indexed in CINAHL and Thomson,
* job bank with employee-paid postings,
* a toll free number for contact with your CARING Board,
* reduced rate for the Computers, Informatics and Nursing journal,
* annual ANIA-CARING event during AMIA and annual dinner during SINI July,
* membership in the Alliance for Nursing Informatics,
* web-based meetings, and
* in-person meetings and conferences around the nation and the world.
Aporia is dedicated to scholarly debates in nursing and the health sciences. The journal is committed to a pluralistic view of science and to the blurring of boundaries between disciplines. Aporia encourages the use of a wide range of epistemologies, philosophies, theoretical perspectives and research methodologies. In the critical analyses of health-related matters, Aporia advocates and embraces a wide range of epistemologies, philosophies and theories including but not limited to: cultural studies, feminism(s), neo-marxism, postmodernism, poststructuralism, postcolonialism and queer studies.
The objective of these guidelines is to assist both new and veteran investigators to optimize their chances of successfully competing in a peer-reviewed grant application competition. It is a competition. With success rates falling to 50% or below, the difference between success and failure often results, not just from the quality of the science, but from the quality of the grant application. In all probability, the quality of science of the applications in the 10% below the cut-off for funding by an agency is not significantly different from that in the 10% just above the cut-off. "Grantsmanship" can make the difference.
NIOSH Science Blog
Nursing assistants are a critical part of the dedicated staff who work day and night in nursing homes to keep residents safe, secure, cared-for, and comfortable. Yet the very workers ensuring the safety of our seniors are themselves at risk for workplace violence and assaults.
Recent NIOSH research based on the first large, nationally representative sample of nursing assistants reported that that nursing assistants in nursing homes have a high rate of work-related physical injuries from assault.1 Overall, 35% of nursing assistants reported physical injuries resulting from aggression by residents, and 12% reported experiencing a human bite during the year before the interview. Nursing assistants employed at nursing homes with special units for Alzheimer patients had a significantly elevated risk for assault injuries and human bites (37% reported injuries from assaults and 13% reported human bites).
Earlier this year, the Health Council of Canada sponsored a day-long discussion on primary health care reform through the McMaster Health Forum. Twenty health care leaders from across the country came together to talk about ways to strengthen primary health care in Canada. Throughout the day, participants returned time and again to key actions that could make a difference in the ability to provide quality primary health care to Canadians. These are described in more detail in this commentary.
Following on from the lists of academic tweeters published earlier this month, we have put together a short guide to using Twitter in university research, teaching, and impact activities, available to download as a PDF or view on Issuu.
How can Twitter, which limits users to 140 characters per tweet, have any relevance to universities and academia, where journal articles are 3,000 to 8,000 words long, and where books contain 80,000 words? Can anything of academic value ever be said in just 140 characters?
We have put together a short guide answering these questions, showing new users how to get started on Twitter and hone their tweeting style, as well as offering advice to more experienced users on how to use Twitter for research projects, alongside blogging, and for use in teaching.
The BC Academic Health Council is a not-for-profit organization linking the healthcare and advanced education sectors. Goals determined by members include facilitating collaboration, communication and knowledge brokering between the health and education sectors and supporting initiatives that address provincial system goals and objectives. The Academic Health Council supports initiatives that enhance the educational preparation of healthcare providers for practice in rural and aboriginal communities, in collaborative interprofessional practice settings and for other key healthcare strategies. The Council has achieved national and international recognition for their programs and initiatives. The BC Academic Health Council evolved from a proposal the Council of University Teaching Hospitals (COUTH) made to British Columbia's Health Authorities. In that proposal, COUTH recommended the Health Authorities consider forming an organization to link research, education and practice across the province. The Council was formed, consisting of member organizations that include health authorities, post-secondary institutions and government ministries. In the years since BCAHC was formed, it has become a unique and successful strategic forum designed to facilitate collaboration between healthcare and post-secondary education at a province wide level.
The BC Child & Youth Health Research Network (CYHRNet) supports the development of a more vigorous, integrated and collaborative research environment for BC's child and youth health researchers. CYHRNet aims to raise research to a new level of innovation and excellence and strengthen researchers' capacity to compete for national and international funding.
BCEOHRN will be recognized and respected as providing national leadership in occupational and environmental health research which will ultimately protect human health.
In order to achieve our Vision, BCEOHRN’s Mission is:
* To facilitate interdisciplinary occupational and environmental health research through connecting and supporting people to create excellence in education and research results’ dissemination;
* To foster a truly provincial network that creates new efficiencies, partnerships and opportunities that will make BC a magnet for training, attracting and retaining top quality researchers.
The BC Health Quality Matrix is a framework aimed at providing a common language and understanding about health care quality.While the BC Health Quality Matrix is based on well-known frameworks in Canada and the USA, it has been customized to the BC context by the BC Patient Safety & Quality Council’s Health Quality Network.2 The intent of the BC Health Quality Matrix is that it may be used by health care delivery organizations, leaders and practitioners for strategic planning, quality improvement program planning, measurement and evaluation at a program, facility and system-wide level.
BCNPA is a non-profit, volunteer-run, professional organization that supports and advances the professional interests of its membership — nurse practitioners, nurse practitioner students, and nurses who have an interest in the NP practice — enabling NPs to provide accessible, efficient and effective healthcare that meets the highest standards of practice across the NP practice.
We support NP clinical education by sponsoring opportunities pertinent to all streams of NP practice in BC that are provided by local and international healthcare experts.
The purpose of the British Columbia Patient Safety & Quality Council is to provide advice and make recommendations to the Minister of Health Services on matters related to patient safety and quality of care, and to bring health system stakeholders together in a collaborative partnership to promote and inform a provincially coordinated, innovative, and patient-centred approach to patient safety and quality improvement in British Columbia.
As part of Alberta Health Services (AHS) Strategic Health Needs Assessment and Service Design 2030 project, the Institute of Health Economics has been commissioned to conduct three Knowledge Exchange events. The first of the Knowledge Exchange events: Becoming the Best: Building Sustainability - Game Changing Health Innovations was held on February 24th, 2011. The event was supported by Alberta Health Services in collaboration with Alberta Health and Wellness. Below are video records and powerpoint presentations provided at the event.
This Briefing looks at the role and value of research, in particular health services research, and explores the virtues and rewards to NHS organisations of being a good research partner.
Presenters Steve and Joelle shared experiences adapting and implementing the bellwether methodology for use in two advocacy-related projects: evaluation of a communication campaign designed to deliver messages to local decision makers that promote library funding and prospective evaluation of an education reform campaign.
In November 2010, The Office of Behavioral and Social Sciences Research (OBSSR) of the National Institutes of Health (NIH) commissioned the leadership team of John W. Creswell, Ann Klassen, Vicki L. Plano Clark, and Katherine Clegg Smith to develop a resource that would provide guidance to NIH investigators on how to rigorously develop and evaluate mixed methods research applications. Pursuant to this, the team developed a report of "best practices" following three major objectives.
To develop practices that:
- assist investigators using mixed methods as they develop competitive applications for support from NIH;
- assist reviewers and staff for review panels at NIH who evaluate applications that include mixed methods research;
- provide the Office of Behavioral and Social Sciences Research (OBSSR), and the NIH Institutes and Centers, with "best practices" to use as they consider potential contributions of mixed methods research, select reviewers, plan new initiatives, and set priority areas for their science.
OBSSR convened a Working Group of 19 individuals (see Appendix A. NIH Working Group on Developing Best Practices for Mixed Methods Research) to review a preliminary draft of "best practices". This Group was comprised of experienced scientists, research methodologists, and NIH health scientists. These individuals were selected because of their expertise in NIH investigations, their specific knowledge of mixed methods research, and their experience in the scientific review process. The composition of the Working Group was diverse with members representing fields such as public health, medicine, mental health professions, psychology, sociology, anthropology, social work, education, and nursing. This Working Group met in late April 2011, and reviewed and made recommendations for the final document presented in this report.
Agency for Healthcare Research an Quality (AHRQ)
The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performance information clear, meaningful, and usable by consumers.
Report 1: How To Effectively Present Health Care Performance Data To Consumers
Report 2: Effective use of explanatory information
Report 3: Maximizing public awareness
Physicians need rapid access to the best current evidence on a wide range of clinical topics. But where to find it? Textbooks are frequently out-of-date, and we don't have the time to perform literature reviews while the patient is waiting.
BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. BETs take into account the shortcomings of much current evidence, allowing physicians to make the best of what there is. Although BETs initially had an emergency medicine focus, there are a significant number of BETs covering cardiothoracics, nursing, primary care and paediatrics.
This booklet looks at a new policy direction for health, introduced two years ago, which creates an environment where health professionals in the community are actively encouraged to work with one another, and with hospital-based clinicians to deliver health care in a co-ordinated and co-operative manner so that more services are delivered in the community, people wait less for services and are kept healthier in the community.
Treatments which were once hospital-only are increasingly being performed in the community by GPs and practice nurses who have received additional training from hospital specialists. Examples you’ll see in this booklet include intravenous antibiotics to treat the serious skin disease cellulitis, surgery to remove skin lesions and giving GPs direct access to diagnostic imaging (instead of having to refer patients to hospital for that imaging).
Each year, more than 3 million people receive care in nursing homes – a 10% increase over the past 10 years. As this population has grown, we have seen a decline in another area – a 16% drop in the number of nursing home beds. How can more people be receiving care when beds are decreasing?
Aimed at fostering the broad adoption of effective health care interventions, this report proposes a blueprint for improving the dissemination of best practices by national quality improvement campaigns. The blueprint's eight key strategies are to: 1) highlight the evidence base and relative simplicity of recommended practices; 2) align campaigns with strategic goals of adopting organizations; 3) increase recruitment by integrating opinion leaders into the enrollment process; 4) form a coalition of credible campaign sponsors; 5) generate a threshold of participating organizations that maximizes network exchanges; 6) develop practical implementation tools and guides for key stakeholder groups; 7) create networks to foster learning opportunities; and 8) incorporate monitoring and evaluation of milestones and goals. The impact of quality campaigns also depends on contextual factors, including the nature of the innovation itself, external environmental incentives, and features of adopting organizations.
BMJ Open is an online-only, open access general medical journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or potentially low-impact studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
BMJ Open aims to promote transparency in the publication process by publishing reviewer reports and previous versions of manuscripts as pre-publication histories. Authors are asked to pay article-processing charges on acceptance; the ability to pay does not influence editorial decisions.
Thank you to everyone who made the 8th annual Bottom Line Conference a scene of excellent conversation on workplace mental health. Delegates heard moving and thought-provoking panellist stories and excellent motivating speakers, and then shared their ideas on what they could take back to their workplace.
Visit the Videos page to watch Workplace Stories and Leaders’ Perspectives, featuring our morning and afternoon panellists. Also, view the Resources page for Mary Ann Baynton’s presentation, Making it Safe: Blueprint for Psychological Safety and roundups of delegates’ discussions on barriers and solutions to psychological safety.
This article aims at advancing the still on-going conversations about the so-called research/practice gap. Some academics argue that it is not possible to develop knowledge that is both academically valuable and helpful for practice, while others hold the opposite view, justifying it on the basis of works published in top tier journals. The paper argues that the main reason scholars hold such contradictory views on this topic central to management science is the lack of explicitness of a number of founding assumptions which underlie their discourses, in particular the lack of explicitness of the epistemological framework in which the parties’ arguments are anchored.
The paper presents methodological guidelines for elaborating scientific knowledge both from and for practice, and illustrates how to use these guidelines on examples from a published longitudinal research project. In order to avoid the lack of explicitness pitfall, the paper specifies scientific and epistemological frameworks in which the knowledge elaborated in this methodological approach, when properly justified, can be considered as legitimate scientific knowledge.
The Nursing Leadership Institute (NLI), is a collaborative initiative between the BC Ministry of Health, the BC Chief Nursing Officers (CNOs), and the University of British Columbia to support nursing leadership in British Columbia. The NLI is funded by the Ministry of Health, specifically through the Nursing Directorate.
Housed in and administered by the UBC School of Nursing, the NLI aims to:
- Build the leadership/management competencies of first line nurse leaders in BC
- Enhance leadership/management performance and job satisfaction of these nurse leaders
- Increase nursing staff satisfaction with nursing leadership
The NLI consists of a four-day residential workshop away from the work environment. The workshop provides:
- An introduction to core leadership and management competencies for first-line nurse managers
- Networking and discussion time among participants
- Portfolio development with a focus on learning goals/objectives
- Project planning with mentors
After NLI participants return to their practice settings, they continue to meet on a regular basis with their mentors. These mentors are experienced leaders from middle or executive levels within their organizations. Mentor-mentee teams work on healthcare projects that can be realistically completed over the course of a year. Project work and mentor support provide valuable 'on-the-job' leadership learning for first-line nurse leaders. In the work environment, NLI participants get to practice what they've learned at the workshop. They are also encouraged to showcase their work in project portfolios. A goal of the NLI is to host annual "Celebration Days" for NLI participants to share their portfolios and leadership experiences with each other.
First-line nursing managers are selected by their Chief Nursing Officers based on specific criteria. These criteria include less than 3 years experience in a first line nursing leadership position, or being recognised as having enthusiasm and abilities for nursing leadership and management.
If you are interested in attending the Nursing Leadership Institute (NLI), we encourage you to let your Chief Nursing Officer (CNO) and/or supervisor know of your interest.
A special issue of Healthcare Policy articulates the experiences, successes, challenges and lessons learned in the RTC journey.
Author(s): Graham Lowe
Published By: Qmentum Quarterly (Accreditation Canada)
This article outlines how health care employers can be leaders in creating healthy, humanly sustainable organizations. Doing so will benefit patients, employees and physicians, and society.
This report marks the culmination of the Nursing Sector Study. The five year study consisted of two phases, and examined the nursing workforce for all three regulated nursing professions in Canada (Licensed Practical Nurses (LPN) Registered Nurses (RN), and Registered Psychiatric Nurses (RPN)). Phase I, which concluded in December 2004, examined the state of nursing human resources in Canada. A series of 15 technical research reports were completed which covered areas such as nursing mobility, the international labour market, nursing education in Canada, and many others.
The 2010 CAHSPR Conference was a great success! We are happy to announce that attendance was record-breaking, and we are looking forward to seeing everyone for the 2011 CAHSPR Conference in Halifax, NS
Conference Documents and Presentations from our 2010 CAHSPR Conference are available below. If you have any questions, please feel free to email us!
The Collaborative secured its first project funding from the 2008 Knowledge Translation Competition as advanced by the Canadian Institutes of Health Research (CIHR). The knowledge synthesis was conducted from January 2009 to January 2010 and examined current evidence on the impact of IPE and collaborative practice on HHR outcomes.
We synthesized the evidence from a number of sources such as the peer-reviewd literature, reports from governments and other agencies and reports from projects conducted under Health Canada’s Interprofessional Education for Collaborative Patient-Centred Practice (IECPCP) initiative.
Four areas of impact emerged:
1. Workplace quality
2. Provider satisfaction
3. Student clinical placement & graduate employment choice
4. Cost benefits
The executive summary and full synthesis report is now available.
Information about electronic health records for nurses with a collection of links to learn more about this topic.
The purpose of CANR is to foster research-based nursing practice and practice-based nursing research by:
- providing information about research studies, methods, funding and other resources
- strengthening linkages between research, education, administration,and clinical practice
- representing members' interests to governments, funding agencies, and other nursing organizations
- recognizing excellence in research activities
- educating professionals and the public about the significance of the nursing research-practice partnership
CASN/ACESI (Canadian Association of Schools of Nursing/Association canadienne des écoles de sciences infirmières) is the national voice for nursing education, research, and scholarship and represents baccalaureate and graduate nursing programs in Canada.
The objectives of CASN/ACESI are:
To lead nursing education and nursing scholarship in the interest of healthier Canadians.
CASN/ACESI:
- Speaks for Canadian nursing education and scholarship
- Establishes and promotes national standards of excellence for nursing education
- Promotes the advancement of nursing knowledge
- Facilitates the integration of theory, research and practice
- Contributes to public policy
- Provides a national forum for issues in nursing education and research
- CASN/ACESI is a bilingual organization.
CASN/ACESI is . . .
- a voluntary association
- representative of all universities and colleges which offer part or all of an undergraduate or graduate degree in nursing
- the official accrediting agency for university nursing programs in Canada
- a member of the Association of Accrediting Agencies of Canada (AAAC)
- a member of the Canadian Consortium for Research and the Network for the Advancement of Health Services Research
- associated with the Association of Universities and Colleges of Canada (AUCC)
- a member of national and international networks for discussion of issues in higher education and nursing
Public Health Agency of Canada's Best Practices Portal
Your first step to planning health-related programs. The Portal is a virtual front door to community and population health interventions related to chronic disease prevention and health promotion.
This zone of the CES Web site offers access to unpublished documents (also referred to as Grey Literature) which may be of interest to evaluators.
This year's Canadian Health Accreditation Report focuses on governance and its relationship to quality and patient safety. Data collected from the application of Accreditation Canada's Governance Standards and the Governance Functioning Tool survey for board members provide a comprehensive picture of governance in Canadian health care.
C-HOBIC introduces a systematic, structured language to admission and discharge assessments of patients receiving acute care, complex continuing care, long-term care or home care. This language can be abstracted into provincial databases or EHRs. C-HOBIC builds on the Ontario HOBIC (Health Outcomes for Better Information and Care) program.
CHSRF's reports and papers related to health services research.
The Canadian Interprofessional Health Collaborative promotes collaboration in health and education. We are educators, policymakers, health providers, students and citizens who are committed to changing the healthcare system for the better. Membership is free to everyone with an interest in making lasting changes to Canadian heathcare.
Understanding how hospital financial information changes over time is critical to evaluating hospital performance. Canadian MIS Database, Hospital Financial Performance Indicators, 1999-2000 to 2008-2009 reports on regional level hospital performance using 2008-2009 data. This report is an update to information previously reported in Canadian MIS Database, Hospital Financial Performance Indicators 1999-2000 to 2008-2009. CIHI will continue to monitor the ongoing feasibility of using data from the CMDB in the future to produce and report any additional indicators
The indicators that are used in this report are:
- Total Margin
- Current Ratio
- Administrative Expense as a Percentage of Total Expense
- Information Systems as a Percentage of Total Expense
- Cost per Weighted Case
- Unit-producing Personnel Worked Hours for Patient Care Functional Centres as a Percentage of Total Worked Hours
- Nursing Inpatient Services Unit-producing Personnel Worked Hours per Weighted Case
- Diagnostic Services Unit-producing Personnel Worked Hours per Weighted Case
- Clinical Laboratory Unit-producing Personnel Worked Hours per Weighted Case
- Pharmacy Unit-producing Personnel Worked Hours per Weighted Case
- Average Age of Equipment
The Canadian Nurses Association (CNA) is a federation of 11 provincial and territorial nurses' associations and colleges representing 139,893 registered nurses and nurse practitioners. CNA is the national professional voice of registered nurses, supporting them in their practice and advocating for healthy public policy and a quality, publicly funded, not-for-profit health system.
CNA speaks for Canadian registered nurses and represents Canadian nursing to other organizations and to government nationally and internationally. It gives registered nurses a strong national association through which they can support each other and speak with a powerful, unified voice. It provides registered nurses with a core staff of nursing and health policy consultants and experts in other areas such as communication and testing. CNA provides the exam by which all registered nurses, except in Quebec, are tested to ensure they meet an acceptable level of competence before beginning practice. CNA’s active role in legislative policy influences the health-care decisions that affect nursing professionals every day. It has published a large number of documents, including the Code of Ethics for Registered Nurses.
CNA encourages the integration of current knowledge into practice environments conducive to quality nursing care. Nursing policy develops national policies on nursing issues such as advanced nursing practice and the nurse practitioner and is involved in a number of initiatives on behalf of nurses. One such project is Achieving Excellence in Professional Practice, a resource guide offering nurses and other professionals assistance in developing or reviewing existing standards.
The Canadian Patient Safety Institute (CPSI) was established in 2003 as an independent not-for-profit corporation, operating collaboratively with health professionals and organizations, regulatory bodies and governments to build and advance a safer healthcare system for Canadians. CPSI performs a coordinating and leadership role across health sectors and systems, promotes leading practices and raises awareness with stakeholders, patients and the general public about patient safety.
The PEBC’s evidence-based guidelines and standards are published in peer-reviewed scientific journals, as well as on CCO’s web site. Cancer Care Ontario built on the PEBC’s well-established expertise in producing clinical guidelines for the care of individual patients to include the development of organizational and system standards that set expectations for organizations delivering cancer services in terms of personnel, expertise, facilities and services.
Cancer Care Ontario’s Health Services Research Network conducts health services research with the goal of influencing health policy in Ontario.
Cancer View Canada connects Canadians to online services, information and resources for cancer control.
It is an ever-evolving portal that brings together resources for cancer prevention, screening, treatment, and supportive, palliative and end-of-life care.
Through its collaborative tools, Cancer View Canada also links people in the Canadian cancer community to each other.
In this section you will find cancer control resources to help those working in the health system.
In CDC’s Safe Healthcare Blog, Infection Preventionist Jennie L. Mayfield discusses the ongoing challenges of preventing Clostridium difficile infection (CDI). Jennie points out that more research is needed to identify practices that prevent transmission of CDI and that infection preventionists need more resources to battle CDI.
Center for Disease Control moderated blog written by a team of health care professionals on health care safety topics.
In association with the World Health Organization’s "Save Lives: Clean Your Hands" annual initiative, CDC has launched a new “Hand Hygiene in Healthcare Settings” website. This site provides healthcare workers and patients with a variety of resources including guidelines for providers, patient empowerment materials, the latest technological advances in hand hygiene adherence measurement, frequently asked questions, and links to promotional and educational tools published by the WHO, universities, and health departments.
Safe Patient Handling
Overextension incidents are the leading source of workers’ compensation claims and costs in healthcare settings. The primary outcome associated with such incidents are musculoskeletal disorders (MSDs). MSD risks are found in housekeeping, food service and other areas where workers manually handle heavy, awkward loads or perform repetitive forceful hand work. The single greatest risk factor for MSDs in healthcare workers is the manual moving and repositioning of patients, residents or clients. Rising obesity rates in the United States1 impact the physical demands on caregivers. The aging of the workforce likely contributes to the problem; the average age of a registered nurse in the U.S. is approximately 47 years. Also contributing to the negative health consequences of manual handling is the shortage of nurses—Peter Buerhaus, a researcher at Vanderbilt University Medical Center, has estimated that there will be a shortage of 250,000 nurses by the year 2025 in the US.
Preventing Infections in Healthcare Settings
Disinfectants and cleaners are essential products for preventing disease transmission in healthcare facilities, but they pose risks for work-related eye and respiratory irritation, sensitization, asthma-like symptoms, and respiratory distress for workers. A NIOSH study published in the May 14, 2010 Morbidity & Mortality Weekly Report provides the first multistate report on work-related symptoms among healthcare staff in three states, with recommendations for preventing illness and injury.
Today, on CDC’s Safe Healthcare Blog, as we recognize International Infection Prevention Week we highlight U.S.-driven healthcare-associated infection prevention and the milestones achieved in 2010. Infection Preventionists continue to search for new ways to design and deliver infection prevention initiatives. What ideas do you have, and what successes have you seen in healthcare facilities?
The Center for Health Systems Research and Analysis (CHSRA) was formed in 1973 as a collaborative effort between the departments of Industrial Engineering and Preventive Medicine at the University of Wisconsin-Madison. At CHSRA, researchers seek to improve long-term care and health systems by creating performance measures and developing information and decision support systems. CHSRA research and development projects serve a variety of audiences.
The Centre for Effective Practice (CEP) is a federally-incorporated, not-for-profit organization enabling appropriate care in primary care through the development and implementation of relevant, evidence-based programs and tools. Founded in 2004 by the Department of Family and Community Medicine, University of Toronto, CEP works to address the growing gap between best evidence and current primary care practices by identifying barriers to appropriate interprofessional primary care and producing practical solutions to address these barriers. At CEP we work collaboratively with health consumers and leading interprofessional clinicians, academics, researchers, and policy-makers to effectively meet the needs of our clients and primary care practitioners to close the gap between best evidence and current practices. We do this by:
- Identifying barriers to optimal interprofessional primary care
- Producing practical solutions to address these barriers
- Engaging primary care practitioners and their interprofessional teams in the implementation of appropriate care
- Collaborating with leading partners to increase impact and system-wide changes
The goal of this website is to help develop, disseminate, and evaluate resources that can be used to practise and teach EBM for undergraduate, postgraduate and continuing education for health care professionals from a variety of clinical disciplines.
A new and exciting virtual space to inspire and enable nurses to lead innovation and change in nursing and healthcare practice to improve patient care.
The overall aim of the project was to understand the nature of changing management cultures in the NHS and explore their relationships with changing organisational performance. Specifically we sought to:
- identify and classify the extant cultures in key NHS organisations;
- explore how these cultures evolve and transform over time, both in response to external policies and as a result of internal or cross-boundary drivers;
- analyse the (longitudinal) relationships between changes in culture and performance at both an organisational and a local health economy level.
Nursing research gained a significant place in our Nation’s science and health care enterprise with the founding of the National Center for Nursing Research (NCNR) on the campus of the National Institutes of Health (NIH) in 1986. NCNR began to address the pressing research needs for nursing at that time, and by 1994 it became the National Institute of Nursing Research (NINR). The year 2006 marked the Institute’s twentieth anniversary at NIH. This booklet presents ten landmark research studies that NINR has supported during its history. These studies helped establish the foundation of NINR’s work and illustrate the varied
expertise of nurse researchers. They span issues that continue to be of great importance to nurses, such as symptom management, preventive health measures, health disparities, and the value of nursing care.
Insight and Action is a monthly digest that shares knowledge about knowledge exchange.
Picking Up the Pace is Canada’s premiere event showcasing how to implement change in primary healthcare by presenting more than 47 innovations selected by an expert committee from across Canada.
This series of 19 articles describes processes for ensuring that relevant research is identified, appraised and used to inform decisions about health policies and programs. The tools were written for people responsible for health policy decision-making (e.g., health system managers and policy-makers) and for those who support them.
The CHSRF/CIHR Chair on Knowledge Transfer and Innovation began operating in the summer of 2000, and is receiving financial support for ten years as part of the CADRE program (Capacity for Applied and Developmental Research and Evaluation in health services and nursing). The CADRE program is a partnership between the Canadian Health Services Research Foundation (CHSRF) and the Canadian Institutes of Health Research (CIHR). The Chair is made up of researchers, graduate and non-graduate students and managers. The objective of the Chair is to further our scientific understanding of knowledge transfer and innovation in health services, to train and support students pursuing master's and Ph.D.'s in this field, and to encourage and facilitate the transfer of knowledge in general. The Chair:
- Trains students at the bachelor's, master's and doctoral level.
- Receives postdoctoral trainees from around the world.
- Participates in numerous research projects in knowledge transfer and innovation.
- Distributes a free weekly newsletter on knowledge transfer and innovation in the health services.
- Is developing a continuously evolving database, entitled KU-UC, which contains documents on knowledge transfer, innovation and health service policies and management. This database can likewise be consulted free of charge.
Welcome to the CIHC Library!
New! Two fact sheets describing the CIHC Library to our core user groups.
Please take a look at "CIHC Library for…"
•Health Professionals
•Researchers and Students
The CIHC Library is an electronic library designed to help those searching for information on interprofessional education, collaborative practice and patient-centred care. We accommodate a wide range of interprofessional resources such as curricula, how-to materials, references, research & evaluation instruments, and other communications material. Feel free to browse our collections, or to enter a search term. Please also view the About the Library collection for additional information!
This is a new resource, and we'd love to hear what you think! Please do not hesitate to contact us at library@cihc.ca with your questions, comments or suggestions.
Articles in the CIHC Library are available for download within each record, usually in .pdf format. You will need a .pdf reader, such as Adobe Acrobat, to read these files.
This guidebook is intended for all researchers (new and experienced) who write grant applications in any area of health research, including basic biomedical research, clinical research, the social sciences and the humanities.
This guidebook provides tips about:
- applying for a grant as a Principal Investigator (PI)
- writing papers
- building and managing your research team and laboratory
- managing your time
At CIHR, knowledge translation (KT) is defined as a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically-sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen the health care system. This page provides links to CIHR KTE resources.
The CLEAR service is delivered by a team of information professionals based at NHS Quality Improvement Scotland. The service uses the expertise of the team to identify and signpost best quality evidence in response to questions arising from patient care and related to delivery of care from clinicians.
Increasingly, there is a growing demand for advanced practice nursing (APN) in Canada and around the world. As clinical experts, leaders and change agents, APNs are recognized as an important human resource strategy for improving access to high-quality, cost-effective and sustainable models of healthcare.
This special report was commissioned by CHSRF to develop a better understanding of the roles of APNs, the contexts in which they are currently being used, and the health system factors that influence the effective integration of advanced practice nursing in the Canadian healthcare system. Three types of APNs were the focus of this report: clinical nurse specialists (CNSs), primary healthcare nurse practitioners (PHCNPs), and acute care nurse practitioners (ACNPs).
Nursing 2.0
Many of our nursing colleagues are networking, sharing information and developing themselves
professionally by using social media. How are they doing it without risking their professional and personal reputations?
This database offers free access to the abstracts and, where available, the plain language summaries of all Cochrane systematic reviews. Links to the full-text versions are available on each page.
The Cochrane Collaboration prepares Cochrane Reviews and aims to update them regularly with the latest scientific evidence. Members of the organisation (mostly volunteers) work together to provide evidence to help people make decisions about health care. Some people read the healthcare literature to find reports of randomised controlled trials; others find such reports by searching electronic databases; others prepare and update Cochrane Reviews based on the evidence found in these trials; others work to improve the methods used in Cochrane Reviews; others provide a vitally important consumer perspective; and others support the people doing these tasks. The Cochrane Collaboration website provides information on a variety of ways of registering interest or becoming directly involved.
A Journey between Urban and Remote Practice Settings
A slideshow of a presentation at the National Aboriginal Health Organization's November 2009 conference.
University Health Network (UHN) became a demonstration site to test a health human resource planning model to foster inter-organizational collaboration, knowledge transfer and exchange of nurses between an urban academic health science centre and a remote region in northern Ontario. Funding support was provided by the Ontario Ministry of Health and Long-Term Care. The partnership between UHN, Weeneebayko Health Ahtuskaywin (WHA) and James Bay General Hospital (JBGH) addressed retention, recruitment, professional practice development, planning and succession planning objectives. The primary goal of this partnership was to supply the staffing needs of WHA/JBGH with UHN nurses at a decreased cost for four- to six-week placement periods. This resulted in a marked decrease in agency use by approximately 40% in the WHA site during the months UHN nurses were practicing in the north, with an overall agency cost savings of $165,000 reported in the pilot year.
Quality Improvement (QI) and evaluation projects have become increasingly important, multiplying in number and growing in complexity. Although ethics oversight principals and processes are well established for research projects, a gap exists for non-research projects. Many QI and evaluation projects have ethical implications, but ethics screening and review processes are often limited and inconsistently applied. This uncertainty and inconsistency often leads to misunderstandings about how and when ethical implications should be addressed in QI and evaluation projects. Reviewing the following common misunderstandings and our responses to them should help clarify these issues for you and reinforce that sound practice requires integrating ethical considerations into your QI and evaluation projects to ensure that people are protected and respected
Community Solutions Planning and Evaluation
Consulting for Nonprofit and Public Sector Organizations
The website link provides a list of services provided and of past clients and some of their testimonials.
Conflict is an inevitable part of your professional life. This multi-part series will explore the roots of conflict and suggest methods for effectively managing difficult situations.
Part 1: Nursing Strategies: Understanding the Sources and Costs of Conflict
Part 2: Nursing Strategies: Common Tactics for Managing Conflict
Part 3: Nursing Strategies: Guidelines for Painless Conflict Resolution
Part 4: Nursing Strategies: Countering Conflict with Positive Communication
The mission of the EI Consortium is to advance research and practice of emotional and social intelligence in organizations through the generation and exchange of knowledge. The Consortium for Research on Emotional Intelligence in Organizations is currently made up of 8 core members and 56 additional members who are individuals with a strong record of accomplishment as applied researchers in the field. There also are six organizational and corporate members. The Consortium was founded in the spring of 1996 with the support of the Fetzer Institute. Its initial mandate was to study all that is known about emotional intelligence in the workplace.
In a review of studies comparing the cost of primary care when delivered by NPs and physician assistants (PAs) to care provided by MDs, researchers found that, in studies where NPs and PAs assumed care roles previously occupied by MDs, “substitution of visits to physicians by visits to NPs and PAs achieved savings in the first year of implementation” (Naylor and Kurtzman 2010).
A study of 26 capitated care practices of a group model managed care organization found that total labor costs were lowest in practices where NPs and PAs were used to a greater extent (Roblin et al., 2005).
A study comparing NP versus MD management of post-revascularization hypercholesterolemia found that patients managed by NPs are more likely to comply with the prescription regimen and achieve their health goals at a lower cost (Paez and Allen, 2006).
Wise Mapping is the web mind mapping tool that leverages the power of Mind Maps mixing new technologies like HTML 5.0 and SVG
A mind map is a diagram used to represent words, ideas, tasks or other items linked to and arranged radially around a central key word or idea. It is used to generate, visualize, structure and classify ideas, and as an aid in study, organization, problem solving, and decision making.
It is an image-centered diagram that represents semantic or other connections between portions of information. By presenting these connections in a radial, non-linear graphical manner, it encourages a brainstorming approach to any given organizational task, eliminating the hurdle of initially establishing an intrinsically appropriate or relevant conceptual framework to work within.
A mind map is similar to a semantic network or cognitive map but there are no formal restrictions on the kinds of links used.
The elements are arranged intuitively according to the importance of the concepts and they are organized into groupings, branches, or areas. The uniform graphic formulation of the semantic structure of information on the method of gathering knowledge, may aid recall of existing memories.
The Cultural Competence and Cultural Safety in Health Services program is designed to provide training to health service professionals who work in aboriginal settings and with First Nations, Inuit and Métis peoples. By becoming familiar with these concepts, health professionals can add a cultural competence component to their foundations of skills.
If we conceptualize knowledge translation (KT) as an ever-turning cycle of policy-informed research leading to evidence-informed policy, then priority setting is where this cycle often begins to move. A singular KT tool in identifying policy needs and research options, deliberative priority setting selects the right people to brainstorm on the right issues to determine what a society's, a system's, or an institution's priorities are. Exactly how we determine the "right people," select the "right issues," and arrive at a set of fair and inclusive priorities is the subject of this Module.
This toolkit was developed and evaluated within a collaborative research study involving Cancer Care Ontario, McMaster University, Laurentian University and regional cancer centres in Sudbury and Hamilton.
The toolkit uses the PEPPA Framework, a participatory, evidence-informed patient-focused process for promoting the effective introduction and evaluation of advanced practice nursing (APN) roles.
The Workplace Health Research Laboratory (WHRL) at Brock University gathers, analyzes, reports and interprets the information that HR professionals and senior management need to build productive and engaged workforces.
This is a presentation to the 2008 Ontario University Registrar's Association Annual Conference.
Digital Collections is the National Library of Medicine's free online archive of biomedical books and videos. All the content in Digital Collections is in the public domain and freely available worldwide. Digital Collections provides unique access to NLM's rich, historical resources.
Digital Collections uses a suite of open source and NLM-created software. For more information on the development and technical description of Digital Collections, see the NLM Digital Repository Project information page.
This report focuses on health authority quality and safety leaders; those responsible for leading and supporting improvement initiatives. It provides a snapshot of their skills, abilities and professional development needs and explores some of the ways these needs are being met in other jurisdictions. Based on these findings, some options are presented for the BCPSQC to consider to support the health authorities as they build capacity for patient safety and quality improvement.
Welcome! The Effective Governance for Quality and Patient Safety Toolkit is intended to be a resource for healthcare board members and senior leaders, and leverages the commissioned research led by Dr. G. Ross Baker (2010), “Effective Governance for Quality and Patient Safety in Canadian Healthcare Organizations”, which identified a number of key elements or ‘drivers’ that enable boards to fulfill their responsibilities for quality and patient safety.
The goal of our study is to investigate productivity change in the hospital sector as well as its key
components: efficiency change and technological change. To study these questions we use recent
advances in productivity analysis—non-parametric (kernel-based) statistical analysis of distributions
of productivity scores and their components obtained from the Malmquist Productivity index (MPI)
through application of the data envelopment analysis (DEA) estimator.
This tool has been designed to help you learn about eHealth and how it affects your daily practice as a nurse.
It will also provide you with the necessary background information to appreciate how eHealth can enhance your nursing practice and client care, by covering such subjects as:
- how eHealth can support nursing roles, client care, and client empowerment,
- the historical development of eHealth, and
- the linkages between nursing, quality care, and eHealth
The Electronic Health Library of BC provides the academic and health care community of British Columbia with easy access to online health library resources. The purpose of the e-HLbc is to support and improve practice, education, and research in the health sciences.
Member organizations include all publicly funded BC post-secondary institutions providing health education, the BC Ministry of Advanced Education, the BC Ministry of Health, the BC Ministry of Children and Family Development, all BC Health Authorities, and the BC College of Physicians and Surgeons.
Health care costs are growing at an unsustainable rate throughout much of the world. In response, many governments are taking steps to prod the health care industry to aggressively expand its use of IT. The potential long-term benefits to all parties, measured in cost savings and improved medical outcomes, will be vast. But the near- to intermediate-term disruption to the industry will be significant, translating into both costs and opportunities for industry players and the entire health-care ecosystem.
The Erasmus Observatory on Health Law was founded to explore health law, share in its study, and help pioneer its development. We represent a network of faculties, students, fellows, lawyers and ethicists working to identify and engage with the challenges and opportunities of health law.
We investigate the real and possible boundaries in health law. We do this through active rather than passive research, believing that the best way to understand health law is to actually build out into it.
The European Commission launched the 'Europe for Patients' campaign in September 2008. The campaign highlights a series of different healthcare and patient related policy initiatives of the Commission.
All these initiatives are bound by a common goal: better healthcare for all in Europe. The initiatives and actions address patient safety, rare diseases, organ donation and transplantation, cancer screening, health workforce, flu and childhood vaccination, mental health, Alzheimer's disease and other dementias as well as prudent antibiotic use (see list at the end of this document). The first initiative under the campaign - the proposed Directive on cross border health care - was adopted by the Commission on 2 July 2008.
PowerPoint presentation from Session 904 - Building a "Super" Logic Model: Development of a System of Tiered Logic Models to Identify Key Outcomes in a Large Nonprofit Organization
- This tutorial teaches you how to evaluate the health information that you find on the Web. It is about 16 minutes long.
- You need a Flash plug-in, version 8 or above, to view it. If you do not have Flash, you will be prompted to obtain a free download of the software before you start.
- The tutorial runs automatically, but you can also use the navigation bar at the bottom of the screen to go forward, backward, pause, or start over.
Expert Lecture Sponsored by the Presidential Strand Chair - Gail Barrington, Barrington Research Group Inc Presenter - Melanie Barwick, The Hospital for Sick Children Discussant - Daniel Stufflebeam, Western Michigan University
Presentation
Evidence 2 Excellence (E2E) is a not-for-profit academic organization established to improve clinical and operational outcomes for emergency departments across British Columbia. E2E provides a grass roots collaborative model for improvement and knowledge translation by working directly with teams and connecting sites across the province through an online community.
Nurse Practitioners (NPs)
In a review of studies comparing the primary care provided by NPs to primary care provided by physicians (MDs), researchers found that patients of both groups had comparable health outcomes. NPs were found to out perform MDs in measures of consultation time, patient follow-up, and patient satisfaction (Naylor and Kurtzman 2010).
Two recent international systematic reviews report no differences between patients treated by NPs and MDs in terms of health outcomes, type of care provided, or resources used. They also found patients seeing NPs were more satisfied and had longer consultations (Horrocks et al., 2002; Laurant et al., 2008).
Nursing Knowledge Exchange newsletter from Fraser Health Authority
Systematic reviews and syntheses of evidence are increasingly used to inform public policy decisions. Growing budgetary pressures mean that decision makers often need to consider evidence on the costs and efficiency of alternatives as well as their effects. There are a number of methodological challenges in the identification, appraisal, synthesis, interpretation and use of economic evidence. This article draws on a recently published edited volume to review the latest developments, proposals and controversies in these aspects of economic evidence synthesis methodology. It focuses on two broad classes of approach: systematic review to summarize and compare the findings of existing economic analyses and synthesis of new economic results using decision models. The availability and scope of economic evidence is currently limited in many fields, but improving. Increased engagement between economists, the wider evidence synthesis community, and decision makers is needed to improve both the production and use of economic evidence. Further research to improve the evidence base that underpins application of economic evidence synthesis methodology will need to embrace a broader range of methods than economic evaluation and systematic review alone.
Florence Nightingale would probably not recognise the nurse of today. As we move into the next millennium, we expect nurses to care with their hearts and minds; identify patients' actual and potential health problems; and develop research-based strategies to prevent, ameliorate, and comfort. We increasingly expect them to undertake work historically done by doctors; we also expect them to be empathic communicators who are highly educated, critical thinkers, and abreast of all the important research findings.
Research makes a difference. In a meta-analysis designed to determine the contribution of research-based practice to patient outcomes, Heater and colleagues reported that patients who receive research-based nursing care make "sizeable gains" in behavioural knowledge, and physiological and psychosocial outcomes compared with those receiving routine nursing care.
This website provides a collection of links to evidence-based practice, including:
- Resources
- Reviews
- Guidelines
- Critiques
- Calculators
- Statistics
- Research Centres
- Literature
The ANCC Magnet Recognition Program® (MRP) requires hospitals to have evidence-based practice embedded in the culture of the organization. In the documentation, hospitals must demonstrate that nurses evaluate and use published research in all aspects of clinical and operational processes.
The ANCC also expects nurses to conduct research projects and that knowledge from these projects will be shared with nurses within and outside the organization.
Although the two requirements have the potential for overlapping concepts in the minds of many nurses, evidence-based practice and research projects are distinctly different—and, if the differences are not recognized, it is possible for an organization's documentation to fail to adequately explain how it meets both requirements.
Tools and Resources
Lippincott Williams & Wilkins is dedicated to providing healthcare professionals with the information they need to improve practice and improve patient outcomes. The Evidence-Based Practice Network team has pulled together a collection of articles and journals from Lippincott publications, from a variety of disciplines, in order to provide you with credible, reliable information in which to base your practice.
There are 4 basic steps in Evidence Based Practice*
- Step 1 - Convert your information need into an answerable question
- Step 2 - Find the best evidence
- Step 3 - Appraise search results for validity and usefulness
- Step 4 - Apply the findings to your clinical practice and evaluate your professional performance
The basic aim of this tutorial is to walk you through these steps in an effort to make the process easier and more understandable for you.
Let’s take an example and work through the process. You may want to use this worksheet as you proceed through the tutorial.
Scenario:
Infections in hospitals can be spread on the hands of healthcare workers. It takes minutes to follow the hand hygiene policy exactly before entering a room to deliver patient care. On a busy hospital unit where nurses care for many critically ill patients, those minutes add up. Many hospitals have turned to alcohol-based handrubs to save time and put hand cleaners closer to patients. You are wondering if alcohol based handrubs placed inside the patients rooms would increase the incidence of handwashing and decrease nosocomial infection.
*adapted from: Sackett DL, Straus SE, Richardson WS [and others]. Evidence-Based Medicine: How to Practice and Teach EBM. 2nd ed. London: Churchill-Livingstone, 2000:3-4.
Between 2000 and 2005, the incidence of hospitalizations for Clostridium difficile infection (CDI) nearly doubled. So did the fatality rate from this infection. Risk factors for CDI (such as the use of certain antibiotics and gastric acid suppressors, age over 65, and hospitalization) are so common that CDI poses a continuing danger.
To help reduce that danger, recent research has identified ways for you and your colleagues to prevent and manage CDI, including these evidence-based guidelines
This tutorial is designed for students in healthcare fields, medical professionals, faculty, and anyone else interested in evidence-based practice. This tutorial comprises two lessons:
Lesson 1: The 5-Step Process
In Lesson 1, you will learn about the 5-step process for evidence-based practice.
Lesson 2: Using EBP—Case Scenarios
In Lesson 2, you will have the opportunity to roll up your (virtual) sleeves and apply the 5-step process. You’ll explore several case scenarios and determine how you would handle them.
This tutorial also includes references for you to explore as you choose. Access these by clicking the References button in the navigation bar above.
ARE HOSPITAL FUNDING MECHANISMS IN CANADA DESIGNED TO PROVIDE EFFICIENT CARE?
Canadian governments are spending more on healthcare than ever. Driven by technological innovation, population aging, inflation and other factors, public healthcare expenditures are forecast to continue to increase, causing concern about the sustainability of Canada’s publicly funded systems. The hospital sector accounts for over 28% of total healthcare expenditures in Canada. Although this share has fallen considerably over the past few decades, hospitals continue to represent the largest single component of healthcare expenditures. Hospital expenditures are
projected to exceed $55 billion in 2010.
Evidence suggests that provinces differ in terms of healthcare spending efficiency, which implies that there should be an opportunity for improvement. An often-cited source of inefficiency in the Canadian hospital sector is the reliance on ‘global budgets’ as the primary source of hospital funding. Global budgets can perpetuate inefficient care because they offer little incentive to reduce costs or foster innovation.
Based on a paper commissioned by CHSRF,this brief provides a summary of the available evidence on promising hospital funding options and their impact on the following goals: timely and equitable access, optimal volume of care, quality, efficiency and constraining future cost increases.
Researchers have investigated nurse staffing from the perspective of scheduling and productivity as well as the relationship between nurse staffing and client outcomes. Over time, evolving definitions of nurse staffing have identified additional key elements that support models for determining optimal staffing. These elements include the appropriateness of the number of staff, the type or level of client care required, skill level and mix of staff, number of clients cared for on the assignment, cost efficiency and effectiveness, and their links to client and nurse outcomes (RNAO, 2007).
BMJ Group and McMaster University's Health Information Research Unit are collaborating to provide you with access to current best evidence from research, tailored to your own health care interests, to support evidence-based clinical decisions.
This service is unique: all citations (from over 120 premier clinical journals) are pre-rated for quality by research staff, then rated for clinical relevance and interest by at least 3 members of a worldwide panel of practicing physicians. Here's what we offer:
- A searchable database of the best evidence from the medical literature
- An email alerting system
- Links to selected evidence-based resources
BACKGROUND: In older adults, diminished balance is associated with reduced physical functioning and an increased risk of falling. This is an update of a Cochrane review first published in 2007.
OBJECTIVES: To examine the effects of exercise interventions on balance in older people, aged 60 and over, living in the community or in institutional care.
SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, CENTRAL (The Cochrane Library 2011, Issue 1), MEDLINE and EMBASE (to February 2011).
SELECTION CRITERIA: Randomised controlled studies testing the effects of exercise interventions on balance in older people. The primary outcomes of the review were clinical measures of balance.
DATA COLLECTION AND ANALYSIS: Pairs of review authors independently assessed risk of bias and extracted data from studies. Data were pooled where appropriate.
MAIN RESULTS: This update included 94 studies (62 new) with 9,917 participants. Most participants were women living in their own home. Most trials were judged at unclear risk of selection bias, generally reflecting inadequate reporting of the randomisation methods, but at high risk of performance bias relating to lack of participant blinding, which is largely unavoidable for these trials. Most studies only reported outcome up to the end of the exercise programme. There were eight categories of exercise programmes. These are listed below together with primary measures of balance for which there was some evidence of a statistically significant effect at the end of the exercise programme. Some trials tested more than one type of exercise. Crucially, the evidence for each outcome was generally from only a few of the trials for each exercise category.
Ontario Renal Network
The National Kidney Foundation Disease Outcomes Quality Initiative (NKF KDOQI) ™ has provided evidence-based clinical practice guidelines for all stages of chronic kidney disease (CKD) and related complications since 1997. Recognized throughout the world for improving the diagnosis and treatment of kidney disease, the KDOQI Guidelines have changed the practices of numerous specialties and disciplines and improved the lives of thousands of kidney patients
A series of video tutorials on the various evidence-based practice (EBP) information resources. The series is called "Find It Fast" because all of these resources may help you find clinical information faster. The first three episodes will explain some basic terminologies and theories used in this series of tutorials. Then the following EBP resources will be demoed: the Cochrane Database of Systematic Reviews, ACP's PIER, Clinical Evidence, ACP Journal Club, the "Evidence-based …" series of journals, Clinical Queries in MEDLINE and the EBP meta-search engine TRIP.
Healthcare decision makers—including clinicians and other healthcare providers—increasingly turn to systematic reviews for reliable, evidence-based comparisons of health interventions. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies. They can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. But the quality of systematic reviews varies; often the scientific rigor of the collected literature is not scrutinized or there are errors in data extraction and meta-analysis.
The First Nations Health Council was created in 2007 to implement the 10-year Tripartite First Nations Health Plan on behalf of BC First Nations. The Plan's goal is to improve the health and well-being of First Nations and to close the health gap between First Nations and other British Columbians.
We have developed a Research Toolkit that provides practical "how to" guides and tools for novice/new researchers and for those who wish to improve their research skills knowledge.
Manitoba Centre for Health Policy.
This report summarizes the results of Phase 1 of the Canadian Institute for Health Research (CIHR) funded From Evidence to Action project (2005-2008). The purpose of From Evidence to Action is to identify barriers specific to evidence-informed health service planning and decision making (EIDM) with regional health authorities (RHAs), and to develop strategies, credible to decision-makers, to address these barriers. Project partners included all eleven RHAs in Manitoba, along with the Manitoba Centre for Health Policy. From Evidence to Action was based on a key finding of the evaluation of The Need to Know Project: the importance of addressing organizational barriers to research use in RHA planning and decision-making. The Need to Know Team members form the Advisory Committee for the project.
Statistics suggest that the prevalence of maladies, medical conditions and probability for medical conditions exist more intensely in rural areas, yet no noteworthy studies have been directed primarily to the sector. A group of residents and healthcare professionals in a rural Ontario community in Huron County propose to create a centre to research healthcare issues in rural populations, the first community-driven rural research centre in Canada. Most of healthcare-related research conducted in Canada and elsewhere is based on results of surveys taken of test populations close to large urban medical centres of learning or practice, with projections of results for rural sector populations.
BC First Nations Leaders and Health Directors and technicians came together in an historic meeting to determine the future direction of an initiative to restructure health care for First Nations in British Columbia. Held in Richmond on May 24-26th, the meeting – Gathering Wisdom IV was attended by an unprecedented level of First Nations leaders in BC.
Irrespective of the traits they study, social and behavioral scientists understand that no two people will express a given trait in exactly the same manner. Variation is the rule, and social and behavioral researchers try to uncover the reasons for those differences.
Historically, research in social and behavioral science has focused on environmental contributions to human variation, while biologists studied inherited variation in anatomy and physiology. Yet exciting newer research suggest that genes and environment participate in a complicated dynamic to influence not only health and disease, but also social and behavioral traits.
The nature/nurture debate has confounded research on social and behavioral phenotypes since the late nineteenth century. This program takes the position that the debate is unhelpful and misleading, because no gene operates outside of an environment - beginning with the environment of the cell and extending to the influences of the external world.
Helping nurses assess and manage pain in older adults
Free evidence-based tools and best practices for nurses who work in nursing homes.
Pain is under-recognized and undertreated in older persons, particularly those who reside in the nursing home. In long-term care settings, the prevalence of pain can be as high as 85% and impacts the quality of life of this vulnerable population. Pain is a common condition and deserves to be recognized and effectively treated. Clinical practice guidelines are available from the American Geriatric Society (AGS) and the American Medical Directors Association (AMDA) to guide clinical decision-making related to assessment and management of pain in older adults. However, barriers, misconceptions and knowledge gaps impact good pain care.
The purpose of this web resource (GeriatricPain.org) is to identify and share best practice tools and resources that support recommendations for good pain assessment and management in older adults. The web site is organized into categories of emphasis with tools selected to assist nurses with responsibility for pain care in the nursing home.
Nurse Practitioner-Led Clinic
A Nurse Practitioner-Led Clinic can provide ongoing care while helping promote disease prevention and healthy living. Nurse practitioners can diagnose and treat common injuries and illnesses, write some prescriptions and order blood and diagnostic tests. You can also find nurse practitioners working throughout the province in Family Health Teams and other types of clinics.
Most researchers and communication specialists who work on international health are passionate about their work and about making a difference and improving health and health care. Such a vision can be enshrined in institutional mission statements.
For example, the Liverpool School of Tropical Medicine (where I work as a senior lecturer) has a mission statement that highlights the importance of promoting ‘improved health, particularly for people of the less developed countries in the tropics and sub-tropics’.
Donors are also clearly concerned about ensuring the research they fund has impact and does not simply gather dust on library shelves. Research proposals increasingly need a clear impact section, and these really matter in whether grants are won or not. For example the impact section accounts for a third of the marks for EU research proposals. A new Supplement of Health Research Policy and Systems, which I co-edited, explored the process of getting research into policy and practice, and provides useful learning for researchers grappling with research communications and the impact of their research.
Safe care … accepting no less.
Frontline healthcare providers and healthcare organizations around the world are looking for and developing solutions to patient safety incidents and challenges.
Global Patient Safety Alerts is an innovative information-sharing resource to help you prevent and mitigate patient safety incidents in your organization and help others succeed.
Here you’ll find more than 800 patient safety incident advisories, alerts, and recommendations. Learn what works and share your own insights and solutions with healthcare providers, healthcare organizations, patients, and the public.
You’ll also find customizable, evidence-based tools you can start using immediately to help you achieve your goals.
By asking, listening, and talking to one another, we can grow our own patient safety and quality initiatives and help others grow theirs. Join the conversation and get the solutions you need today.
Share. Learn. Perform.
Welcome!
If you are a grant facilitator or are otherwise involved in the grants process, this website is meant for you. This site will help you through the planning, preparation and submission of grants.
The goals of this site are to:
• develop resources to help new facilitators become oriented to the grant facilitation role
• provide templates and tools for all stages of the grant facilitation process
• teach facilitators how they can harness technology to stay informed on funding opportunities and agency news
• provide resources for facilitators to develop their administrative and project management skills
• create a virtual network and a sense of community among grant facilitators
Plan ahead.
Read the requirements of the agency and draft an outline. You may have to register one month in advance.
For Internal Review:
Remember to have the grant to the grants office at least three weeks prior to the agency deadline.
Keep it focused and simple.
Your reviewer will not be as expert as you, so provide the needed background. The experiments proposed should address the hypothesis. Preliminary data that strengthen the proposal should always be included. Only propose what can reasonably be done in the granting period.
Prove that you can do it.
The budget your propose, your publication record, the collaborators that are on side and the facilities that you have to work in are all critical to prove that not only are the studies feasible but that you will actually accomplish the proposed studies.
Tips from McGill University Health Centre.
A resource from the BC Environmental and Occupational Health Research Network. Learn about:
- how to search for grant funding
- getting started with small grants
- the anatomy of a grant application
- common concerns of grant reviewers
- building partnerships
- and much more!
“Transparency through timely, controlled and effective communication.”
Increasingly healthcare and health professional organizations are being called upon to share information about “adverse events” with key stakeholders (both internal and external), the broader public and the media in a timely and transparent way.
These guidelines were developed by the Canadian Patient Safety Institute in conjunction with CPSI’s
Communication Advisory Committee to assist you and your organization throughout the process of informing the media and the public after adverse event occurs.
G-I-N PUBLIC is a working group of researchers, health professionals and consumers who promote ways to inform and involve the public in clinical guideline activity around the world. G-I-N PUBLIC uses a wiki website to post information about how patients and the public can be involved in guideline development. You can find information about projects in various countries, practical information such as handbooks on public involvement and lots of literature references.
Slideshow demonstrating correct hand washing procedure.
Evidence and perspectives for funding health care in Canada.
A central, reliable and impartial resource for literature, news and discussion regarding activity-based hospital funding policies in Canada and internationally.
Hospitals represent the largest single component of health care expenditures in Canada. Now exceeding $50 billion per year, hospital spending generates significant financial pressures on provincial budgets. To respond to these funding pressures, provinces are re-examining the method by which Canadian hospitals are funded. Specifically, some provinces are evaluating the rules and policies used to distribute funds to hospitals to address where, when, and what type of care should be provided.
Health Care in Canada is CIHI’s annual flagship report on the health care system and the health of Canadians. Since 2000, it has been a resource that tables fundamental issues facing the health care system. Addressing questions surrounding patient safety, wait times, health care spending and analyses on how the system has adapted over time to meet changing needs has made Health Care in Canada a key source for the public and policy-makers alike.
This year’s report provides perspective on changes in the health care system and on current thinking surrounding health care and outcomes of care. As with its predecessors, Health Care in Canada 2010 draws on both internal and external information and data and introduces international comparisons where appropriate.
HealthCareleaders is most frequently known for its continuing professional education offerings including its annual Leadership Conference in October and Community Care Conference in May, both of which draw hundreds of participants from all parts of the province. The Association provides several other services for members.
Fall from slips and trips are the second leading cause of injury to B.C. healthcare workers. This study, funded through WorkSafeBC's Research Secretariat, is a detailed investigation of workplace falls over a 3-year period among healthcare workers in a large B.C. health region. The study looked at the incidence of falls in acute, residential, and community care by occupation, time of year, day of the week, time of day, and location of work, as well as contributing factors.
Access reports on Health Accord topics by the Health Council of Canada and other organizations: :
Types of Patient Care:
- Primary Health Care
- Home and Community Care
Health System Performance:
- Access and Wait Times
- Pharmaceuticals Management
- Health Information Systems and Electronic Health Records
- Quality and Patient Safety
- Accountability, Health Indicators and Reporting
- Sustainability
- Integration
Health Human Resources
Health of Canadians:
- Aboriginal Health
- Health Status and Health Outcomes
- Prevention, Promotion and Public Health
- Patient/Citizen Engagement
Government Reports
The healthcare sector makes up roughly one-tenth of the economic activity of modern economies, and labour inputs make up a large share of its costs, relative to other industries. As a result, the measurement, tracking and improvement of labour productivity in this industry, referred to here as health human resources productivity (HHRP), should be of significant policy concern. In principle, HHRP should be defined in terms of the relationship between health outcomes achieved (health status protection or improvement for individuals or populations) and health human resource inputs (time, effort, skills and knowledge) required. However, the vast majority of HHRP literature defines HHRP as the ratio of procedural and service outputs over inputs measured in terms of numbers of personnel, or time.
Health Indicators 2010, the 11th in a series of annual reports, presents the most recent health indicator data from the Canadian Institute for Health Information (CIHI) and Statistics Canada on a broad range of measures. As in the past, the report seeks to answer two important questions: “How
healthy are Canadians?” and “How healthy is the Canadian health system?” Health regions and other stakeholders may use this information to identify areas where improvements are needed and to learn from jurisdictions with the best outcomes. Each indicator falls into one of the four dimensions of the Health Indicator Framework listed below:
• Health status—provides insight on the health of Canadians, including well-being, human function and selected health conditions.
• Non-medical determinants of health—reflects factors outside of the health system that affect health.
• Health system performance—provides insight on the quality of health services, including accessibility, appropriateness, effectiveness and patient safety.
• Community and health system characteristics—provides useful contextual information, rather than direct measures of health status or quality of care.
In addition to presenting the latest indicator data, this year’s report focuses on health disparities, the fifth dimension in the framework. Measuring and reporting health disparities are important because some of them may be reduced or prevented. Reducing health disparities could help to address the
problem of excess mortality and morbidity, ease economic burden and boost the nation’s health profile as a whole.
Health Indicators 2011 is the 12th in a series of annual reports containing the most recently available health indicators data from the Canadian Institute for Health Information and Statistics Canada. In addition to presenting the latest indicator data, this year's report features a focus section on mental health, including five new indicators that provide information about Canada's mental health system
On HRSATube, you will find videos on primary health care, health IT, organ donation, HIV/AIDS, the National Health Service Corps and other topics related to access to health care.
This course consists of a brief introduction followed by three lessons. Within these lessons there are video clips, case studies, and knowledge check questions.
Health Systems Evidence is a continuously updated repository of syntheses of research evidence about governance, financial and delivery arrangements within health systems, and about implementation strategies that can support change in health systems. Over time Health Systems Evidence will also contain a continuously updated repository of economic evaluations in these same domains, descriptions of health system reforms, and descriptions of health systems.
Health Systems Evidence is a continuously updated repository of syntheses of research evidence about governance, financial and delivery arrangements within health systems, and about implementation strategies that can support change in health systems. Over time Health Systems Evidence will also contain a continuously updated repository of economic evaluations in these same domains, descriptions of health system reforms, and descriptions of health systems.
The aim of this website is to share expertise and experience on health care systems with policy makers, managers of health services, health care providers and health system researchers. The website is a product of a network of partners on health systems, which individual members can be found at the bottom of this page. The network is funded by the Belgian government (Directorate-General for Development Co-operation).
The foundation for any health technology assessment (HTA) is information. In fact, health technology assessment is the synthesis of many pieces of information from many different sources. The purpose of an HTA is to provide health care decision-makers with the evidence they need to make informed decisions concerning the introduction, allocation and cost-effective use of medical technologies.
Since its beginnings in the United States in the early 1970s, health technology assessment has expanded throughout the world. This growth has been accompanied by the development of many useful sources for HTA information. Some of these sources are produced by government and HTA agencies, while others are the products of centres involved in advancing evidence-based health care, such as the international Cochrane Collaboration.
The amount of information on Internet is of course overwhelming and there is the additional problem that information can be biased, out-of-date or low-quality. The key to efficient searching is to know where reliable and relevant information can most often be found.
This guide focuses on Internet sites, particularly those that may be useful for people involved in health care in Alberta, Canada, but health technology assessments will also incorporate data from other sources. These may include specialized bibliographic databases relevant to the subject of the assessment; data from government and regulatory agencies; administrative databases; industry studies, and advice from experts in the field. Traditional print resources, such as medical textbooks, may also provide background information. These sources will vary depending on the subject and scope of the assessment. People outside of Canada may wish to add sites (i.e. government, regulatory agencies, etc.) specific to their geographic context.
How this site will save you time
- Public health content filtered for you from the literature and stored in a searchable registry
- Content that has been quality rated
- Design informed by public health decision makers across Canada
- For each review with an accompanying summary statement, evidence and implications, clearly spelled out in 2 pages
- Building networks with colleagues in your program area
This site will save you time by addressing two major barriers identified by public health and health promotion decision makers: 1) identifying public health/health promotion literature in large medical databases such as MEDLINE, and 2) accessing well-done reviews synthesizing the literature evaluating the effectiveness of numerous public health and health promotion interventions.
Canada's prized Medicare system is facing serious challenges on two key fronts: in meeting the legitimate health care needs of Canadians and in being affordable for the public purse. The founding
principles of Medicare are not being met today either in letter or in spirit. Canadians are not receiving the value they deserve from the health care system. In both 2008 and 2009, the Euro-Canada Health Consumer Index ranked Canada 30th of 30 countries (the U.S. was not included in the sample) in terms of value for money spent on health care. Canadians deserve better.
Canada cannot continue on this path. The system needs to be massively transformed, a task that
demands political courage and leadership, flexibility from within the health care professions and farsightedness on the part of the public. It is a lot to demand, but nothing less than one of Canada’s
most cherished national institutions is at stake. Unwillingness to confront the challenges is not an
option.
The latest research from PricewaterhouseCoopers’ Health Research Institute (HRI), HealthCast provides rich insight from 3,500 consumers around the world, including 500 Canadians, as well as 590 global health leaders (50 in Canada). In-depth interviews were conducted with 225 top executives in government, hospital systems, insurance companies, physician groups,
pharmaceutical and life science companies and technology firms in 50 countries, including 35 Canadian experts.
This Canadian Compendium is designed to complement the HRI global report by providing a summary of key highlights from the Canadian perspective. What are the healthcare concerns of Canadian consumers, the true end users of the healthcare system? What are healthcare leaders saying about moving Canada towards an innovative system of customized care and prevention?
What does healthcare look like now and how will things change through to 2020? This Compendium offers a robust overview of the challenges, strengths and opportunities of healthcare in Canada.
About Healthline BodyMaps
BodyMaps is an interactive visual search tool that allows users to explore the human body in 3-D. With easy-to-use navigation, users can search multiple layers of the human anatomy, view systems and organs down to their smallest parts, and understand in detail how the human body works.
Using detailed 3-D models of body parts-including muscles, veins, bones, and organs-Body Maps offers a new way to visualize and manage your health. See how the coronary artery delivers blood to the heart, and learn how plaque build-up on artery walls leads to heart disease. Locate the exact location of a pulled muscle or broken bone, and find information on how to prevent injuries. View a cross-section of the human brain, and learn which areas control certain emotions and body functions.
By offering rich, detailed anatomical images alongside links to relevant and useful health information, BodyMaps allows you to leam about your body and your health in a personalized and revolutionary new way.
In 2005, RNAO, with funding from the Ontario Ministry of Health and Long-term Care, launched a four year research project aimed at evaluating the implementation and uptake of its six foundational Healthy Work Environments Best Practice Guidelines (HWE BPG) in nine healthcare settings in Ontario. This report is the summary of findings stemming from that pilot evaluation. The six foundational HWE BPG implemented were: Collaborative Practice Among Nursing Teams; Developing and Sustaining Effective Staffing and Workload Practices; Professionalism in Nursing; Developing and Sustaining Nursing Leadership; Embracing Cultural Diversity in Health Care: Developing Cultural Competence; Professionalism in Nursing; and Workplace Health, Safety and Well-being of the Nurse.
The objectives of the evaluation were to: (1) determine the presence or extent of HWE BPG recommendations in action before and after guideline implementation in nursing practice and in nursing work settings; (2) document strategies and processes used to implement the different HWE BPGs across an array of nursing work settings; and (3) assess nurse perceptions of organizational factors and levels of worth, usefulness and effectiveness contributing to the uptake of the HWE BPGs implemented in nursing work settings.
This website brings together people from across industries who have an interest in matters pertaining to high reliability organizations (defined as "organizations which have fewer than normal accidents"). The site features articles, examples of high reliability organizations, a Risk Mitigation Model, as well as archives from their annual conference.
Within the US and around the world, hospital executives are facing increasing pressure to reduce
operating costs and improve quality of care. Hospitals that fare best will be those that become
efficient operators and reduce waste in their clinical care. Efforts are underway in many places to reduce waste, improve efficiency, and maintain quality. In December 2009, the Health Foundation in the United Kingdom commissioned the Institute for Healthcare Improvement (IHI) to design and test a tool for identifying clinical waste within the hospital inpatient setting. Through review of existing literature, conversations with experts, and direct input from hospitals engaged in testing, IHI developed the Hospital Inpatient Waste Identification Tool. The Waste Identification Tool was designed to identify clinical and operational waste from the perspective of frontline clinical staff, with the aim of informing strategic decision making for the hospital.
The Hospital Inpatient Waste Identification Tool was developed through two cycles of research and development at IHI. In the first cycle, eight hospitals (six from the UK and two from the US) conducted rapid-cycle testing of the Waste Identification Tool and engaged in one-on-one conference calls with IHI faculty to debrief those tests. The Waste Identification Tool consists of five modules — Ward Module, Patient Care Module, Diagnosis Module, Treatment Module, and Patient Module — that qualitatively identify opportunities for waste reduction. The tool is designed to provide a snapshot
of potential areas of waste within a hospital, as identified by frontline clinical staff. Once this snapshot is obtained, representatives of the hospital’s frontline clinical staff, finance department, and leadership engage in a process of enriched review and analysis of Waste Identification Tool findings to prioritize waste reduction initiatives that will result in cost savings for the organization.
This white paper describes the Hospital Inpatient Waste Identification Tool, instructs users in how to make best use of it, and offers methods for using Waste Identification Tool findings to inform strategic decisions that will remove waste.
Hospitals in Pursuit of Excellence is the American Hospital Association's strategic platform to accelerate performance improvement and support delivery system transformation in the nation's hospitals and health systems.
HPOE provides:
- Education on best practices through multiple channels,
- Develops evidence-based tools and guides,
- Provides leadership development through fellowships and networks, and
- Engages hospitals in national improvement projects.
Working in collaboration with allied hospital associations and national partners, HPOE synthesizes and disseminates knowledge, shares proven practices, and spreads innovation to support care improvement at the local level.
The Saskatchewan RN Association's discussion paper. In today’s work environments, RNs are frequently faced with increased requests and requirements to work extra shifts and overtime. Fatigue has been identified as a contributing factor to medical errors which can impact patient safety. The purpose of this discussion paper is to present the research and literature related to fatigue and to make recommendations. The responsibilities of RNs, RN managers/employers, educators and researchers are outlined.
Slide presentation regarding citing activity on Twitter among scholars.
The Health Council of Canada is pleased to report selected results of the 2010 Commonwealth Fund International Health Policy Survey, which provide insight into the general public’s views on health system performance.
The results of this survey are of particular interest because they allow comparisons to be made with 10 other countries. We are also able to compare results for some of the questions with those of the 2004 and 2007 surveys, to help us see whether Canada is improving—or not—in specific areas from the general public’s perspective.
Policy issue and context: poor work environments compromise healthworkforce
supply and quality of care
- Health policy-makers face the challenge of matching increasing demand for
- The work environment constitutes an important factor in the recruitment and
- The purpose of providing attractive and supportive work environments is to
health care with a sufficient supply of health professionals in times of existing and projected health-workforce shortages.
retention of health professionals, and the characteristics of the work environment affect the quality of care both directly and indirectly. Addressing the work environment, therefore, plays a critical role in ensuring both the supply of a health workforce and the enhancement, effectiveness and motivation of that workforce.
create incentives for entering – and remaining in – the health professions, and to provide conditions that enable health workers to perform effectively (to achieve high-quality health services).
These resources are provided to aid scholars in preparing competitive research proposals:
- How to Prepare a Winning Proposal (from the Natural Sciences and Engineering Research Council website)
- Tips for Writing a Successful CIHR Grant Application or Request for Renewal (from the Canadian Institutes of Health Research website)
- How to Write an NIH Grant (from the National Institutes of Health website)
- Elements of a Successful Proposal
Patients are most at risk for experiencing gaps in care that lead to rehospitalization during the transition between care settings. The focus of this guide is the transition of residents from the hospital to the skilled nursing facility (SNF) setting and the associated transfer of responsibility from the hospital to the SNF care team. (SNF is an umbrella term that includes nursing homes, long-term care facilities, acute rehabilitation facilities, and post-acute care facilities.)
Based on a synthesis of the literature, interviews with experts, direct observations in SNFs, and workgroups with clinicians at field sites, this How-to Guide highlights four promising changes for an ideal transition and several other changes that merit further testing. Key tools and resources to help organizations implement these changes are also included.
Links to a series of reports, including:
- Nurse Human Resource Requirements in Canada: Implications of Changes in Service Delivery
- Nursing Education in Canada: Historical Review and Current Capacity
- Canadian Survey of Nurses from Three Occupational Groups
- Mobility of Nurses in Canada
- Immigration and Emigration Trends: A Canadian Perspective
- Technological Change
- The Nursing Union Activist Focus Group Report
- Simulation Analysis Report
- Review of Concurrent Research on Nursing Labour Market Topics
- The International Nursing Labour Market
The IHI Improvement Map is an open resource, available free of charge for anyone, anywhere who share's IHI's mission of improving health care.
We have created this user-friendly, online tool to make the contents of the Improvement Map easily accessible.
You can use this tool to create your overall improvement plan, set and align priorities, and then dive deeply into the knowledge base in areas in which you've chosen to focus.
Sponsored by the BC Patient Safety & Quality Council, provincial access to all keynote speakers and special interest keynote speaker presentations from IHI's 22nd Annual National Forum will be available starting December 13, 2010. These videos will be available on IHI TV for the next 5 years through IHI's website. The video format, similar to YouTube, is best watched from an individual workstation as the image may be grainy when blown up for group viewing.
The IHI Improvement Map
The Improvement Map is a free interactive, web-based tool designed to bring together the best knowledge available on the key process improvements that lead to exceptional patient care.
Policy development is a complex process and there are many reasons why even the best arguments backed by solid research can fail to be heard or to be acted on. Decision makers are barraged with conflicting demands, often supported by contradictory evidence, making it difficult for independent researchers to even be heard. Low levels of public understanding of and interest in policy issues, lack of political will, bureaucratic inertia, and counter arguments promoted by interests with their own agendas in mind further complicate the scenario.
Even when the importance of independent public-interest research in supporting policy development is widely-accepted and when the research is designed to help resolve the recognised problems of policymakers and advocacy groups, it faces significant challenges to being effectively introduced into policy debates.
A healthier working environment is linked to a healthier workforce. Nurses who rate their
facilities as positive environments have fewer absences due to illness, lower rates of
musculoskeletal pain, and better self-rated health.1 Research shows that organizational and
managerial support lessen nurse dissatisfaction and burnout.2 As well, a positive link has
been identified between nurses’ job satisfaction and patient outcomes. A study conducted in
Ontario teaching hospitals showed that patient satisfaction with nursing care was directly
related to how satisfied nurses were with their jobs.
RN Work Project Study reveals that physical environment, workgroup cohesion play significant roles in nurses' ratings of quality of patient care.
There has been a great deal of research into the impact of nurse staffing on patient care, but we know that increasing nurse-to-patient ratios isn’t always possible,” said Maja Djukic, PhD, RN. The projected nursing shortage and the grim economic climate are making it more difficult for hospitals and health care systems to increase nurse staffing. That reality led the Robert Wood Johnson Foundation (RWJF) RN Work Project researchers to investigate whether there are other factors in the work environment that RNs perceive as affecting the quality of patient care. The RN Work Project is a nationwide, 10-year longitudinal survey of RNs begun in 2006.
“What we found in our study is that hospital administrators can improve a variety of work environment factors that are also likely to improve the quality of patient care, without having to change nurse-to-patient ratios. Improvements need to be strategic, because our work shows that the value of enhancing work environment varies across different factors,” Djukic said.
This website includes information about the Indigenous Cultural Competency (ICC) Online Training Program delivered by the Provincial Health Services Authority of British Columbia.
Core ICC Training is designed to increase Aboriginal-specific knowledge, enhance individual self awareness and strengthen skills for any professional working directly or indirectly with Indigenous people. This training would be of particular interest to those working in organizations such as justice, policing, child and family services, education, business and government.
Core ICC Health Training was designed for Health Authority, Ministry of Health, and other professionals working in the health care field. It includes the foundation provided in Core ICC with an additional two modules that focus on health care issues for those working with Indigenous people in British Columbia.
We all learn from others' experiences testing and implementing changes in real settings — who should be on the team; what measures were tracked; which changes worked best or didn't work at all; and what lessons were learned.
Improvement Project Reports, submitted by IHI.org users, accelerate our learning. In the spirit of "all teach, all learn," we encourage you to share your Improvement Report with the IHI.org community.
We currently offer online courses in the areas of quality improvement, patient safety, and leadership. Each course takes one to two hours to complete and consists of several lessons taking 15-30 minutes each.
The Institute for Work & Health (IWH) is an independent, not-for-profit research organization. The Institute has been described as one of the top five occupational health and safety research centres in the world. At IWH, our goal is to protect and improve the health of working people by providing useful, relevant research. We conduct and share research with policy-makers, workers and workplaces, clinicians and health & safety professionals. Our research is driven by two broad goals. The first is to protect healthy workers by studying the prevention of work-related injury and illness. This type of research includes studies of workplace programs, prevention policies and the health of workers at a population level. The second is to improve the health and recovery of injured workers. We conduct research on treatment, return to work, disability prevention and management, and compensation policies.
In 2009, All Nations’ Healing Hospital in Fort Qu’Appelle, Saskatchewan, identified an opportunity to introduce a palette of electronic nursing resources through the use of personal digital assistants (PDAs), wireless infrastructure and laptop computers in order to enhance timely, at the-bedside access to current policies and procedures and resources.
Individuals from All Nations’ Healing Hospital, MITACS Accelerate and the College of Nursing,
University of Saskatchewan, formed a partnership. The partners were particularly interested
exploring the impact of the technology innovations on nurses in a rural, primarily Aboriginal
context.
The work environment shifted from a reliance on paper-based, institutional documents to an
online format. Nursing staff used their PDAs to ensure that the information they were using for
patient care was relevant, up-to-date and applicable. All the partners benefited from working
together, and there is a commitment from the Hospital and the University of Saskatchewan’s
College of Nursing to maintain the relationship.
Case begins on Page 42 of linked casebook
In 2008, The Change Foundation conducted a series of focus groups with patients who were frequent users of the health-care system, and family and friend caregivers of people with multiple chronic conditions. In those discussion groups, we heard that patients and informal caregivers had concerns about the delivery of health-care services (The Puzzlemaker). These concerns included:
- a lack of coordination and communication among health-care providers—in particular, in the connecting of the hospital care process with the home-and-community-care process—which left them feeling frustrated, confused and forgotten;
- a lack of confidence that necessary information had been transferred from one provider to another or one setting to another, which left them worrying and wondering who was responsible for what; and,
- being asked to repeat tests and assessments, and provide the same medical histories and symptom reports to a series of providers. This left them wondering about waste, inefficiency and potential risks to their health.
This Casebook, the second in a series produced by Alberta Innovates – Health Solutions, showcases knowledge translation activities of the Interdisciplinary Team Grant program. The program was launched in 2008 to support research addressing complex health problems. Co-funded by Alberta Health and Wellness and Alberta Innovates – Health Solutions, the program provides $50 million over fi ve years for 10 teams. The teams are interdisciplinary and multi institutional and include nearly 600 researchers and 160 trainees, and support 147 international collaborations. Research activities of the teams cover the spectrum of basic biomedical, clinical, health services, and population health
research and all encompass an integrated KT approach.
The linked reports were prepared by the Interior Health Research Department for the purposes of decision support, program planning and/or evaluation.
The Knowledge Translation Casebook: Sharing Stories of Evidence-Informed Practice is a culmination of many years of research capacity enhancement within Interior Health, primarily led since December 2005 by the IH Research Capacity Enhancement Team and funded by the Michael Smith Foundation for Health Research – Health Services and Policy Research Support Network. The team has strived to achieve sustainable research capacity within IH, translate and applying research and build/enhance research partnerships, throughout their time with IH (2005-2010). We hope that the stories contained within this casebook help inspire others within the organization to support their work – practices and decisions – with evidence, collaborate with others, and communicate the benefits of this translation in years to come.The Interior Health Knowledge Translation Casebook: Sharing Stories of Evidence-Informed Practice is the culmination of 5 years of research capacity enhancement within Interior Health and a collection of 30 examples of evidence-informed practices within the region.
In this casebook, you will learn about some very diverse and interesting KT initiatives, written in very diverse and interesting styles. This series of KT stories provides valuable insights into the real world of evidence-informed practice and knowledge translation within the Interior Health region.
Interprofessional collaboration and patient centred care are integral to addressing a number of key health care priorities including: access, recruitment and retention, primary healthcare, and patient safety. In-BC seeks to benefit all British Columbians by bringing together partners in health, education and government who believe that interprofessional education and collaborative practice are key to addressing BC's health care needs.
Health-care workers face a high risk of developing injuries to their muscles, tendons or other soft-tissues, including back pain. These injuries are also known as musculoskeletal disorders (MSDs).
Activities such as lifting and handling patients are one of the main causes of MSDs in health-care workers.
Many prevention initiatives – such as using mechanical patient lifts, physical exercise programs or education programs – have been used to try to prevent MSDs from occurring in health-care workers. However, little is known about the effectiveness of these programs.
IWH conducted a systematic review to summarize the existing scientific literature on the effectiveness of MSD prevention programs for health-care workers.
The findings and recommendations from this review will be of interest to those involved in health and safety issues in health-care settings, including health-care workers, managers, policy-makers, unions researchers and others.
Introduction
What is evidence-informed public health: A step-by-step approach. (0.5 hours)
Learning Module
- Define: Clearly define the question or problem. (0.5 hours)
- Search: Efficiently search for research evidence. (1 hour)
- Appraise: Critically and efficiently appraise the information sources. (0.5 hours)
- Synthesize: Interpret information and form recommendations for practice. (0.5 hours)
- Adapt: Adapt the information to the local context. (0.5 hours)
- Implement: Decide whether (and plan how) to implement the evidence. (0.5 hours)
- Evaluate: Assess the effectiveness of implementation efforts. (0.5 hours)
Conclusion and next steps
Resources, learning opportunities for the future and feedback.
As a part of the "Effective Continuing Professional Development for Translating Shared Decision Making in Primary Care" project funded by the Canadian Institutes for Health Research we are pleased to post our inventory of programs and training activities dedicated to shared decision making. This inventory is a detailed list of international training activities from around the world, designed for all kinds of healthcare professionals. The activities teach professionals about shared decision making and help them integrate the approach into their daily practice.
Health Council of Canada Commissioned Discussion Paper
In this paper, we assess Canada’s current system of post-market surveillance and outline several
recent initiatives in this country.We also examine in detail the approaches adopted in other
jurisdictions that are taking steps to improve pharmacovigilance.Our examination of drug safety
regimes in the European Union (EU), the United States (US), the United Kingdom (UK),
New Zealand, and France identified important issues with respect to governance, funding,
independence and research standards, transparency, data access and ownership, and public
oversight that are relevant to Canada. A comparison of international approaches highlights
the strengths and weaknesses of these strategies relative to our own situation. The key issues
that need to be addressed to enhance public safety and confidence in pharmaceuticals in
Canada are discussed.
A free world-class education for anyone anywhere.The Khan Academy is an organization on a mission. We're a not-for-profit with the goal of changing education for the better by providing a free world-class education to anyone anywhere.
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Learn almost anything for free.
With a library of over 2,700 videos covering everything from arithmetic to physics, finance, and history and 240 practice exercises, we're on a mission to help you learn what you want, when you want, at your own pace.
All of the site's resources are available to anyone. It doesn't matter if you are a student, teacher, home-schooler, principal, adult returning to the classroom after 20 years, or a friendly alien just trying to get a leg up in earthly biology. The Khan Academy's materials and resources are available to you completely free of charge.
Welcome to the KS Canada / SC Canada website - the home of Canada's primary network of researchers, health professionals, trainees and other stakeholders all engaged in knowledge synthesis.
KS Canada is proud to announce the launch of Systematic Review Protocol Registration! This international initiative will be officially launched on February 18, 2011 in Vancouver, BC. For more details please see the following flyers: Registering Systematic Review Protocols (English PDF) or Enregistrement des revues systematiques (Français PDF).
Complete this form to register it is FREE
CIHR has identified two broad categories of knowledge translation. The first, integrated KT, is an effective way of doing research that involves collaboration between researchers and knowledge users at every stage of the research process - from shaping the research question, to interpreting the results, to disseminating the research findings into practice. This co-production of research increases the likelihood that the results of a project will be relevant to end-users, thereby improving the possibility of uptake and application.
The compilation of case studies found in this publication concerns itself with the second and equally important category of knowledge translation, end-of-grant KT. End-of-grant KT refers to the dissemination of findings generated from research once a project is completed, depending on the extent to which there are mature findings appropriate for dissemination. Researchers who undertake traditional dissemination activities such as publishing in peer-reviewed journals and presenting their research at conferences and workshops are engaging in end-of-grant knowledge translation.
From the KT Clearinghouse, a list of tools that facilitates the practice or the science of knowledge translation.
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Tools for Practicing KT
- Tools for querying primary studies that are the first generation knowledge
- Tools for querying second-generation knowledge
- Search Engine for guidelines and decision aids
- Tools for developing, adapting and evaluating guidelines
- Tools for developing, implementing and evaluating patient decision aids
- Tools for Advancing the Science of KT
- Uncategorized tools
This guide was developed by an interdisciplinary team of knowledge and information specialists, together with the investigators of the Knowledge Utilization and Policy Implementation (KUPI) research program. KUPI is a multi-year (2002-2007), collaboration funded by the Canadian Institutes of Health Research (CIHR). Principal investigator, Dr. Carole Estabrooks, along with the rest of the KUPI team, are investigating the determinants and processes of using research knowledge in implementing policy to improve patient and system outcomes. KUPI consists of a unique team of researchers from across Canada that brings together the disciplines of nursing, organization studies, political sciences and sociology.
To help ensure that their research makes a difference, research organizations are committing more time and resources to knowledge transfer and exchange (KTE) — the practice of putting relevant research into the hands of key decision-makers and stakeholders in a timely, accessible and useful manner.
Yet, the effectiveness of current KTE practices has not been routinely or consistently evaluated. In part, this could be because of the lack of instruments for assessing the impact of KTE activities.
This systematic review sought to fill this gap. It looked across a wide variety of research fields to identify tools that can accurately and reliably measure how well KTE activities bring research evidence to practitioners and change their knowledge, attitudes and/or behaviour.
The review found that few well-developed instruments are currently available. However, some instruments do show promise as potentially useful tools in evaluating KTE practices.
The Health Systems Research Centre (HSRC) in the Department of Management Science is a grouping of management scientists with a common interest in the development and application of management science/operational research methods, quantitative and qualitative, to important health systems issues. Whilst the health systems research issues tackled are wide and varied, many of them relate to the general challenges of helping health systems to make better use of available resources, in terms of both improving efficiency and improving patient experiences. Much of it concerns Knowledge Transfer, be it between researchers and practitioners, between industry and healthcare, or between the health systems of different countries.
The theme of the 2011 CEO Forum, Leadership Accountability in Canadian Healthcare: Creating the momentum to improve quality, grew from a clear message heard at the 2010 forum: Canada must create a culture of excellence in healthcare. We wanted to use this year’s meeting to discuss how to create an atmosphere that encourages quality improvement, and to share practical strategies to create a high-performing, integrated healthcare system. We also wanted to talk about the infrastructure needed to support innovation and quality improvement; how to align accountability at different levels, and how to measure performance to improve outcomes and reduce inefficiency. The afternoon sessions explored strategies for getting better value for money in healthcare—variation research, integrated care models and disinvestments strategies. These strategies are described briefly in the “Breakout Discussion” boxes in this report.
Learning From the Best: Benchmarking Canada's Health System examines Canadians' health status, non-medical determinants of health, quality of care and access to care. It is based on international results that appear in the OECD's Health at a Glance 2011, also being released today, which provides the latest statistics and indicators for comparing health systems across 34 member countries.
Canadian Academy of Health Sciences.
Twenty‐three different organizations sponsored this assessment. They all share an interest in defining the impacts of health research and learning how to improve the returns on investments in health research. Our remit from these sponsors was: Is there a “best way” (best method) to evaluate the impacts of health research in Canada, and are there “best metrics” that could be used to assess those impacts (or improve them)? Based on our assessment, we propose a new impacts framework and a preferred menu of indicators and metrics that can be used for evaluating the returns on investment in health research.
The government wants to place patients’ needs, wishes and preferences at the heart of clinical decision-making, a vision articulated by the Secretary of State for Health, Andrew Lansley, in the phrase ‘nothing about me, without me’. But what does this mean in practice?
Making shared decision-making a reality: No decision about me, without me aims to answer that question. It clarifies what is meant by the term shared decision-making and what skills and resources are required to implement it and it also outlines what action is needed to make this vision a reality.
Change management (CM) is foundational to achieving effective and efficient use of information and communications technologies (ICT) for health. Successful change implementation results in solution adoption and other long-term benefits such as improved patient care and positive organizational impacts. Success occurs when the systems, processes, tools and technology of the change initiative are embedded in the new way clinicians do their everyday work. CM is an essential driver of adoption, realizing many benefits of health ICT initiatives across Canada.
Recognizing this, Infoway has established and supports the Pan-Canadian Change Management Network, a grassroots collaborative of change management leaders that has come together to develop and guide leading practices in change management for health ICT projects.
Nursing has always been an integral part of community healthcare, and that role will grow in the future. Rising hospital and long-term care costs, medical breakthroughs and new attitudes toward care are all driving demand for improved home care, public health, primary healthcare and other community care services. This move to community health requires careful human resources planning to ensure adequate skilled staff are available to deliver services and are used to their full potential.
There are few academics who are interested in doing research that simply has no influence on anyone else in academia or outside. Some perhaps will be content to produce ‘shelf-bending’ work that goes into a library (included in a published journal or book), and then over the next decades ever-so-slightly bends the shelf it sits on. But we believe that they are in a small minority. The whole point of social science research is to achieve academic impact by advancing your discipline, and (where possible) by having some positive influence also on external audiences - in business, government, the media, civil society or public debate.
The Mayo Clinic Center for Social Media, a first-of-its-kind social media center focused on health care, builds on Mayo Clinic’s leadership among health care providers in adopting social media tools, which began with podcasting in 2005. Mayo Clinic has the most popular medical provider channel on YouTube and more than 100,000 “followers” on Twitter, as well as an active Facebook page with over 30,000 connections. With its News Blog, Podcast Blog and Sharing Mayo Clinic, a blog that enables patients and employees to tell their Mayo Clinic stories, Mayo has been a pioneer in hospital blogging. MayoClinic.com, Mayo’s consumer health information site, also hosts a dozen blogs on topics ranging from Alzheimer’s to The Mayo Clinic Diet.
Mayo has also used social media tools for internal communications, beginning in 2008 with a blog to promote employee conversations relating to the organization’s strategic plan, and including innovative use of video and a hybrid “insider” newsletter/blog. This employee engagement contributes to Mayo Clinic being recognized among Fortune magazine’s “Best Places to Work.”
The center will accelerate adoption of social media for health-related purposes, starting at Mayo and then within health care more broadly. Through this work, Mayo Clinic looks to help improve health literacy, health care delivery and population health worldwide.
Health Systems Evidence is a continuously updated repository of syntheses of research evidence about governance, financial and delivery arrangements within health systems, and about implementation strategies that can support change in health systems.
KT+provides access to the current evidence on "T2" knowledge translation* (ie, research addressing the knowledge to practice gap), including published original articles and systematic reviews on health care quality improvement, continuing professional education, computerized clinical decision support, health services research and patient adherence. Its purpose is to inform those working in the knowledge translation area of current research as it is published.
* based on the notion that T1 KT involves translational research from the lab to humans, while T2 KT has to do with understanding and enhancing the dissemination and application of research-derived knowledge in health care (Hulley et al, 2007).
You will find two types of articles on this site:
Quality-filtered KT Articles
The best evidence relevant to knowledge translation in the areas of quality improvement, continuing medical education, computerized clinical decision support, health services research and patient adherence, identified from over 130 premier clinical journals. All citations are pre-rated for quality by research staff at McMaster University. All articles are then rated for clinical relevance and interest by at least 3 members of a worldwide panel of practicing health professionals.
Non-filtered KT Articles
Knowledge translation research articles identified from other sources (i.e., the included studies of KT systematic reviews) that are not quality filtered but have relevant KT content. These papers are not rated by the panel of health professionals.
Here's what we offer:
- A cumulative searchable bibliographic database of evidence from the health care literature
- An email alerting system
Provides a list of links to free tools for evidence-based clinical practice.
From: BC Patient Safety & Quality Council
The Measurement Strategies Report provides a summary of successful measurement systems from around the world and how these systems have been used to improve the quality of healthcare. This report was developed with input from the Measurement and Indicators Working Group.
Harvard School of Business Report
Objective: To identify, review, and evaluate survey instruments used to assess teamwork, a
process critical to delivering quality care, so as to facilitate high quality research on this topic.
Data sources: The ISI Web of Knowledge database, which includes articles from MEDLINE,
Social Science Citation Index, and Science Citation Index.
Study design: We conducted a systematic review of articles published before January 2010 to
identify survey instruments used to measure teamwork and determine their psychometric
validity.
Data extraction: We identified relevant articles using the search terms team, teamwork, work
groups, or collaboration, in combination with survey or questionnaire.
Field of Work: Measuring the contributions of nurses to quality health care
Problem Synopsis: Nurses are the single largest group of health care providers and in close proximity to the delivery of patient care. Yet, the critical work nurses provide—especially in inpatient settings—is unseen and undervalued. One reason is that the growing evidence base that quantifies how nursing and nursing interventions affect quality of care and patient outcomes has not been well understood or disseminated.
Synopsis of the Work: In 2001, RWJF provided funding to the Washington-based National Quality Forum (NQF) for the identification and endorsement of a set of standards that would adequately quantify nurses’ contributions to higher-value inpatient care—improvements in the quality of care hospitalized patients receive and efficiencies in the way care is delivered.
Key Findings/Results: After a rigorous consensus process, in 2004, the NQF endorsed 15 national voluntary consensus standards for nursing-sensitive care—referred to as the “NQF–15”—that can be used for performance measurement and public reporting of hospital-level performance in three domains:
- Patient-centered measures, such as patient falls with injuries
- Nursing-centered measures, such as smoking-cessation counseling
- System-centered measures, such as the mix of registered nurses to licensed practical nurses and unlicensed assistive personnel
Mendeley is a free reference manager and academic social network that can help you organize your research, collaborate with others online, and discover the latest research.
- Automatically generate bibliographies
- Collaborate easily with other researchers online
- Easily import papers from other research software
- Find relevant papers based on what you’re reading
- Access your papers from anywhere online
- Read papers on the go, with our new iPhone app
Methodspace is the home of the Research Methods community from across the world. Join us on Methodspace! If you're not a member already, why not join us - you'll find lots of groups and resources relevant to your research.
The Monash Institute of Health Services Research (MIHSR ) is part of the School of Public Health and Preventive Medicine (SPHPM) which encompasses MIHSR, Department of Epidemiology and Preventive Medicine (DEPM), Department of Forensic Medicine and the Centre for Obesity Research & Education (CORE). MIHSR was established in 1999 as a conjoint entity of Southern Health and Monash University in response to the challenge of ensuring people have a safe and effective encounter with the healthcare system. We improve healthcare outcomes through applied research, education, advocacy and innovation in the areas of clinical management, service delivery and health policy. The Institute incorporates a multidisciplinary team with expertise in the synthesis of evidence, implementation of best practice and evaluation of change. We work together with clinicians, consumers, managers and policy makers to provide an independent perspective. We are an Institute of academic knowledge, strength and eminence within Monash University consisting of participating centres. Our research and education programs draw upon staff from these centres creating a truly multidisciplinary environment. The Institute is proud to contribute to the growing Australian and global community of health researchers and educators.
Here at MyHealthAlberta, you will find all of that great information, and much more, but from a single, reliable source relevant to Albertans.
In this technical age, we often turn to the internet when we are shopping around for information, whether it’s for the purchase of an automobile, a holiday, or even the daily weather forecast. No matter what the search is for, it almost always turns up conflicting information.
The same is true when searching the internet for health information.
The vastness of the internet is what makes it valuable, but it can also be overwhelming—too many websites, each with different descriptions, preventions, treatment recommendations, each claiming to be an expert on this condition, or that disease.
Myth Busted January 2002
Busted Again! February 2011
Fact: The proportion of Canadians 65 years of age and older is increasing as the baby-boomer generation reaches retirement age.
Fact: Older adults need more medical services than younger people.
Taken together, these snippets of reality can conjure a frightening image, in which the healthcare costs of the aging population balloon until the system becomes unsustainable, necessitating cuts to services and/or tax increases. But, healthcare costs don’t inflate uncontrollably just because there are more seniors. “Boomerangst”, as it has been cleverly dubbed, isn’t based in reality, so say the experts.
Welcome to the National Collaborating Centre for Methods and Tools (NCCMT)
We are one of six National Collaborating Centres for Public Health in Canada. The NCCMT provides leadership and expertise in sharing what works in public health. Our primary target audiences are public health managers and professionals across Canada who promote and facilitate evidence-informed decision making. Our products and services are available and relevant to all public health practitioners, policy makers and researchers. We believe that using evidence to inform public health practice and policy in Canada can improve our public health system and, ultimately, the health of all Canadians. We help you to find and use innovative, high quality, up-to-date methods and tools for sharing what works in public health.
National Collaborating Centre on Methods and Tools Resources
Areas:
- Professional Development
- Evidence-Informed Practices
- Public Health
- Knowledge Management
- Knowledge Translation
- Networking
The Centre for Clinical Health Services Research and Development (CCHSRD) at NUI Galway was established in 2006 as a timely response to the research needs of a transforming Irish health service. Recent national reforms to health care provision emphasise an integrated, interdisciplinary approach. The Centre is well placed to support and reflect this new and collaborative way of working, by harnessing as it does a rich diversity of research perspectives, methodologies and expertise from a range of disciplines. The mission of the Centre for Clinical Health Services Research and Development is to conduct, report and disseminate clinical health services research, characterised by interdisciplinary and inter-agency ways of working, with a view to producing high quality information about our health and health services.
Welcome to Kloshe Tillicum: Healthy People | Healthy Relations, BC and the Yukon Territory, Network Environment for Aboriginal Health Research (NEAHR).
Our investigators and staff Richard Vedan, Nadine Caron, Chris Lalonde, Laura Arbour, Rod McCormick, Eduardo Jovel, Jody Butler Walker and Sharon Thira, welcome you to our new website!
One of the 9 CIHR funded Network Environments for Aboriginal Health Research (NEAHRs)—formerly known as ACADRE (2001-07), NEAHRBC or NEAHRBCWAY (2007-09)—Kloshe Tillicum took its Chinook name in 2009. We've undergone some changes and are looking forward to a very productive couple of years. Have a look inside! Join our email list! Apply for funding! Tell us what research you want to see in BC!
An Aboriginal Research Network to improve and enhance the health and well-being of Aboriginal Peoples.
The mission of NEARBC is to create an environment where researchers and communities collaborate to develop research capacity that is relevant to Aboriginal peoples and is competitive in national and international arenas.
Like many major health care associations, the American Nurses Association (ANA) has acknowledged that social media is here to stay, and has released a resource to help nurses safely and effectively navigate the ever-expanding world of social networking.
The ANA’s principles are not binding; they’re intended to help nurses understand the benefits and the risks of social networking so they don’t undermine their own professional reputation or their profession.
Based at Westmead, staff of the Centre for Health Services Research conduct epidemiologic, health services and public health research; teach epidemiology, evidence-based medicine and public health; supervise Masters and PhD students; and provide direct support to clinicians and population health professionals and managers. Recent projects have included a state-wide survey to underpin NHMRC guidelines on transfusion practices, a qualitative and quantitative study of day of surgery theatre cancellations, evaluations of the safety of cardiac surgery and neuroradiologic procedures and utilization of pathology tests.
The Nurses' Health Study is growing and we want to include you! We are asking you to join more than 230,000 other female nurses who are already participating in the long-running Nurses' Health Studies.
We are inviting female nurses, between 22 and 45 years old (born after January 1, 1965) to join our new study. We hope that you will collaborate with us on this long-term study.
Join the Nurses' Health Study!
The Nurses’ Health Studies have taught us much of what we currently know about how foods, exercise, and medications can affect a woman’s risk of developing cancer and other serious health conditions.
However, there is still a great deal that we do not know, especially regarding women from diverse ethnic backgrounds. The goal of this new study, the Nurses' Health Study III, is to learn more about how women’s lifestyles (including diet, exercise, birth control, pregnancy, etc.) during their 20’s, 30’s and 40’s can influence health throughout life. To participate, click “Join Now” and log in.
The initial questionnaire will take around 30 minutes to complete. Follow-up questionnaires of similar length in will follow in 3 months and 6 months and then approximately every 2 years. If you become pregnant, we will offer you the option to answer additional questions about your pregnancy.
We will hold all personal information you provide in the strictest confidence and use it solely for medical statistical purposes.
The Health Improvement and Innovation Resource Centre is the web-based resource that will provide the tools, knowledge and latest information that will support the health and disability sector as it works to improve service delivery, implement innovation and increase productivity. The HIIRC is sponsored by the Ministy of Health, with the guidance of the sector to promote sector engagement identify and serve as a central repository of best practice, innovation, new evidence and learning and to make New Zealand related research more accessible to clinicians, providers and researchers.
We help NHSScotland improve the quality of patient care. Our work supports the Quality Strategy and covers all 3 elements of the cycle of improvement.
We are an organisation that delivers internationally recognised excellence. We work to improve the quality of care received by every patient in Scotland every time they access healthcare.
Integrating quality improvement in healthcare
We have a lead role in supporting NHS boards and their staff in achieving their goals by:
• providing advice and guidance on effective clinical practice, including setting standards
• driving and supporting implementation and improvements in quality, and
• assessing the performance of the NHS, reporting and publishing our findings.
- providing guidance on effective clinical practice, including setting standards
- driving and supporting implementation and improvement
- assessing the performance of the NHS and reporting our findings.
NIOSH Science Blog
What do EHRs have to do with NIOSH? In the clinical setting, the accurate diagnosis and management of work-related conditions is essential to an individual's health. While the EHR does not replace the skilled health care provider, it can provide information to assist providers with evaluating the contribution and impact of work on health. For example, when a person's job and workplace are recorded in the EHR, this information can help the provider evaluate the source of a patient's injury or illness. Information about a person's jobs and workplaces over time can be used to assess whether or not a chronic illnesses—such as cancer—may be related to exposures at their workplaces. In its just-released report entitled Reducing Environmental Cancer Risk, What We Can Do Now, the President's Cancer Panel recommended that physicians routinely ask their patients about their previous and current work, and that this information be incorporated into the medical record. Programming the EHR to store and display information about a person's job history will facilitate this.
From the College of RNs of Nova Scotia, this self-learning resource, which supports the College’s position statement, includes indepth information based on current workplace and nursing literature, as well as feedback from members. It is designed to assist registered nurses recognize specifi c types of violence, and to consider the use of individual and organizational strategies for eliminating violence in the workplace.
Northern Health's Research and Evaluation Department's list of Resources and Links, broken down by:
- Decision Support (Evidence Use) Resources
- Research Development & Support Resources
- Evaluation Resources
NurseONE is a national, bilingual web-based health information service designed for the Canadian nursing community. The goal of NurseONE is to provide quick access to credible, up-to-date health care information to support nurses in Canada in delivering effective, evidence-based care, and to help them manage their careers and connect to colleagues, regardless of where or when they work.
NurseONE serves as a gateway to resources and information for health care professionals in all domains of practice – direct care, education, administration, research, and policy – to support and enhance their clinical and professional expertise.
NurseONE offers two platforms. The public face offers all health care professionals access to health care news, bulletins, alerts, statistics and more. The secure subscriber-only section of NurseONE provides nurses access to a wide array of evidence-based tools and resources, from reference manuals and materials that support patient care and lifelong learning, to tools to build a portfolio and forums to connect with nursing peers.
NurseONE has been developed through a partnership between the Canadian Nurses Association (CNA), Health Canada, and the First Nations and Inuit Health Branch (FNIHB) of Health Canada. NurseONE has been shaped by and continues to evolve as a result of input gained through extensive consultations conducted by CNA and its well-developed network of nursing and health care relationships.
Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients.
Examining survey data from 95,499 nurses, researchers found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses’ benefits more comparable to those of other white-collar employees. Patient satisfaction levels are lower in hospitals with more nurses who are dissatisfied or burned out—a finding that signals problems with quality of care. Improving nurses’ working conditions may improve both nurses’ and patients’ satisfaction as well as the quality of care.
Free social media links: one of the most active online medical communities is dedicated to nurses as the number of nursing-related websites is enormous. Nursing in Social Media helps you find relevant resources.
The NBPRU is a unique collaboration between researchers and educators at the University of Ottawa and an active grassroots professional association, the Registered Nurses' Association of Ontario. The Unit strives to bring the best knowledge to nursing and healthcare to enhance practice and improve health and system outcomes.
Report from CNA Round Table Discussion held October 2010
Find articles from over 50 trusted nursing journals, including AJN and Nursing2010. Make our Recommended Reading list your first stop for the latest research. You'll also want to become a NursingCenter member. Members can save articles to My File Drawer for easy access anytime. Check back often to see the latest additions to our ever-growing collection. Most articles are available in both html and .pdf formats.
This guide presents the resources and services available to WCSU students and faculty in the nursing and pre-nursing programs.
Resources and Skills Covered:
- how to develop your information literacy/research skills for success in your coursework and to pursue evidence-based practice and lifelong learning throughout your nursing career.
- how to access books, ebooks and media in nursing
- selecting and utilizing online databases to access authoritative and current nursing information and research literature
The BC Nursing Research Initiative (BCNRI) was established to build practice-relevant health services research related to the nursing workforce in British Columbia. The Nursing Research Facilitator Program funded one position within each of the six BC health authorities to build awareness of and support for the development of this research.
This evaluation of the Nursing Research Facilitator Program provides an overview of the program’s progress in its first year of implementation (January to December 2010) based on program objectives, and highlights achievements and challenges to inform the program’s evolution. The evaluation focuses on perceptions of the program and experiences reported by key stakeholder groups: nursing research facilitators; executives and managers directly responsible for the facilitator role and/or for supporting nursing research or nursing services; and participants in facilitator activities, such as nurses, practitioners, managers and academic researchers.
The voice of the new graduate
Membership Intents
* To create a health care culture that is supportive of all new practicing nurses
* To build a cohesive and collegial nursing culture that supports, encourages and advances all of its members
* To develop and sustain the inter/intra-professional networking and leadership capacity of newly graduated nurses
* To collaborate with health care leaders to develop a vision for, and implement positive change within nursing now and in the future
The Occupational Health and Safety Agency for Healthcare (OHSAH) in British Columbia is a provincial occupational health and safety agency for the healthcare sector. Our goal is to reduce workplace injuries and illness in healthcare workers and return injured workers back to the job quickly and safely. OHSAH is jointly governed by employers and unions (bipartite), providing an innovative approach to improving workplace health and safety in the healthcare sector. A true strength of the Agency is the collaboration that occurs among these key stakeholders. We have programs and expertise in disability and disease prevention, occupational hygiene, ergonomics, occupational medicine, occupational psychology, education and training, and program evaluation. We also design, maintain, update, and provide analyses for the full range of occupational health indicators and initiatives, using the Workplace Health Indicator Tracking and Evaluation (WHITE™) Database, developed by OHSAH.
Evaluation Tools
Program Planning Steps
- Step 1 Manage the planning process
- Step 2 Conduct a situational assessment
- Step 3 Set goals, audiences, and outcome objectives
- Step 4 Choose strategies and activities and assign resources
- Step 5 Develop indicators
- Step 6 Review the plan
Online Business Case Creator
- Step 1 Assess project
- Step 2A Analyze risks
- Step 2B Analyze benefits
- Step 3 Advise
Project Management Tools
- Context, description, scope and assumptions
- Implementation roles
- Resources and budget
- Work plan
- Stakeholder roles and expectations
Funded primarily by the Canadian Health Services Research Foundation (CHSRF) and the Canadian Institutes of Health Research (CIHR), the Ontario Training Centre in Health Services and Policy Research (OTC) is a consortium of six Ontario universities that offers graduate training leading to a Diploma in Health Services and Policy Research at Lakehead, Laurentian, McMaster, Ottawa, and York universities or to an equivalent qualification through the Collaborative Graduate Program in Health Services and Policy Research at the University of Toronto. The program, which is competency-based, includes the following features: student stipends, course availability at any of the 6 participating universities; summer institutes; distance learning opportunities; linkages with students and faculty across universities and disciplines; and field placement opportunities in policy and research settings across the province.
The Health Human Resources Toolkit is produced by the Health System Intelligence Project (HSIP), in partnership with the Health Human Resources Strategy Division (HHRSD). HSIP consists of a team of health system experts retained by the Ministry of Health and Long-Term Care’s Health Results Team for Information Management to provide the Local Health Integration Networks (LHINs) with:
• Sophisticated data analysis
• Interpretation of results
• Orientation of new staff to health system data analysis issues
• Training on new techniques and technologies pertaining to health system analysis and planning
The Health Results Team for Information Management created the Health System Intelligence Project to complement and augment the existing analytical and planning capacity within the Ministry of Health and Long-Term Care (MOHLTC). The project team is working in concert with Ministry analysts to ensure that LHINs are provided with the analytic supports they need for their local health system planning activities. The Health Human Resources Strategy Division was established in 2005 as part of the Government’s overall health strategy to increase the supply of appropriately educated health professionals in Ontario to address the needs of the public. HHRSD is responsible for the development of a strategic plan to address the issues of supply, mix, education and distribution of health professionals. This includes developing an implementation plan to improve the province’s supply of professional medical resources and labour market policies to allow movement of health professional across an integrated health care system.
Pass it on! is a series of stories about successful changes to the way healthcare is delivered. Each story details an initiative that was either motivated or enhanced by evidence – whether observed in a specific project or emerging from scientific literature – and has resulted in better health outcomes for patients. The profiles provide practical ideas that can be adapted and used to inspire change in organizations across Canada.
Between Sept. 30th and Oct. 14th, 2010, students and residents all over the world gathered in interprofessional teams and analyzed a complex incident that resulted in patient harm. Selected teams presented their work to IHI faculty during a series of live webinars in October.
While there is increasing evidence on patient safety in acute care settings, less is known about the safety of healthcare services in the community, particularly within primary care.
In 2009, the Canadian Patient Safety Institute (CPSI) partnered with the BC Patient Safety & Quality Council (BCPSQC) to commission a research report on the current state of knowledge of patient safety in primary care with the goal of identifying the key issues, priorities, opportunities and strategies for advancing patient safety in primary care in Canada. Through a competitive process, a research team from the Institute of Health Economics was commissioned to develop the report, "Patient Safety in Primary Care" (pdf-2,984Kb)
Together with a pan-Canadian Advisory Group, experts and stakeholders from across Canada and internationally were engaged to contribute information and expertise throughout the research process.
The Performance Audit Handbook provides a first-stop shop for anyone interested in the theory and practice of delivering performance audits. It is intended for: evaluators working to support accountability and learning in the public sector; those seeking to commission or use such services; and researchers interested in the unfolding practice of evaluating in the public interest.
- Monitoring progress and evaluating results are key functions to improve the performance of those responsible for implementing health services.
- M&E show whether a service/program is accomplishing its goals. It identifies program weaknesses and strengths, areas of the program that need revision, and areas of the program that meet or exceed expectations.
Excerpt from 52 page slide presentation
This report provides an evaluation of the Undergraduate Student Research Internship Program (USRIP) and demonstrates how the program achieves its intended outcomes and how government investment contributes to health research capacity. Document analysis was used, which included financial records, publications and a review of annual reports dating back to the inception of the Nursing Health Services Research Unit. In addition, the McMaster University Research Internship Program Survey was sent to former student research interns. Quantitative and qualitative analysis of survey responses was conducted. Information obtained from all sources was plotted on a logic framework (Cooke, 2005; Cooke & Sarre, 2009).
On April 12, 2010, the Occupational Cancer Research Centre and the Institute for Work & Health (IWH) co-hosted a scientific symposium on the health effects of shift work. More than 100 researchers and representatives from the employer, labour and workers’ compensation communities — primarily from Ontario, but also other parts of Canada, the United States and Europe — came together in Toronto to participate in the symposium. The aim was to provide an overview from leading scientific experts on research findings about the health effects of shift work, and collectively identify the key gaps in the research evidence.
Community Health Centres (CHCs) are a model for organizing and delivering primary health care services, with a focus on health promotion, prevention, and community development.
CHCs have an interdisciplinary team that works together from the same facility. A typical team may include family physicians, nurses (or nurse practitioners), a pharmacist, a dietician or nutritionist, a mental health professional, a dentist, and a social worker or counsellor.
CHCs are non-profit or government sponsored organizations that are governed by a board of local residents and clients.
Physicians who work in CHCs are usually paid on a per-hour basis (salaried) as opposed a fee-for-service basis (fee-for-service arguably encourages doctors to see as many patients as possible and offer as many services as possible. Alternative payment schemes may encourage more comprehensive care, a focus on prevention, and facilitate collaboration with other health professsionals)
CHCs create a space for community programs, such as REACH Community Health Centre in Vancouver, which provides programs and services through its multicultural family centre.
I think that CHCs offer a way to provide better chronic care, health promotion and preventive services, and improve access to health care for underserved populations.
PHC RIS produces a variety of fact sheets on dissemination, information exchange and getting your point across.
We’ve scoured the web and talked to the experts to design fact sheets that present information simply, clearly and succinctly. Basically we’ve done the hard work so you don’t have to!
These Fact Sheets are available in PDF and are useful resources to share at workshops and conferences. Multiple copies can be ordered FREE of charge by completing our on-line order form.
Browse the collection of Fact Sheets authored by the staff of PHC RIS and select the title to view further details or the PDF icon to view the full PDF.
Writing a proposal for a sponsored activity such as a research project or a curriculum development program is a problem of persuasion. It is well to assume that your reader is a busy, impatient, skeptical person who has no reason to give your proposal special consideration and who is faced with many more requests than he can grant, or even read thoroughly. Such a reader wants to find out quickly and easily the answers to these questions.
- What do you want to do, how much will it cost, and how much time will it take?
- What difference will the project make to: your university, your students, your discipline, the state, the nation, the world, or whatever the appropriate categories are?
- What has already been done in the area of your project?
- How do you plan to do it?
- How will the results be evaluated?
- Why should you, rather than someone else, do this project?
About PROSPERO
PROSPERO is an international database of prospectively registered systematic reviews in health and social care. Key features from the review protocol are recorded and maintained as a permanent record in PROSPERO. This will provide a comprehensive listing of systematic reviews registered at inception, and enable comparison of reported review findings with what was planned in the protocol.
HISA is a scientific society, established in 1992, for health informaticians and those with an interest in health informatics. Health informatics is the science and practice around information in health that leads to informed and assisted healthcare. ‘Informed’ here means ‘that the right information about the subject (consumer, patient or population) together with relevant health knowledge, is available at the right time and in a form that allows it to be used’. ‘Assisted’ here means ‘that the job of the healthcare worker is made safer and easier and that the health consumer is supported in their decisions and actions’.
E-health, defined by the World Health Organisation as the combined use of electronic communication and information technology in the health sector, is a sub-discipline of health informatics.
HISA aims to improve health through health informatics. It provides a national focus for the science and practice of health informatics, and for its practitioners - health informaticians, as well as for the associated industry and users. It develops policy, advocates on behalf of its members and provides opportunities for learning and professional development in health informatics. Its membership is drawn from consumers, clinicians and other health information systems users as well as health informaticians, engineers, scientists, technologists, systems developers, managers, psychologists, lawyers, policy officers, researchers and others.
With support and guidance from an expert provincial Advisory Committee, PICNet brings together health care professionals with an interest in infection control from across the continuum of care and across the province.
Welcome to the Canadian Best Practices Portal, your first step to planning health-related programs. The Portal is a virtual front door to community and population health interventions related to chronic disease prevention and health promotion.
PubMed Health specializes in reviews of clinical effectiveness research, with easy-to-read summaries for consumers as well as full technical reports. Clinical effectiveness research finds answers to the question “What works?” in medical and health care.
PubMed Health is a service provided by the National Center for Biotechnology Information (NCBI) at the U.S. National Library of Medicine (NLM). The U.S. National Library of Medicine (NLM) is the world's largest medical library. It has millions of books and journals about all aspects of medicine and health care on its shelves. Its electronic services deliver trillions of bytes of data to millions of users every day.
The NLM was founded in 1836 and is part of the National Institutes of Health in Bethesda, Maryland.
The National Center for Biotechnology Information (NCBI) is a division of the NLM. It creates resources for researchers, particularly large-scale research in human genetics.
The NCBI also provides public access to information through resources like PubMed. PubMed includes abstracts—short technical summaries—of more than 20 million scientific articles in medicine and health.
PulsE is a quarterly eBulletin that provides information about newly published systematic reviews of public health and health services interventions. The reviews are drawn from a range of open access sources and are selected for inclusion in the eBulletin because of their relevance to local health policy priorities.
QHN is for anyone and everyone with an interest in improving health system performance through innovative and collaborative means. QHN's website includes a variety of tools and examples from the field in the areas of:
- Spread & sustainability
- Leadership
- Culture
- Quality Improvement
- Safety & Risk Management
- Frameworks
- Measurement
- Integration
- Storytelling
Examples of resources include: Spread – an emerging framework from NHS. NHS Institute for Innovation and Improvement; Spreading Good Ideas for Better Health Care: A Practical Toolkit; Managing Health Care Operations.
Providers have proven eager adopters of health care "apps," the software applications used on cell phones and other mobile devices to perform specific tasks, such as charting data points or aggregating information. Apps can be easily integrated into providers' workflow, delivering information when and where they need it. Disease management apps, in particular, can improve communication between patients and providers and promote adherence to recommended care. Still, for apps to achieve their potential to improve health care quality, they will need to be factored into reimbursement models and meet clear clinical needs.
The availability of robust, coherent, defensible and credible data on healthcare system performance is an essential component of any effort to improve quality. Decision makers need a shared understanding of the magnitude and nature of problems facing healthcare systems, along with a basis for communication and co-operation among the many stakeholders responsible for the delivery of health services and enhancing health outcomes. In recent years, the amount of available data and information relevant to the quality of healthcare in Canada has grown – produced by national, provincial, territorial, academic, professional and patient organizations. This chartbook seeks to draw these disparate pieces of data together to build a broad and coherent picture of the quality of healthcare in Canada. The approach adopted for this Canadian chartbook builds upon that developed by the authors for similar chartbooks in Australia, the United States, and the United Kingdom.
The Quality Worklife - Quality Healthcare Collaborative (QWQHC) is a coalition of twelve national healthcare organizations working together to create healthier workplaces and to ultimately improve patient/client and system outcomes.
GRIISIQ brings together the expertise of four Quebec academic nursing units focusing on nursing intervention research with clinical outcomes.
Welcome to the Centre for Health Services and Policy Research, Faculty of Health Sciences at Queen's University.
The Centre for Health Services and Policy Research (CHSPR) was established in 2001 as a successor to Queen's Health Policy Research Unit.
The Centre receives core funding from the Ontario Ministry of Health & Long-Term Care, salary support from Queen's University, and research funding from federal and provincial granting agencies and contract clients. Built around a core group of researchers trained in disciplines such as public policy, economics, epidemiology, biostatistics, medicine, social psychology, medical sociology and geography. The Centre is housed in the Department of Community Health and Epidemiology and has close ties to the School of Policy Studies, the Faculty of Education, and many other departments at Queen's.
Established in 1985, the Company is a full-service research organization with in-house Computer Assisted Telephone Interview (CATI) systems, focus group facilities, and state-of-the-art data scanning and analysis software. R.A. Malatest & Associates Ltd. has completed hundreds of research and evaluation projects for clients throughout Canada.
The Registered Nurses Network of BC (RN Network) serves as a coalition created to coordinate strategic planning and action toward the establishment of a permanent professional association mechanism for nursing in BC. It serves as a temporary voice for articulating a nursing perspective on matters of public policy or concern outside of the mandate of existing organizations until such time as a more permanent mechanism for professional nursing policy involvement emerges.
The Registered Nurses' Association of Ontario (RNAO) is the professional association representing registered nurses in Ontario. Their website is rich with resources.
Imagine a future where medical devices the size of a Tic-Tac could regulate your heartbeat or a simple blood test could predict a serious health condition within seconds.
The quest to provide the highest quality of care is underway. The necessary measures focus on seamless communication and increased accessibility—for British Columbians and all Canadians.
“The ultimate vision is to have the most cost-effective, widely available lab test that can give very personalized information on each patient.”
AN INDEPENDENT SECTION BY MEDIAPLANET TO THE VANCOUVER SUN
As an increasingly digital society changes the nature of one-to-one relationships, this report asks whether health technology will involve patients more or exclude them even further. In considering these issues, we present evidence that illustrates how powerful everyday technology can be in disrupting the roles and
relationships of patients and practitioners. Sometimes the effects are positive, sometimes not. The real opportunity lies in elevating shared decision-making to be as important a concern for health technology as cost savings and efficiency. Where this is done, the digital future can offer patients far more opportunities to be involved in decisions about their care, while protecting face-to-face services for the people it has value for.
This webpage provides a collection of links to relevant Canadian research ethics sites.
Are hospital funding mechanisms in Canada designed to provide efficient care?
Canadian governments are spending more on healthcare than ever. Driven by technological innovation, population aging, inflation and other factors, public healthcare expenditures are forecast to continue to increase, causing concern about the sustainability of Canada’s publicly funded systems. The hospital sector accounts for over 28% of total healthcare expenditures in Canada. Although this share has fallen considerably over the past few decades, hospitals continue to represent the largest single component of healthcare expenditures. Hospital expenditures are projected to exceed $55 billion in 2010.
Evidence suggests that provinces differ in terms of healthcare spending efficiency, which implies that there should be an opportunity for improvement. An often-cited source of inefficiency in the Canadian hospital sector is the reliance on ‘global budgets’ as the primary source of hospital funding. Global budgets can perpetuate inefficient care because they offer little incentive to reduce costs or foster innovation.
National Cancer Institute's "Research to Reality" is an online community of practice that links cancer control practitioners and researchers and provides opportunities for discussion, learning, and enhanced collaboration on moving research into practice.
The Resource for Indicator Standards (RIS) is an online catalogue of the technical documentation for health-related indicators. These indicators are used by the Ministry of Health and Long-Term Care (MOHLTC) or Local Health Integration Networks to monitor health care system performance. Indicators in RIS are documented in a standard way to promote appropriate use, comparison, and analysis.
Our Program Evaluation Guide is designed to provide nonprofit organizations a framework for thinking about evaluation as a relevant and useful program tool. This guide offers a number of useful methods, examples, and worksheets for you to use or modify to help make evaluation a part of your strategic development. See below to access a free, printable guide to evaluation. Please feel free to copy, paste and customize this document for your needs. We just ask that you credit the Robert R. McCormick Foundation.
The Honor Society of Nursing, Sigma Theta Tau International (STTI) has several great resources for nurse managers!
Links to a PowerPoint presentation held at Interior Health, April 30, 2010.
The Centre for Professional Nursing Excellence is a department of RNAO that delivers programs, activities and services dedicated to the professional development of nurses and health care organizations.
Our goal is supporting nurses to provide high quality patient care through educational offerings and resources.
The RNAO Centre offers a diverse range of educational opportunities for professionals at every level of healthcare.
This HealthyWork Environments Best Practice Guideline is an evidence-based document that focuses on preventing and addressing violence against nurses in the workplace.
The guide highlights the key nursing contributions within the six steps of the end of life care pathway.
It focuses predominantly on how nurses can and do contribute to planned (and unplanned) end of life care for adults in England
The Health Services Research Centre (HSRC) is based at the Department of Psychology, Royal College of Surgeons in Ireland. It was established as the first such centre in Ireland in 1997 to meet the growing need for research relevant to Irish services. It comprises a multidisciplinary forum of researchers. Health services research is the investigation of the health needs of the community and the effectiveness and efficiency of the provision of services to meet those needs. It provides evidence to inform the planning, management and development of quality services. Health services research is necessarily multidisciplinary with collaborative teams addressing key challenges in the health system. Details of publications completed to date and ongoing research may be found under Current Research (html link)
This guide is intended for nursing home owners, administrators, nurse managers, safety and health professionals, and workers who are interested in establishing a safe resident lifting program. Research conducted by the National Institute for Occupational Safety and Health (NIOSH), the Veterans’ Health Administration (VHA), and the University of Wisconsin-Milwaukee has shown that safe resident lifting programs that incorporate mechanical lifting equipment can protect workers from injury, reduce workers’ compensation costs, and improve the quality of care delivered to residents. This guide also presents a business case to show that the investment in lifting equipment and training can be recovered through reduced workers’ compensation expenses and costs associated with lost and restricted work days.
The Scottish Patient Safety Programme aims to steadily improve the safety of hospital care right across the country. This will be achieved using evidence-based tools and techniques to improve the reliability and safety of everyday health care systems and processes.
Let Our Search Bar Help You Find What You Need
Use the search bar on the left to help you navigate through the different types of guides and research reports available. You may search by health condition, keyword, or type of research. You can add comparative effectiveness research grant awards to your search results by checking the box at the bottom of the search bar. These grants can also be viewed on the Comparative Effectiveness Research Grant Awards page.
Shared service practices involve the integration of service activities across various areas of an organization, or across different organizations, into a single entity. The main purpose of shared services is to improve efficiencies and help manage costs. A shared service can be defined as “the concentration or consolidation of functions, activities, services or resources into one stand-alone unit. The one unit then becomes the provider…to several other client units within the organization.”1
Shared service practices are used in both the public and private sectors, and are more commonly seen in larger and more complex organizations.2 There are various shared service models that can be adopted, with each offering its own benefits and concerns.3 Governments in the United States, Australia, the United Kingdom, and Ireland have successfully implemented shared service initiatives.1 In response to the increasing demands placed on health care funding, several Canadian jurisdictions ? namely Ontario, British Columbia with Alberta as a partner, and New Brunswick ? have introduced new approaches to coordinate and integrate the procurement of services and supplies required by their health care systems.
According to the U.S. Bureau of Labor Statistics [2009], the incidence rate of lost-workday injuries from slips, trips, and falls (STFs) on the same level in hospitals was 38.2 per 10,000 employees, which was 90% greater than the average rate for all other private industries combined (20.1 per 10,000 employees). STFs as a whole are the second most common cause of lost-workday injuries in hospitals.
The Change Foundation joined forces with the Health Strategy Innovation Cell in this project, "Using Online Patient Dialogue to Drive Healthcare Improvement". The project developed and tested emerging best practice guidelines for healthcare organizations on the use of open-access profiles and public pages on Social Media such as Twitter, Facebook and blogs to improve patient care, enhance quality improvement (QI) and patient-centred care. We produced this e-toolkit to share lessons learned about the potential and limitations of social media to improve healthcare quality.
Social media sites have grown in popularity among millions of people around the world. For medical professionals, these sites present new avenues for interaction with family, friends, patients, colleagues, and organizations. This article will provide an introduction to social media and the various networking opportunities they offer. With many choices and designs, these platforms provide healthcare professionals with new ways to support their work. Additionally, advice on how to get started participating in social media will be offered, and the ethical and professional concerns that have been raised about using social media will be discussed.
What Are Social Media?
Social media are Internet-based platforms that allow people to connect and interact. Mimicking the networks that exist in our personal lives, social media aim to streamline these networks and give people the opportunity to deepen connections and share with each other to a greater extent.
This new free report is available now from the UK Research Information Network.
This guide has been produced by the International Centre for Guidance Studies, and aims to provide the information needed to make an informed decision about using social media and select from the vast range of tools that are available.
Social media is an important technological trend that has big implications for how researchers (and people in general) communicate and collaborate. Researchers have a huge amount to gain from engaging with social media in various aspects of their work.
This guide has been produced by the International Centre for Guidance Studies, and aims to provide the information needed to make an informed decision about using social media and select from the vast range of tools that are available.
One of the most important things that researchers do is to find, use and disseminate information, and social media offers a range of tools which can facilitate this. The guide discusses the use of social media for research and academic purposes and will not be examining the many other uses that social media is put to across society.
Social media can change the way in which you undertake research, and can also open up new forms of communication and dissemination. It has the power to enable researchers to engage in a wide range of dissemination in a highly efficient way.
Slide show: There are many social networking tools for scientists that can be used to share information, engage the social network and move information about activities across the web. This presentation provides an overview of some of the tools available and how they can be used by scientists to expose their activities, manage their profile publicly and participate in the network.
The Statistical Consulting and Research Laboratory (SCARL) is operated by the UBC Department of Statistics. SCARL's services are available to all faculties as well as to off-campus clients. The services SCARL provides cover the spectrum of statistical design and analysis, as well as ancillary areas.
Statistics: Power from Data! will assist readers in getting the most from statistics. Each chapter is intended to be complete in itself, allowing you to go directly to the topic you wish to learn more about without reading all of the other sections.
This web resource is published primarily for secondary students of Mathematics and Information Studies, although it will also be used by other students, teachers and the general population.
Statistics: Power from Data! was been created and modified using comments and requests from teachers, about the topics they would like to see covered, and the amount of time that could be devoted to them in a course.
Along with extensive text, this web resource contains exercises to help students consolidate their understanding of the material.
This resource aims to help students:
•gain confidence in using statistical information to complete study requirements
•appreciate the importance of statistical information in today's society
•make critical use of information that is presented to them.
Unless governments change their approach to addressing the needs of poorer and socially disadvantaged Canadians, we are destined to continue to spend large amount of dollars on our health care system. Governments must expand their approach to health promotion in order to tackle the major societal factors that lead to poor health and to take pressure off health care budgets.
The report Stepping It Up: Moving the Focus from Health Care in Canada to a Healthier Canada indicates that health disparities play a significant role in health system costs. It states that ongoing spending on acute care and programs encouraging a healthy lifestyle is not enough to improve the overall health of Canadians, particularly those who live in or close to poverty.
Personal Health Systems (PHS) and Remote Patient Monitoring and Treatment (RMT) have the potential to alter the way healthcare is provided by increasing the quantity and quality of care. This report explores the current status of PHS and, more specifically, of the RMT market in Europe. It addresses the question of how these technologies can contribute to dealing with some of the challenges facing the European healthcare delivery systems caused by higher pressure of demand through chronic diseases and demographic change, combined with diminishing resources for health care. Uptake and diffusion of these services would potentially reduce death rates, and avoid recurring hospitalisation in a cost-effective manner. However, the report identifies various barriers which hamper the full deployment of RMT in Europe. In the conclusion, the report provides a number of tentative policy options which aim specifically to foster EU-wide deployment of RMT/PHS.
New Charting Nursing's Future brief focuses on implementing the IOM Future of Nursing report's recommendations on interprofessional collaboration.
Among the many recommendations from last year’s groundbreaking Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, was a call for a transformed health care system in which “interprofessional collaboration and coordination are the norm.” The latest policy brief in the Robert Wood Johnson Foundation’s (RWJF’s) Charting Nursing’s Future (CNF) series is the second of four focused on the IOM report’s recommendations. It delves into what that recommendation means for health care systems, offers case studies of several collaborative care models already in place, and examines the implications for how we train nurses and other health care professionals.
There are a variety of nursing degrees and dozens of specialties within the career, but there are certain courses that all nurses are going to have to take at one point in their journey to becoming an RN. From basic life sciences to advanced clinicals, learn about the courses that most nursing programs require.
Collaboration can help you better align resources with needs, reduce competition, increase effectiveness, and make your results more sustainable. Of course, achieving true and productive collaboration can also be challenging. It requires that organizations work outside historical boundaries; dedicate people, skills, and energy to the effort; deal with a diversity of priorities and culture; and think of their organizational plans and operations as part of a system that needs to function seamlessly and harmoniously. It is no wonder that many organizations are at a loss when deciding whether, when, how, and with whom to collaborate.
TrygFonden, Danish Regions and the Danish Society for Patient Safety are working together on the Danish Safer Hospital Programme 2010-2013 with expert assistance from the Institute for Healthcare Improvement, IHI.
The Danish Safer Hospital Programme is designed to prevent inadvertent errors, injuries and deaths. The aims are to achieve 15% reduction in mortality and 30% reduction in harm, by ie. reducing the number of cardiac arrests, eliminating hospital infections, reducing pressure ulcers, and preventing medication errors. The results will be shared and disseminated to be an inspiration for the country's other hospitals.
Institute of Health Economics
The Database of Online Health Statistics provides quick and easy access to freely available web-based statistics generated by national and global agencies and research groups.
Canada and Sweden are highly regarded as among the world’s best in the sport of hockey. Likewise, they are also highly regarded in regards to the delivery of healthcare. In May 2011, 17 senior health care leaders from Canada, and one from the United States, traveled to Sweden to study health care service and delivery models. Thanks to ARAMARK Canada, the Canadian College of Health Leaders, and the Emerging Health Leaders, a 19th joined the group – the writer and recipient of the 2011 Emerging Leader Scholarship. The experience was profound.
CPSI Research Competitions > 2008 > Research Results: Forster
The Full report is comprised of the Main Messages, the Executive Summary and the Technical Report
Deliverables
The Effects of Hospital-Acquired Clostridium Difficile Infection on In-Hospital Mortality (Article)
The effect of hospital-acquired infection with Clostridium difficile on length of stay in hospital
Team
Lead
Alan J. Forster, MD, FRCPC, MSc.
Scientist, Clinical Epidemiology Program
Ottawa Health Research Institute
aforster@ohri.ca
Team Member(s)
Dr. Virginia Roth, The Ottawa Hospital, Ontario
Dr. Carl van Walraven, Ottawa Health Research Institute, Ontario
Dr. Kumanan Wilson, Ottawa Health Research Institute, Ontario
Dr. Monica Taljaard, Ottawa Health Research Institute, Ontario
This project was made possible through the cash and in-kind contributions of the:
Canadian Patient Safety Institute
The Ottawa Hospital
With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.
The National Health Service (NHS) needs to save £15 billion to £20 billion over the next few years. This paper argues that these savings could be achieved through radical patient–centred service redesign and more effective approaches to public behaviour change. However, these approaches are difficult to develop within the existing health service. NESTA’s experience of working with leading companies and developing projects in healthcare demonstrates that radical new ways of innovating that give genuine power to frontline staff, patients and the public are necessary to make these approaches widespread. This would unlock the savings we need and improve the nation’s health.
Mental Health at Work… From defining to Solving the Problem
The number of publications on work-related mental health problems has been growing continuously for many years. Thus, a multitude of articles and books deal with this problem, which affects both individuals and organizations, and attempt to analyze its symptoms, causes and consequences. However, few studies have managed to grasp the problem in its entirety, and still fewer have presented it in terms that are simple and accessible to everyone.
This is precisely what the Chair in Occupational Health and Safety (OHS) Management at Université Laval has set out to do by creating this series of booklets which are aimed at raising awareness about this issue. Entitled Mental Health at Work… From defining to Solving the Problem, this series is the result of research carried out on the prevention of work-related mental health problems (Brun, J.P. et al. 2002), and is intended for everyone who wants to understand the issue and to become better equipped to prevent it. This series comes in the form of a kit made up of three booklets on the scope (Booklet1), causes (Booklet 2), and prevention (Booklet 3) of the problem.
Theory is an important component of robust nursing informatics knowledge, a fact that is sometimes overlooked in both education and practice. The novice to expert model was featured in my editorial in our last issue, Volume 5, Number 4. A theory focus continues in this issue with a look at the oldest, simplest, yet robust and applicable change management theory, Kurt Lewin’s Change Theory.
Old data learns new tricks: Managing patient security and privacy on a new data-sharing playground
Data is quickly becoming one of the health industry’s most treasured commodities. Yet, health organizations are acutely aware that sensitive data can be easily compromised. In just the last year and a half, a breach of personal health information occurred, on average, every other day. Breaches erode productivity and patient trust. They’re costly, unpredictable, and unfortunately quite common. More than half of healthcare organizations surveyed by PwC have had at least one privacy/security-related issue in the last two years.
TIGER: Technology Informatics Guiding Education Reform
TIGER is now moving forward to integrate a full set of recommendations on:
- Developing a U.S. nursing workforce capable of using electronic health records to improve the delivery of healthcare
- Engaging clinicians in the development of a Nationwide Health Information Technology infrastructure
- Accelerating adoption of smart, standards-based, interoperable, patient-centered technology that will make healthcare delivery safer, more efficient, timely, accessible, and efficient in a new interdisciplinary approach
Tips for grant-writing from UVic's SSHRC Grant Facilitator.
Information that should be helpful as you prepare future applications to CIHR.
How can we re-think and redesign our funding models and payment systems to incent providers to work together in the best interests of individuals and their caregivers as they move through the health-care system? At the invitation of Ontario’s Ministry of Health and Long-Term Care (MOHLTC), The Change Foundation hosted a symposium in April 2010 to investigate the impact that funding levers and financial incentives can have on the quality of people’s experience as they navigate their way through the continuum of care.
Hertencia Bowe, the national health information management program coordinator for Rasmussen College, spoke to Healthcare IT News about some smartphone apps that can help students and professionals be "more knowledgeable, prepared and organized when they're on the job."
Bowe says students and professionals that are pursuing a HIT degree can expect "a career of analyzing medical data, medical billing and coding and health information management," which she says means they must "be able to juggle numerous responsibilities."
Although many areas of computing and browsing can be regulated to Mac or Microsoft, internet browsing is not one of them. Mozilla Firefox was able to find fans all over the world with its customizable web browser with millions of add-ons. In that tradition, Google has also leaped into the internet browser war with Chrome. They have also taken a hint from Mozilla and are offering tons of extensions to customize any surfing experience.
Those of you who are in nursing school might think the browser is too new to offer anything for you. However, there are many options in the below top 30 Chrome extensions for nursing students. They have choices for the medical professional, student, and practically anyone looking to make the most of Chrome.
This knowledge synthesis has been compiled on behalf of the planning committee for a Think Tank entitled “Toward a National Report Card for Nursing.” The objectives of the Think Tank are to create a shared vision and critical path for a national report card on nursing, to generate support for the work, and to outline the steps to achieve the national report card. The report card for nursing is envisioned as a selected minimum set of data on input, process and output indicators that can be collected nationally (initially using pilot sites) and benchmarked. In the future, such report card data will be used to formulate relationships between the levels of indicators, and will consequently reveal the contribution of nursing care to nursing sensitive outcomes and influence policy direction for nursing.
From our review of knowledge transfer models we identified five components which appeared to be crucial to the knowledge transfer process;
- identifying and communicating about the problem which the knowledge needs to address
- analysing the context which surrounds the producers and users of knowledge
- developing and selecting the knowledge/research
- selecting and carrying out specific knowledge transfer activities
- considering how the knowledge will be used in practice
We also identified three alternative processes by which knowledge or research can be transferred:
- A linear process
- A cyclical process
- A dynamic, multidimensional process
The purpose of this paper is to articulate the shifts in the theoretical conceptualization of, and the practice of leadership in health care in Canada that are happening as a response to challenges of system transformation; and the implications of those shifts for individual leaders, for health services delivery, for research into health system leadership, and for leadership development approaches in university and health agencies.
The purpose of this white paper is to examine promising opportunities for innovation in Canada’s health care system. This report examines opportunities to improve the system’s sustainability in the midst of an immense and burgeoning market for healthcare products, systems and solutions. This report aims to de-compartmentalize many of the policy and programmatic tools and elements of the Canadian health landscape while demonstrating how unification of efforts across health stakeholder communities can transform Canada’s health care system into an entity that achieves productivity, innovation and sustainability.
The purpose of this white paper is to examine promising opportunities for innovation in Canada’s health care system. This report examines opportunities to improve the system’s sustainability in the midst of an immense and burgeoning market for healthcare products, systems and solutions. This report aims to de-compartmentalize many of the policy and programmatic tools and elements of the Canadian health landscape while demonstrating how unification of efforts across health stakeholder communities can transform Canada’s health care system into an entity that achieves productivity, innovation and sustainability.
Launched in 2003, Transforming Care at the Bedside (TCAB) is a national program of the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI).
One of the most promising changes that has been developed within TCAB is “creating an ideal transition home” for patients who are being discharged from medical and surgical units within hospitals. This How-to Guide builds upon relevant research and published literature, and integrates what TCAB hospitals have learned as they strive to dramatically improve the quality of care for patients discharged from the hospital to home or to another health care facility.
Although this guide specifically focuses on patients with heart failure (HF), the proposed changes for creating an ideal transition home can be generalized and adapted to improve the discharge process for all patients.
The How-to Guide is divided into three sections:
- Section One highlights four key components of an ideal transition home and specifies individual changes that can be tested. Key references and links to resources are included.
- Section Two outlines a practical step-by-step sequence of activities to assist staff in testing and adapting many of the proposed changes described in Section One.
- Section Three includes tools, resources, practical ”real-world” tips, examples from hospitals, and case studies of hospitals that have implemented many of the changes proposed in this guide.
Social media has moved beyond being a tool for young individuals to share their private lives (pictures, messages) to fostering serious discussion on technology and business. Increasingly driven by regulatory pressures, the need “get it right the first time” and minimize costs remains a concern in the healthcare industry. Customer feedback to improve business has thus become very important. User generated content in the form of peer reviews on service/ products often paves the way for businesses to understand any unique requirements as well as pain points of the existing services they provide.
Social media is making interactions between end users and service providers possible by providing relatively simple, easy to access (one can access social media even using a mobile phone) and unbiased platforms for sharing feedback. Little wonder then that many healthcare providers in the world are on social media such as Twitter, Facebook,YouTube and blogs.
ABSTRACT: For this study, the authors conducted case studies of four varied clinical programs to learn key factors influencing the diffusion and adoption of evidence-based innovations in health care.They found that the success and speed of the adoption/diffusion process depend on: the roles of senior management and clinical leadership; the generation of credible supportive data; an infrastructure dedicated to translating the innovation from research into practice; the extent to which changes in organizational culture are required; and the amount of coordination needed across departments or disciplines. The translation process also depends on the characteristics and resources of the adopting organization, and on the degree to which people believe that the innovation responds to immediate and significant pressures in their environment.
The TRIP Database is a clinical search engine designed to allow clinicians to quickly find answers to their clinical questions using the best available evidence.
The TRIP Database started in 1997 as a result of the work of the founders (Jon Brassey and Dr Chris Price) in answering clinical questions. They recognised that searching multiple websites separately for relevant information was time-consuming. The creation of the TRIP Database allowed the simultaneous searching of multiple sites, hence speeding up the question answering process.
The evolution of the TRIP Database has been guided by the desire to answer real clinical questions using the principles of evidence based medicine. TRIP Database Ltd’s involvement in clinical question answering has shown the type of material that is useful in answering genuine questions health professionals have. In 2006 the site was been externally evaluated by a team from the Centre for Evidence-Based Medicine (www.cebm.net) led by Professor Paul Glasziou. More recently we have created a TRIP Advisory which has given us further input into the development of the site.
This site is run by the Centre for Health Care Management at the University of British Columbia and aims to provide health care decision-makers with current articles, news items, reports, and publications that are of professional interest. Our focus is on Canadian gray literature (articles that are not published in peer-reviewed articles or publishing firms, such as: government reports, corporate reports, studies conducted by private organisations), however we will also post original book reviews and links to items of particular interest in peer-reviewed journals and the mass media.
With the exception of original book reviews and working papers by members of the Centre for Health Care Management, we do not provide access to the original article, but post a brief abstract, citation, and a link to the article. For this reason, our focus is on open access material which is freely available to all our visitors. If a non-open access article is considered vital knowledge for health care decision-makers, a note will be included in the post indicating that this material requires a subscription. Furthermore, instructions can be found in our FAQ section to help our users acquire the material through their organisation.
UBC Centre for Health Services & Policy Research (CHSPR) is committed to making lasting advances to population health and health services in Canada as leaders of independent, policy relevant research, graduate training, and data resources.
cIRcle is an Information Repository (or institutional repository) for published and unpublished materials created by the University of British Columbia. cIRcle is also openly accessible, which means that it is freely available to anyone via the World Wide Web.
cIRcle consists of various communities and collections. Communities are UBC departments, labs, research centres, schools or other administrative units. Each community oversees one or more of its own collections, which contain submitted items.
Scholarly communication comes full circle
Over the past few decades, the cost of scholarly publishing and journal subscriptions - especially in the areas of science, technology and medicine - has surged.
Digital archives such as cIRcle provide an opportunity to make UBC's intellectual output freely available online. We organize and preserve the content, and make it accessible to the local community and to national and international
The Health Services Research Network (HSRN) aims to connect all universities, commercial and professional organisations, charities and NHS bodies with an interest in HSR.
Formed in 2005 to promote the development of networking in the health service, NHS Networks is a free resource dedicated to help people get together to share ideas and improve the health service for all those who work in and use it. Our mission is to provide a home for networks of all kinds; a way for people to link with others who share their interests, to join existing networks or start new ones; and to enable networks to connect in interesting new ways.
The Centre for Health Services Research and Policy (CHSRP) is a multi-disciplinary research centre within the School of Population Health, University of Auckland. CHSRP undertakes research with a primary focus on the funding, provision, evaluation, organisation and management of health services; and the development and implementation of health policy.
The Health Services Management Centre is one of the leading centres specialising in policy, development, education and research in health and social care services in the UK. HSMC’s prime purpose is to strengthen the management and leadership of these services and to promote improved health and well-being.
The Centre for Health Services Studies (CHSS) is an international centre of excellence for health service research and research training. The centre has a wide range of research and inter-disciplinary experience. It undertakes commissioned research and has a portfolio of competitively funded studies. CHSS has specialist groups for its research and other collaborations. It is a research unit of the University School of Sociology, Social Research and Social Policy (SSPSSR)
Mission Statement
"The Health Services Research Centre strives for excellence and relevance in health services research"
The Centre for Health Services Research was established in 1996 to:
- oversee initial construction of the unique health datasets which are the Western Australian Data Linkage System (WA DLS), one of only six such record linkage systems worldwide
- undertake a core research program of population-based epidemiological studies into health system utilisation and outcomes
- facilitate collaboration between public health and clinical researchers, health care planners and health service administrators.
UpToDate is a clinical decision support system that helps doctors, nurses, clinicians and other allied health professionals provide safe and current patient care. The UpToDate website answers clinical questions quickly and accurately at the point of care which in turn can save time and improve patient outcomes.
UpToDate is user-friendly and covers over 8,500 topics in 17 different medical specialties. The information provided by the UpToDate website is compiled by a team of 4,400 expert clinicians who contribute as authors, editors and peer reviewers. The team’s reviews systematically cover major aspects of specific medical conditions, symptoms, tests, diagnosis, and current treatment options. Treatment recommendations generated on the UpToDate website are based on best medical evidence. Recommendations are kept current, as an updated version of UpToDate is released every four months. Treatment recommendations included on the website are also graded to assist users in determining their strength and quality of evidence in an efficient manner.
For more information, please visit: www.uptodate.com
Part 2 - Exploring Two Case Examples and Imagining the Future
In the fall of 2009, the Health Strategy Innovation Cell’s CEO Neil Seeman and his Chief Imagineer
Carlos Rizo brought us a unique proposition to explore the potential of social media as a tool to advance a more responsive, patient-centred healthcare system in Ontario. Social media refers to collaborative and interactive online communication and community-building tools. Though neophytes in social media, we recognized that the core question fit well with The Change Foundation’s work: supporting the creation of a more integrated and innovative healthcare system responsive to the needs and lived realities of those it serves.
The project had two phases, producing a two-part guide to current practice and future promise, and culminating in an online eToolkit that will be hosted by the Innovation Cell. The guide, provided for people who prefer to get information from a more traditional format, mirrors much of the content of the eToolkit, though there will be additional dynamic and interactive resources available in the online version. We encourage you to explore the eToolkit at innovationcell.com when it is released later in June.
In the fall of 2009, the Health Strategy Innovation Cell’s CEO Neil Seeman and his Chief Imagineer
Carlos Rizo brought us a unique proposition to explore the potential of social media as a tool to advance a more responsive, patient-centred healthcare system in Ontario. Social media refers to collaborative and interactive online communication and community-building tools. Though neophytes in social media, we recognized that the core question fit well with The Change Foundation’s work: supporting the creation of a more integrated and innovative healthcare system responsive to the needs and lived realities of those it serves.
Twitter is a form of free micro-blogging which allows users to send and receive short public
messages called tweets. Tweets are limited to no more than 140 characters, and can include
links to blogs, web pages, images, videos and all other material online. You can start tweeting in
10 minutes, anytime, from your computer, smart phone or tablet.
By following other people and sources you are able to build up an instant, personalized
Twitter feed that meets your full range of interests, both academic and personal. Thousands of
academics and researchers at all levels of experience and across all disciplines already use
Twitter daily, alongside more than 200 million other users.
Yet how can such a brief medium have any relevance to universities and academia, where
journal articles are 3,000 to 8,000 words long, and where books contain 80,000 words? Can
anything of academic value ever be said in just 140 characters?
This guide answers these questions, showing you how to get started on Twitter and showing you
how Twitter can be used as a resource for research, teaching and impact activities.
There is ample evidence indicating the need to improve health care quality. Health care organizations have been investing significant resources to implement systems and processes to improve care quality, but must pursue these efforts strategically in order to maximize their effectiveness within an environment of growing resource constraints.
A considerable amount of information suggests that workforce practices may represent an important and underutilized resource for supporting quality improvement activities in health care organizations. The availability of a stable, capable health care workforce has been shown repeatedly to be critical to the efficient and effective delivery of health services. Although researchers are still investigating links between workforce practices and care quality, the findings so far suggest that several practices hold the potential to positively affect organizational outcomes.
Verita Strategy Group is a Canadian (FIPPA/FOIPOP compliant) company that specializes in customized analytic and technical support services in:
- research design, evaluation, analysis and reporting
- online surveys and other data-gathering sites and instruments
- database management and reporting systems
- project administration and management
- professional assessment + certification design and management
- examination design, validation and online delivery
- EDC (Electronic Data Capture) systems
- OMR data collection and scanning
- 360/MSF assessments
Custom Web-Based Surveys, EDC Systems and Analysis
We can help you from the design phase right through respondent contact and tracking and finally by compiling your data and delivering your results in a customized report. Our survey and data hosting services and our servers comply with the highest levels of data security and performance standards, including FOIPOP/FIPA requirements.
Funding Research and Applications
Services in this area include assistance in the preparation of grant applications by preparing cost and timeline estimates, and in the technical aspects of research ethics board (REB) submissions.
Consultation and Specialized Services
We offer a full range of services, from the highly technical to the broadly interpretive including:
- Database Design/Management
- Conversion of “Paper and Pencil” studies to online tools or OMR
- Descriptive Report Writing
- Focus Groups
- Assistance with Research and Evaluation Techniques
- Ad-Hoc Research Consultation
VIHA compiles a comprehensive listing of funding opportunities from a variety of external funders (.pdf file).
The WCIHC is in a unique position to leverage knowledge and resources for achieving system-wide change. Current findings in the field of interprofessional practice & education will be delivered to national and provincial policy makers to develop sustainable workforce strategies and high quality care.
Western Healthcare Improvement Network (WHIN) promotes and facilitates health care improvement initiatives at all levels from system-wide conferences to organizational quality improvement action teams, to individual skill development workshops.
The Western Regional Training Centre for Health Services Research (WRTC) is an innovative and collaborative initiative that supports the training of applied health services researchers across disciplines, sectors, and institutions, equipping them to address the research needs of a wide range of health care policy and decision-makers.
This report presents a detailed account of the two-year study and the conclusions that emerged. It contains insights into how leadership development can support QI in the NHS. In addition, our findings contribute to what is known about the links between leadership and improvement in the NHS, and provide new ways of understanding the nature of this improvement work.
The results of the study provide the Health Foundation with evidence to further develop its suite of leadership development work. The practical application of our findings lies in the future design and development of leadership programmes, both within the Health Foundation and more broadly. The findings also provide
lessons about approaches to evaluating the impact of leadership development which are of relevance to commissioners, providers and sponsoring organisations.
At a time when the world is facing a shortage of health workers, policymakers are looking for innovative strategies that can help them develop policy and programmes to bolster the global health workforce.
The Framework for Action on Interprofessional Education and Collaborative Practice highlights the current status of interprofessional collaboration around the world, identifies the mechanisms that shape successful collaborative teamwork and outlines a series of action items that policy-makers can apply within their local health system.
The goal of the Framework is to provide strategies and ideas that will help health policy-makers implement the elements of interprofessional education and collaborative practice that will be most beneficial in their own jurisdiction.
We are pleased to inform you that we have just launched a secured password Website for Patient Safety Research. You are invited to be part of this network by joining this website.The aim of this site is to enable many colleagues who are interested in Patient Safety Research around the world to access information about Patient Safety Research. We expect that the site will also facilitate the sharing of knowledge and experience. This site is still in the midst of development, but we decided to open it earlier due to popular request. We would appreciate your comments on and suggestions for this site.
By joining the website, you will be able to:
* Open and save videos and presentation slides of past on-line Introductory Courses for Patient Safety Research (You do not need to inform us);
* Discuss issues, share ideas and exchange information with other visitors;
* Obtain the latest information relating for the Patient Safety Small Research Grants Programme;
* View approved proposals for the Patient Safety Small Research Grants Programme; and
* Give your comments and suggestions for further improving this site.
We will develop this initial page further based on your comments and requests.
Create your own account (free):
https://extranet.who.int/ads/adswebinterface/help.aspx (URL for account creation)
Information overload is a problem of the modern age. So, as a research communicator, how can you cut through the barrage of info and not only reach your target audience, but also engage with them?
It’s a challenge for any organization, but it’s a significant struggle for those in research communications, specifically. You’re trying to spread the word about your institution’s research endeavours, and in turn how fantastic and forward-thinking your university is, but the fight to be heard is a formidable one. Plus, you must walk the line between informing and overwhelming your audience with details about research studies. Oh, and you must maintain consistent messaging and regular contact with your audience when your research magazine is only published, say, two or three times a year.
Ceiling lifts - They're not just for transfers
Handling patients accounts for one in three injuries among health care workers. Other common care tasks can also pose a risk to workers. Ceiling lifts, when used with a variety of slings, can help to reduce those risks.
Ceiling lifts vs. floor lifts - What's the difference?
Care facilities need a combination of both total body floor lifts and ceiling lifts to perform patient handling tasks. This bulletin discusses key differences between these types of lifts that should be considered when determining which lift to use or purchase.