A Systematic Review of Knowledge Translation (KT) in Pediatric Pain

Gagnon, Michelle; Hadjistavropoulos, Thomas; Hampton, Amy; Stinson, Jennifer

doi:10.1097/ajp.0000000000000345

Cited by 25 publications

(25 citation statements)

References 122 publications

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“…Ensuring nurses have the knowledge to manage pain in children and young people (CYP) is important. However, there is increasing evidence that even when nurses have a good theoretical knowledge about how to treat and prevent pain in CYP this does not always result in improved practice 1 . As there is evidence that pain in CYP is common, 2‐6 it is important to explore the reasons educational initiatives are not always successful.…”

Section: Introductionmentioning

confidence: 99%

Using ways of knowing in nursing to develop educational strategies that support knowledge mobilization

Swift

Twycross

2020

Paediatric and Neonatal Pain

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There are continued challenges in achieving effective pain management for children and young people (CYP). Research has found several barriers to effective CYP pain management, which include, but are not limited to, deficiencies in knowledge among nurses and other healthcare professionals. Calls for improvements in and an increase in pain education ensue, in the expectation that an increase in knowledge will lead to an improved pain care for patients. Educational initiatives, as reported in the literature, have tended to focus on increasing empirical knowledge which has not resulted in the anticipated improvements in practice. An exploration of Carper's and Chinn & Kramer's five ways of knowing helps demonstrate why an over‐reliance on empirics fails to equip nurses for the realities of clinical practice and does not facilitate knowledge mobilization or improvements in pain care for CYP. In this paper, we explore these ways of knowing to produce a model for knowledge mobilization in (pain) education. Our model puts forward a multifaceted approach to education using the active learning principles which supports and equip nurses to become effective pain practitioners.

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Section: Introductionmentioning

confidence: 99%

Using ways of knowing in nursing to develop educational strategies that support knowledge mobilization

Swift

Twycross

2020

Paediatric and Neonatal Pain

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“…A number of approaches to translating research evidence into practice have been described in the published literature across various medical conditions and healthcare settings (e.g., clinical practice guidelines, educational interventions) [ 19 – 23 ]. Many of these strategies have been utilized to translate pain management evidence; however, the vast majority targeted healthcare providers outside of the ED context [ 24 – 27 ], and have achieved practice-level change with varying success [ 28 ]. Using KT tools to empower patients and their caregivers to play a more active role in their care has been shown to improve health outcomes [ 29 , 30 ], yet few studies have been conducted focusing on translating procedural pain information for the most common procedures to patients and their caregivers.…”

Section: Introductionmentioning

confidence: 99%

Procedural pain in children: a qualitative study of caregiver experiences and information needs

et al. 2018

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BackgroundChildren experience multiple painful procedures when being cared for in emergency departments (EDs). Unfortunately, evidence-based interventions to manage such pain and distress are under-utilized across EDs. Caregivers are uniquely positioned and invested to advocate for the adaptation of such evidence into practice. Our objective was to gather information from caregivers of children experiencing procedural pain in the ED to inform the development of a novel, caregiver-focused knowledge translation (KT) tool.MethodsThe study design was qualitative description. Caregivers of children who underwent intravenous (IV) insertion or venipuncture in the pediatric ED at an urban tertiary care centre were interviewed. Thematic analysis was applied to the data. The TRanslating Emergency Knowledge for Kids (TREKK) Parent Advisory Group continuously informed this study, and provided input on interview guide development and piloting, data collection, analysis of the data, interpretation of the results, and development of next steps.ResultsInterviews revealed four major themes: 1) source of healthcare information; 2) delivering healthcare information; 3) communication with caregivers; and 4) procedure-related anxiety and long-term effects. Caregivers most valued receiving information directly from their healthcare provider. They also expressed that healthcare providers should direct information about the procedure to their child and identified strategies to involve children in their care. Caregivers wanted to be empowered to ask informed questions of their healthcare providers. Finally, caregivers reported negative experiences with procedures for their children, occurring mainly at non-pediatric centres.ConclusionsWe have identified core information needs for caregivers whose children are experiencing IV insertion or venipuncture. These results will form the foundation for the development of a KT tool that may empower caregivers to actively participate in their child’s healthcare.Electronic supplementary materialThe online version of this article (10.1186/s12887-018-1300-y) contains supplementary material, which is available to authorized users.

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“…Another 34 reviews were focused on both aspects of dissemination and implementation highlighting their interdependency in the KT process. Some KT frameworks were applied in specific areas of health, namely: cancer research, 48 , 49 , 58 , 66 , 67 child health and welfare, 38 , 57 , 63 , 68 , 69 chronic illness, 26 , 53 , 70 , 71 cardiovascular health, 72 healthy aging, 41 , 54 , 73 immunization, 74 acute and primary care, 27 , 71 , 75 mental health, 37 , 38 , 51 , 68 , 73 nursing, 76 physiotherapy, 61 chiropractic, 77 rehabilitation, 39 renal replacement therapy 53 and genomics. 47…”

Section: Resultsmentioning

confidence: 99%

How can we monitor the impact of national health information systems? Results from a scoping review

Delnord

Tille

Abboud

et al. 2019

European Journal of Public Health

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Background National health information (HI) systems provide data on population health, the determinants of health and health system performance within countries. The evaluation of these systems has traditionally focused on statistical practices and procedures, and not on data use or reuse for policy and practice. This limits the capacity to assess the impact of HI systems on healthcare provision, management and policy-making. On the other hand, the field of Knowledge Translation (KT) has developed frameworks to guide evidence into practice. Methods A scoping review of the KT literature to identify the essential mechanisms and determinants of KT that could help monitor the impact of HI systems. Results We examined 79 publications and we identified over 100 different KT frameworks but none of these were focused on HI systems per se. There were specific recommendations on disseminating evidence to stakeholders at the institutional and organizational level, and on sustaining the use of evidence in practice and the broader community setting. Conclusions We developed a new model, the HI-Impact framework, in which four domains are essential for mapping the impact of national HI systems: (i) HI Evidence Quality, (ii) HI System Responsiveness, (iii) Stakeholder Engagement and (iv) Knowledge Integration. A comprehensive impact assessment of HI systems requires addressing the use of HI in public health decision-making, health service delivery and in other sectors which might have not been considered previously. Monitoring Stakeholder Engagement and Knowledge Integration certifies that the use of HI in all policies is an explicit point of assessment.

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A Systematic Review of Knowledge Translation (KT) in Pediatric Pain

Cited by 25 publications

References 122 publications

Using ways of knowing in nursing to develop educational strategies that support knowledge mobilization

Using ways of knowing in nursing to develop educational strategies that support knowledge mobilization

Procedural pain in children: a qualitative study of caregiver experiences and information needs

How can we monitor the impact of national health information systems? Results from a scoping review

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