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Roadmap for a participatory research-practice partnership to implement evidence.
Margaret B Harrison1, Ian D Graham
1School of Nursing, Queen's University, Kingston, Ontario, Canada. Margaret.B.Harrison@Queensu.ca
Implementing evidence-based practice guidelines in diverse healthcare settings presents challenges. The Queen's University Research Roadmap for Knowledge Implementation (QuRKI) offers a structured approach to integrate research and practice for improved patient care.
Area of Science:
- Healthcare Implementation Science
- Knowledge Translation
- Clinical Practice Improvement
Background:
- Implementing evidence-based practice guidelines across diverse healthcare settings (hospital, community, long-term care) is complex.
- Challenges exist for both health systems and individual practitioners in translating evidence into point-of-care practice.
- Populations include those with chronic wounds, heart failure, stroke, diabetes, and in palliative, cancer, and maternity care.
Purpose of the Study:
- To describe a practical roadmap, the Queen's University Research Roadmap for Knowledge Implementation (QuRKI), for facilitating evidence integration.
- To demonstrate how generating "local evidence" aids in aligning stakeholders, identifying barriers/facilitators, and supporting planning.
- To illustrate the interplay between research and implementation activities at the point of care.
Main Methods:
- Development of the QuRKI roadmap with three phases: issue identification, solution building, and implementation/evaluation.
- Utilizing practical experience of researchers working at the point of care.
- Employing an exemplar case to showcase the research-implementation dynamic.
Main Results:
- The QuRKI roadmap provides a structured framework for knowledge implementation.
- Generating local evidence is a key aspect of successful implementation, fostering shared understanding and empirical support.
- Research activities are integral to facilitating evidence-informed practice change.
Conclusions:
- QuRKI guides researchers in forming strategic alliances with practice communities for evidence-informed care reorganization.
- A collaborative approach, where researchers actively use evidence, is crucial for successful implementation.
- Further evaluation of QuRKI's utility in diverse clinical fields is encouraged.
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