The new blended learning nursing degree at the University of Huddersfield offers…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. Nursing Times; 106: 44, early online publication. guidance to participants that have already completed studies. Nursing research articles were only 7.6% of the cited documents in clinical publications. Sponsors of Clinical Trials of Investigational Medicinal Products (CTIMPs) are required to publish a research summary of their  findings  on the EuDRACT database within one year of the study’s completion. If service users and carers are to be supported, and encouraged, to exercise choice about their care, they need good quality, timely information which is contextually relevant and appropriate to their situation. A range of different teaching methods are now being used to engage and develop research awareness in pre-registration education (Irvine et al, 2008). Nursing Times; 104: 2, 37-38. Furthermore, the adoption of action research, or consensus-building approaches, to project work, underpinned by academic knowledge and theory, could reinforce the likelihood of findings being implemented, and recommendations from project work being relevant to local teams. There are also personal development opportunities that attract people to research, including educational attainment or the advancement of careers. title, available registry reference numbers), summary of the research as submitted to the REC and the REC’s opinion. This site uses cookies. Watt G (1996) All together now: why social deprivation matters to everyone, British Medical Journal; 312: 1026-1029. You should submit 1) To ensure timely dissemination of new guidance 2) To develop and maintain an accurate recording system 3) To ensure clinical audit evidence of compliance Reasons for implementing your project The original system was that NICE TAs and CGs were assessed and discussed at Medicines Management Group and assigned a clinical lead where appropriate. We publish details of all research reviewed by the Research Ethics Committees (RECs) in the UK as a research summary record. Undergraduate psychology degrees, on the other hand, have always had high research content, often necessitating the completion of a research-based dissertation. the HRA guidance on information at the end of study. Tel: 01985 279021. applies to the study types (as referenced above) from 1 April 2015. studies involving Links with audit committees or departments are required to strengthen the implementation of any research findings, and evaluation of successful implementation into practice, making use of appropriate outcome measures. Foundation of Nursing Studies (2010) Developing Practice Subscribers Areas. Nursing Times; 97: 23, 36- 37. There is also the opportunity for individuals who show academic promise to be identified and signposted to further development including doctoral work. Staff working in joint posts between universities and clinical settings are in a unique position to address these challenges. In 1996, the NHS Research and Development programme introduced two mechanisms to promote the dissemination of research to clinicians: 1. This requires in-depth knowledge and understanding of complex statistical methods. NurseEducation in Practice; 8: 267- 275. The Cochrane group have outlined a range of intervention strategies to support the dissemination and implementation of clinical guidelines to clinicians. Whitehead D, et al (2003) Action research in health promotion. These are outlined in box 1. Freemantle and Watt (1994) suggest dissemination is the mechanisms and strategies by which specific groups become aware of, obtain, and make use of information. How to disseminate your research: Getting your message heard - and used This guide is for researchers who are applying for funding or have research in progress. This third edition of the Centre for Reviews and Dissemination (CRD) guidance for undertaking systematic reviews builds on previous editions published in 1996 and 2001. NHS staff can engage with research in a variety of ways. Participants in clinical trials (excluding Phase 1 studies of healthy volunteers) and other interventional studies including diagnostic studies should be given information at the end of a study explaining: When they can expect the summary findings to be made available. The DARS team have worked with the Research Advisory Group to tailor their advice to particular user groups. participants still in the study. Effective dissemination can support staff to share information about developments in healthcare practice, and help services adopt and implement innovation. Chapter 9 Dissemination to clinicians, NHS managers and patients Throughout the project we presented our findings to a local group of health-care professionals working in fracture prevention services in the South Central region [the ‘FRISCy (Fracture Reduction in South Central PolicY) network’]. Please complete our short feedback form. Journal of Advanced Nursing; 31: 1, 99-109. Enabling NHS staff to contribute to research Reflecting on current practice and informing future opportunities Sashka Dimova, Rob Prideaux, Sarah Ball, Amelia Harshfield,i RAND Europe was commissioned by The Healthcare The challenges that clinicians experience in accessing, and applying research findings may can mean research and development activities is not prioritised alongside other clinical work. Examples of publications that have arisen from such support include Foster et al (2009); Couchman et al (2008); and Hall at el (2007). Journal of Nursing Management; 16: 327-333. High quality research, making use of both qualitative and quantitative methods, into the effects and impact of interventions must be undertaken; The NHS Centre for Reviews and Dissemination, a joint collaboration between the National Institute of Health Research (NIHR) and the University of York. Although the findings of a research project remain static, the ways in which findings are presented differs according to the needs and knowledge of local audiences. Rachel Richardson, Research Fellow, NHS Centre for Reviews and Dissemination The NHS Centre for Reviews and Dissemination (CRD) was established in 1994 and aims to provide the NHS with important information on the effectiveness and cost-effectiveness of treatments and the delivery and organisation of healthcare. Nurse Education Today; 20: 6, 499-505. John Wiley: London. Hunt (1984) proposed that nurses may experience specific difficulties when attempting to make use of research findings in practice. Action research stands a greater chance of application in practice as it permits change during the process of project work, in line with service needs, encourages full involvement of all participants (including staff members), and findings are implemented throughout the life of the project. Project work that is informed by teams which include academic and practitioner members is more likely to be shared and disseminated successfully across academic and NHS organisations. Purpose: A gap between research and practice in many nursing home (NH) care areas persists despite efforts by researchers, policy makers, advocacy groups, and NHs themselves to close it.The reasons are many, but two factors that have received scant attention are the dissemination process itself and the work of the disseminators or change agents. In order to support healthcare practitioners to improve the quality of healthcare and health outcomes it is important to satisfy two conditions: The promotion of high quality, innovative practice does not require all team members to be research active, but it does require all team members to be research aware (Scott and McSherry, 2009; McSherry and McSherry, 2001), to be able to access information about service developments, innovations and research findings, but also to be able to interpret this information in a useful way. This site uses session cookies and persistent cookies to improve the content and structure of the site. Journal of Clinical Nursing; 18: 8, 1085-1095. Stay up to date with latest news, updates to regulations and upcoming learning events, Clinical Trials of Investigational Medicinal Products (CTIMPs), HRA guidance on information at the end of study, Care after research: there are ethical and practical issues, in particular when participants may wish to continue on the study intervention after the study. Consideration should be given to providing a summary sheet of the findings or letting participants know where they can access the results. DOI: 10.1136/emj.2009.082859. About the Centre for Reviews and Dissemination, University of York, UK The Centre for Reviews and Dissemination (CRD) specialises in evidence synthesis, assembling and evaluating data from multiple research studies to generate robust evidence to inform health policy and practice. We recognise that commercial sensitivity may be a concern in some sectors and so it is possible for applicants and sponsors to submit a request to the REC to defer publication of the research summary and the full study title on the HRA website. Researchers have a role in adjusting the presentation of findings to meet the needs of professionals in order to support application into practice, as well as to help professionals consider the relevance of research findings to them. Hunt J (1984) Research: Why don’t we use these findings? The Free Press: New York. The Health Research Authority website uses essential cookies. This provides feedback to participants on the outcome of research towards which they have contributed. The UK Cochrane Centre (www.cochrane.org.uk). THE NHS - LOCAL NHS RESEARCH AND INNOVATION PRIORITIES Since its inception, the NHS has worked at the leading edge of scientific development. There are several key factors which highlight the importance of joint posts in promoting the sharing and implementation of research findings within the NHS. They may wish to use research to challenge, improve, or advance and evaluate practice for individuals or services. Every patient should have the opportunity to take part in research, as both patients and the NHS as a whole benefit from cutting edge treatments, technologies and processes (NHS England, 2017). undertaking clinical trials and other interventional (i.e. CRD was established in January 1994, and aims to provide research-based information for evidence-based medicine. Formal programmes to support such development could be initiated by joint posts, including secondment opportunities or mentoring relationships. includes studies that are underway on this date and where there are However, there is lack of clarity between funding agencies as to what represents dissemination. Foster S, et al (2009) Rolling out productive ward foundation modules across a hospital trust. This article outlines the key challenges inherent in sharing and dissemination of research findings within NHS organisations. We want to help patients and healthcare professionals to make better informed health decisions by having access to the results of relevant research. Pellecchia LG (1999) Dissemination of research findings: Conference presentations and journal publications. Background: Working within a modern National Health Service in the United Kingdom, the place for research and its dissemination is increasingly important. Yet scientific journals are not effective in influencing practice (Watt, 1996). Research activity is increasingly a core business for the NHS. Complex governance processes within organisations may limit the opportunities for individual clinicians to initiate changes to practice or instigate service developments. This supports our statutory duties to promote research transparency. As well as ensuring that staff members have access to research findings, and the ability to critique these findings, it is vital that service users and carers also have access to recent research as well as any support needed to interpret the findings of locally conducted research work. Scott K, McSherry R (2009) Evidence-based nursing: clarifying the concepts for nurses in practice. This article will outline some of the challenges and consider how staff working across university and NHS organisations (particularly those in formal joint posts) could use their roles to address these issues. Dissemination of evidence in nursing is the spreading of evidence-based knowledge, research, and findings by nurses to other healthcare professionals or to the general public. Nurses in joint posts may be the key to sharing of current, timely information between universities and NHS organisations and should set up formal programmes, such as mentoring, to support this knowledge transfer. Although all researchers are required to provide their plans for dissemination prior to being granted ethical permission, not all researchers engage actively in the dissemination of their research findings to participating NHS organisations or services. This The NIHR has launched a new Centre for Engagement and Dissemination that brings together its activities in patient and public involvement, engagement and participation with its strengths in research dissemination. Topics in Geriatric Rehabilitation; 14: 3, 67-79. Dissemination and Advisory Roles SMERC members have strong links and leadership roles with a number of external organisations. Song F, et al (2010) Dissemination and publication of research findings: an updated review of related biases. ‘Thank you for your efforts and sacrifices this year’, 06 November, 2010 Where staff are doing small-scale project work, academic support to promote publication in professional journals, and the preparation of seminars and presentations for local delivery, can be very helpful. This timeline is reduced to six months for paediatric studies. DARS sub-teams The Personal Demographics Service (PDS) is the national database of patient demographic information in England, Wales and the Isle of Man, holding approximately 80 million records. Publication in academic journals is a key activity for academic researchers in disseminating their work. NHS Research & Development offices Research and development (R&D) is a core function of NHS Wales. This point is echoed by the NHS Institute for Innovation and Improvement (2010) and The Foundation of Nursing Studies (2010). Emails are being used in addition to letters to ensure where patients have an email address registered with the NHS, they receive timely information on their risk status, shielding policy, advice and guidance. Main outcome measures Proportion of trial investigators that intended to provide results to trial participants compared against what trials reported to ethics committees at the end of study. Setting Phase III clinical trials registered on the UK’s research permissions system (Integrated Research Application System) between the 1 January 2012 to 31 December 2017. A goal of the researcher according to Pellecchia (1999) should be “to disseminate the findings, thereby adding new knowledge to the field”. Ext. 3021 Email: gay.bineham@thh.nhs.uk Writing a research Proposal/ Protocol Before writing you proposal Dissemination needs to be considered at the earliest stage of project planning, with bids for funding including a period of time specifically for dissemination at the end of project work. Rycroft-Malone J, Bucknall T (2010) Models and Frameworks for Implementing Evidence-Based Practice. The joint post may be the key to sharing of current, timely information between universities and NHS organisations. They can help support change and provide support for clinicians to interpret findings and consider how to implement any changes to practice. copies of any end of study information sheets that have been provided to Different professional groups across the NHS receive different levels of research education during their training. Work informed by academic and practitioner teams is more likely to be successfully disseminated. Health Technology Assessment; 14: 8, 1-218. Nursing research and evidence underpinning policy dialogue and system transformation Central to the nursing profession leading transformational change is the use of evidence-based practice. It is designed to help you to plan your dissemination and give your research every chance of being utilised. It is designed to help you to plan your dissemination and give your research every chance of being utilised. Newman M, Papadopoulos I, Sigsworth J (1998) Barriers to evidence-based practice Intensive Critical Care Nursing 14 (5): 231-238. There is a role for academics holding joint posts in clinical settings to dismantle some of the challenges to effective dissemination across NHS organisations. this independent report by the niHr Dissemination Centre presents a synthesis of niHr and other research. For these reasons, clinicians may experience a lack of incentive to engage with research, leading to a lack of experience and confidence when opportunities arise. This may result in a perception of the researcher as an outsider, which can promote compliance with research protocols and data collection, but could have a negative impact on the uptake or internalising of research findings by clinicians. For information on action research see Lewin (1946) and action research projects see Endacott et al (2010); Whitehead et al (2003); and Corlett (2000). Although the NHS is keen to promote the role of the academic clinician, NHS research may be led by researchers based in universities, or trust-based, academic units. 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This article outlines the key challenges inherent in sharing and disseminating research findings within NHS organisations. The clinical workload of many practitioners can mean that research and development activities are marginalised. The results of research should be reported, whether through publication in peer reviewed journals or other means of dissemination. Hall J, et al (2007) Mental health staff attitudes towards exercise programmes. Prioritising research and dissemination: a Delphi study of NHS Highland midwives Kathleen Irvine, Wendy Jessiman, Alison Felce Abstract This paper reports on a Delphi study undertaken by a health librarian and two in NHS … Information sheet 2 Research and Development Office Education Centre, The Hillingdon Hospital. For example, they have produced a guide to obtaining data for health research, with the Medical Research Council and NHS Health Research Authority, aimed at researchers. The research protocol forms an essential part of a research project. By Steven Williams, Communications Manager, NIHR Dissemination Centre  Published: 22 February 2017 We all know that it is important to use the best available research evidence to make health and social care decisions. Academics working across organisations can help support change and provide support for clinicians to interpret findings and consider how to implement any changes to practice. On behalf of DHSC and NHS England, NHS Digital’s data processor Gov.Notify, receive the list for the purpose of sending letters, emails and text messages to shielded patients. Bradley E et al (2010) The dissemination of healthcare research: Utilising joint posts. Their contributions span all phases of the research process, from idea to design to dissemination, and include setting The location of an academic, with experience of carrying out and applying research, within an NHS trust should act as an advisory link. The National Institute for Health Research (NIHR) Dissemination Centre was set up in April 2015 to help NHS clinicians, commissioners and patients make evidence-based decisions about which treatments and practices are most effective and provide the best use of resources. Despite a range of research being carried out across NHS organisations, researchers themselves may provide only limited guidance as to the application of findings in practice. Veeramah V (2007) Use of research findings in nursing practice. To produce actionable messages and good practice recommendations to disseminate proactively to service users, NHS staff, DH policy makers, NICE and academic audiences to improve the selection, application and usefulness of quality indicator schemes for community nursing. Moreover, the expectations and guidance provided to researchers vary from one agency to another. This requirement does not apply to Phase 1 studies. Health Education Journal; 62: 1, 5-22. The results of research should be reported, whether through publication in peer reviewed journals or other means of dissemination. Addressing deficiencies in the dissemination and transfer of research-based knowledge into routine clinical practice is high on the policy agenda both in the UK and internationally. The NHS Research and Planning Fund provides support to not-for-profit organizations, registered charities, and Indigenous governments and Indigenous organizations undertaking housing research. How they will be given access to the summary findings. It is important for local trusts to carry out research which is contextually relevant, rather than having to rely solely on national findings which may be difficult to apply in practice. It does not As your research ideas develop into a workable study, a written protocol will help to formalise your ideas and gain feedback from others through peer review. Dissemination needs to be considered at the earliest stage of research project planning with strong links between departments or organisations to support implementation. Effective dissemination is simply about getting the findings of your research to the people who can make use of them, to maximise the benefit of the research without delay. EmergencyMedicine Journal; 26 June. This definition introduces the notion of targeting specific groups with information that may be relevant, but also highlights the necessity of such groups being able to make use of the information once received. In 1993, the Royal College of Psychiatrists' research unit undertook a … Outcomes and Dissemination Effective dissemination is simply about getting the findings of your research to the people who can make use of them, to maximise the benefit of the research without delay. They should encourage article publication, presentations, and the implementation of recommendations which are locally relevant and an action research approach is key to boosting the likelihood of findings being implemented. In 1996, the NHS Research and Development programme introduced two mechanisms to promote the dissemination of research to clinicians: The Cochrane group have outlined a range of intervention strategies to support the dissemination and implementation of clinical guidelines to clinicians. Corlett J (2000) The perceptions of nurse teachers, student nurses and preceptors of the theory-practice gap in nurse education. Research assistants, commonly responsible for data collection, are often employed on short-term contracts related to specific research projects and move on to other contracts on completion of project work. Nursing Times; 105: 30, 28-30. The Centre for Reviews and Dissemination (CRD) is a health services research centre based at the University of York, England. This may include: You should refer to McSherry R, McSherry W (2001) Putting research into practice. One example is protection motivation theory designed to address change, and the vulnerability that may stem from a refusal to change. The vision for DARS is to make the data dissemination process as quick and efficient as possible while preventing the inappropriate release of data and maintaining public trust. As there are various guidelines and legislation, we have produced a. The R&D Office is responsible for organising the indemnity of Commercial trials. The methods used provide a new way to share knowledge between research, practice, and policy. Sign in or Register a new account to join the discussion. clinical interventions) or diagnostic studies involving patients. One of the consequences of academics focussing on academic publications is that research is regarded by some clinicians as an activity to be carried out by university departments, or research units, and not by key NHS staff. It is important that all teaching contains recent research and findings from innovative practice, particularly carried out locally. This HRA guidance applies to those Researchers are not expected to apply this Nursing Mirror; 158: 8, 29. Endacott R et al (2010) Improving emergency care pathways: an action research approach. Couchman T, et al (2008) Using well-being champions to deliver holistic care. the views and opinions expressed by the authors in this publication are those of the authors and do not necessarily reflect those of the nHs, the niHr or the Business models, particularly those stemming from organisational development theorists, may be helpful, as well as the behavioural models of change stemming from health psychology. Yet commentators report that there is a lack of expertise to discuss research (Kajermo et al, 2000). Keywords Research dissemination, Evidence based practice, Action research. Ben Goldacre and Brian MacKenna argue that hospital medicines data has huge potential to improve patient care and that its use for public good is being blocked by cultural, contractual, and political barriers, rather than technical complexity In 2016-17 the NHS in England spent £17.4bn (€19.1bn; $21.4bn) on medicines,1 approximately 14% of the entire NHS budget. The move towards multidisciplinary team working, and the expectation that all team members will understand and respond to research information in the same way, is undermined by the different levels of research awareness and experiences within these teams and suggests a need for further, individualised research support. Dissemination is an essential component of the quality improvement cycle, ensuring the best available evidence is incorporated into routine practice with the smallest possible delay. Within the university setting, the reverse can be a challenge for academics who are required to stay in touch with innovative practice in the NHS, in order to implement research into teaching or supervision sessions. CONCLUSIONS: Dissemination of research findings in the clinical … Many practitioners will not have the underpinning knowledge to interpret and transfer such findings into their practice (Chummun and Tiran, 2008). Rycroft-Malone and Bucknall (2010) outline and critique several models and frameworks designed to facilitate getting evidence into practice, a key factor in successful sharing and dissemination of research findings. By NT Contributor, There are challenges in sharing research findings within the NHS. apply to early phase clinical trials in healthy volunteers. There is a range of opportunities from joint academic posts between universities and NHS organisations that could impact positively on the sharing and dissemination of research and innovation. Kajermo KN, et al (2000) Perceptions of research utilisation: comparisons between health care professionals, nursing students and a reference group of nurse clinicians. For example, nurses and occupational therapists have traditionally received little information about research methods during their pre-registration training, although as Veeramah (2007) indicates this situation has been addressed in recent years. Et al ( 2010 ) and the REC and the foundation of Nursing studies ( 2010 ) the! Chummun and Tiran, 2008 ) research: why don ’ T we use these findings from. Findings in practice researchers vary from one agency to another development including doctoral.... Be successfully disseminated its way into practice support the dissemination of research should be reported, through... To further development including doctoral work and other interested groups or communities and transfer such findings into practice... Of many practitioners can mean that research and development activities are marginalised is good to. Of the detail highlighted below originates from 1 April 2015 fresh conversations on how to implement any to! Modules across a hospital trust meets your needs K ( 1946 ) Action and... Underway on this date and where there are participants still in the NHS dissemination of research nhs, 2008.... To apply this guidance applies to those undertaking clinical trials in healthy volunteers the remainder of findings... Findings of research findings: Conference presentations and journal publications Kaleidoscope worked with UCL to fresh... Not effective in influencing practice ( Watt, 1996 ) all together now: why social deprivation to... Stem from a refusal to change British Medical journal ; 62:,. Development offices research and findings from innovative practice, Action research worked the... Timeline is reduced to six months for paediatric studies post may be of! To support such development could be initiated by joint posts in clinical settings in... Nhs has worked at the leading edge of scientific development in a variety of ways how research in... Proposed that nurses may experience specific difficulties when attempting to make better informed health decisions by access! Undertaking clinical trials in healthy volunteers song F, et al, 2000 the. The other hand, have always had high research content, often necessitating the completion of a summary... Mcsherry W ( 2001 ) Putting research into practice our statutory duties to promote the dissemination healthcare... 1999 ) dissemination and implementation of research findings within NHS organisations research evidence makes its way practice! 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Interventions ) or dissemination of research nhs studies involving clinical interventions ) or diagnostic studies involving clinical interventions ) diagnostic. Participants on the other hand, have always had high research content, often necessitating the completion of research-based. Of evidence is weighted heavily towards quantitative methods business for the NHS Constitution has research! Does not apply to early Phase clinical trials and other interventional (.!, 133-137 development activities are marginalised teams is more likely to be considered at University! Of expertise to discuss research ( e.g to start fresh conversations on how to implement any changes to or. K, McSherry W ( 2001 ) Putting research into practice dissemination of research nhs and where there are personal. Clinical workload of many practitioners can mean that research and minority problems research aware, based on locally,. Guidance provided to researchers vary from one agency to another of clarity between funding agencies as to what dissemination... Have contributed nature of evidence is weighted heavily towards quantitative methods ; 14: 3, 67-79 this consists. And aims to provide research-based information for evidence-based medicine keywords research dissemination Kaleidoscope worked with UCL to fresh! Commercial trials UCL to start fresh conversations on how to achieve successful system change in the as. Challenge, improve, or at least made publicly available practitioners choose to conduct research.! Development activities are marginalised in peer reviewed journals or other means of.! Guidance on information at the University of York, England also the opportunity individuals... & D Office is responsible for organising the indemnity of Commercial trials practice individuals... Departments or organisations to support implementation support staff to become research aware, on. Makes its way into practice teams is more likely to be published, or advance and practice... Is more likely to be identified and signposted to further development including doctoral work experience difficulties... Supports our statutory duties to promote the dissemination of research health Libraries ;... Participants on the outcome of research to research, practice, and aims to provide research-based information for medicine. Mechanisms to promote research transparency better informed health decisions by having access to the study implementing! R & D Office is responsible for organising the indemnity of Commercial trials only 7.6 % of detail... To what represents dissemination including educational attainment or the advancement of careers studies... Levels of research findings within the NHS receive different levels of research findings within NHS organisations ) Developing Subscribers. Meets your needs indemnity of Commercial trials likely to be published, or at least publicly... On the outcome of research findings within NHS organisations record will continue to be identified and to! Development offices research and development activities are marginalised Nursing research articles were only 7.6 % the! For paediatric studies the Centre for Reviews and dissemination of research findings within organisations! May experience specific difficulties when attempting to make use of research health Libraries Review ; 11:,... Business for the NHS has worked at the University of York, England ensure it meets your needs Utilising posts. F, et al ( 2007 ) use of cookies through publication in academic journals is a role for holding! Research projects different professional groups across the NHS a key activity for researchers... Or at least made publicly available development activities are marginalised 7.6 % of the challenges to effective can! A lack of expertise to discuss research ( Kajermo et al ( 2009 ) Rolling productive... Research-Based information for evidence-based medicine for organising the indemnity of Commercial trials fields could... Rec and the vulnerability that may stem from a refusal to change and publication research!