Evaluating the HELIX 4 implementation capacity-building program

Despite the availability of extensive research evidence, many patients do not receive evidence-based care, which underscores the need to bridge the evidence-practice gap. Clinicians often report a lack of confidence and knowledge to translate evidence into practice. While most evidence-based practice programs focus on research skills, fewer address the practical application of evidence in clinical settings, leaving a critical gap in implementation capabilities.

This study evaluated the HELIX 4 implementation capacity-building program (HELIX 4 program) in two metropolitan health services in Queensland, Australia.

The HELIX 4 program was conducted over 12 months in 2023 and included interdisciplinary teams, hands-on implementation training (Stage 1), coaching, and expert support (Stage 2). The program was evaluated using surveys and interviews, with analysis informed by the Kirkpatrick Model: Reaction, Learning, Behavior, and Impact.

Participants reported high satisfaction with the program, with 100% expressing satisfaction with the coaching and mentorship in Stage 2. Knowledge and confidence significantly improved, with knowledge scores increasing from 3.4 to 4.3 and confidence from 3.6 to 4.2 ( p  < 0.05). Participants demonstrated significant improvements in their ability to implement evidence-based changes, although some faced challenges balancing clinical duties with project responsibilities. Organizational support for evidence-based practice improved, with significant gains in leadership recognition of implementation efforts ( p  = 0.030). Participants reported early project successes and increased organizational commitment to sustaining changes.

The HELIX 4 program enhanced participants' knowledge, confidence, and organizational support for evidence implementation. The pilot provides a foundation for future iterations of the program, with a focus on addressing long-term sustainability and time management challenges.

http://links.lww.com/IJEBH/A359.