CareTrack: assessing the appropriateness of health care delivery in Australia

Runciman, William B.; Hunt, Tamara D; Hannaford, Natalie; Hibbert, Peter; Westbrook, Johanna I.; Coiera, Enrico; Day, Richard O.; Hindmarsh, Diane; McGlynn, Elizabeth A.; Braithwaite, Jeffrey

doi:10.5694/mja12.11210

Cited by 93 publications

(105 citation statements)

References 5 publications

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“…For example, in Australia, clinician compliance with providing appropriate care for 22 conditions in large nationwide cross‐sectional study ranged from 32–86% (Runciman et al . ). In the United States, it is reported that <20% of what physicians do has solid research to support it (Kumar & Nash ).…”

Section: Background and Aimmentioning

confidence: 97%

Translating research findings to clinical nursing practice

Curtis

Fry

Shaban

et al. 2016

Journal of Clinical Nursing

217

173

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Aims and objectivesTo describe the importance of, and methods for, successfully conducting and translating research into clinical practice.BackgroundThere is universal acknowledgement that the clinical care provided to individuals should be informed on the best available evidence. Knowledge and evidence derived from robust scholarly methods should drive our clinical practice, decisions and change to improve the way we deliver care. Translating research evidence to clinical practice is essential to safe, transparent, effective and efficient healthcare provision and meeting the expectations of patients, families and society. Despite its importance, translating research into clinical practice is challenging. There are more nurses in the frontline of health care than any other healthcare profession. As such, nurse‐led research is increasingly recognised as a critical pathway to practical and effective ways of improving patient outcomes. However, there are well‐established barriers to the conduct and translation of research evidence into practice.DesignThis clinical practice discussion paper interprets the knowledge translation literature for clinicians interested in translating research into practice.MethodsThis paper is informed by the scientific literature around knowledge translation, implementation science and clinician behaviour change, and presented from the nurse clinician perspective. We provide practical, evidence‐informed suggestions to overcome the barriers and facilitate enablers of knowledge translation. Examples of nurse‐led research incorporating the principles of knowledge translation in their study design that have resulted in improvements in patient outcomes are presented in conjunction with supporting evidence.ConclusionsTranslation should be considered in research design, including the end users and an evaluation of the research implementation. The success of research implementation in health care is dependent on clinician/consumer behaviour change and it is critical that implementation strategy includes this.Relevance to practiceTranslating best research evidence can make for a more transparent and sustainable healthcare service, to which nurses are central.

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Section: Background and Aimmentioning

confidence: 97%

Translating research findings to clinical nursing practice

Curtis

Fry

Shaban

et al. 2016

Journal of Clinical Nursing

217

173

View full text Add to dashboard Cite

show abstract

“…All studies were assessed as being of high methodological quality using the modified 16-item STROBE checklist, with scores of 15/16 for 13 studies [9][10][11][12][13][14][15][16][17][18][19][20][21], and 14/16 for one study [22]. Justification of the study size was identified as a weakness in all studies.…”

Section: Quality Of Papersmentioning

confidence: 99%

Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review

Basedow

Esterman

2015

Evaluation Clinical Practice

125

109

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“…This is fast and efficient and, at best, manifests as clinical acumen. 4 However, the 'mindlines' of even experienced clinicians might yield inappropriate clinical algorithms as much as 40% of the time, 5 resulting in inappropriate diagnosis or treatment. This might be an even greater problem in the early hours of the morning, when reflective and selfmonitoring cognitive activity is at its lowest ebb and phenomena such as confirmation bias might prolong an inappropriate clinical trajectory.…”

Section: Cognitive Function and Diurnal Rhythmmentioning

confidence: 99%

Is it time for consultants to join trainees in working night shifts? Yes

Runciman

2014

Emerg Medicine Australasia

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CareTrack: assessing the appropriateness of health care delivery in Australia

Cited by 93 publications

References 5 publications

Translating research findings to clinical nursing practice

Translating research findings to clinical nursing practice

Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review

Is it time for consultants to join trainees in working night shifts? Yes

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