Clinicians' involvement in data collection for portfolio research: impact on their clinical practice and perception of research

Sweeting, David; Daniell, Helena; Chester, Rachel

doi:10.12968/ijtr.2018.0130

Cited by 4 publications

(36 citation statements)

References 9 publications

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“…Four researchers created bespoke survey tools to answer their research questions (Das et al, 2008;Khera et al, 2018;Litjens et al, 2013;Sweeting et al, 2020), while Tranmer et al (2002) used a research utilisation questionnaire (RUQ) which asked respondents to rate their use of research in the clinical setting. Three of the bespoke surveys focussed on respondents' knowledge of trial results, and self-reported impact of the results on clinical practice (Khera et al, 2018;Litjens et al, 2013;Sweeting et al, 2020). A combination of closed questions and Likert scale responses were included, with some questions leading to open-ended responses (Khera et al, 2018;Sweeting et al, 2020).…”

Section: Research Methods and Topicsmentioning

confidence: 99%

“…The literature to date has not demonstrated a link between participation in research and subsequent knowledge use, and no research on this topic has been conducted in Australia or NZ or in ICU. Some studies reported no increased knowledge or use of results, despite personal or institutional involvement in a clinical trial even when the RCT showed very high quality evidence (Khera et al, 2018;Majumdar et al, 2002;Shah et al, 2010), while other studies showed mixed results (Kizer et al, 1999;Litjens et al, 2013;Sweeting et al, 2020).…”

Section: Gaps In Knowledgementioning

confidence: 99%

“…Conversely, some literature supported the view that institutional or regional participation in a particular research trial increased the knowledge and/or use of the results in clinical practice (Adler, 1978;Corrigan & Glass, 2005;Ketley & Woods, 1993;Meineche-Schmidt et al, 2006;Omoigui et al, 1998). Most studies examined the experience of doctors only, except three which included nurses, midwives and physiotherapists (Litjens et al, 2013;Sweeting et al, 2020;Tranmer et al, 2002). Only one study examined the attitudes of health practitioners, and that was not in relation to participation in an RCT (Tranmer et al, 2002).…”

Section: Gaps In Knowledgementioning

confidence: 99%

“…Only one study examined the attitudes of health practitioners, and that was not in relation to participation in an RCT (Tranmer et al, 2002). A dissemination plan was only referenced in one study, that investigated participation in an observational study and subsequent knowledge translation (Sweeting et al, 2020). In addition, the majority of research was retrospective, so the opportunity to conduct a study prospectively allowed the assessment of attitudes in 'real time'.…”

Section: Gaps In Knowledgementioning

confidence: 99%

“…Few articles were identified via the searches with the majority identified through manual review of reference lists and citations. Two studies were published after the initial search (Khera et al, 2018;Sweeting et al, 2020), one of which (Khera et al, 2018) used a similar multiple method design to that chosen for this PhD study.…”

Section: Search Strategymentioning

confidence: 99%

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Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study

Mackle¹

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Background: Knowledge translation literature shows a delay between publication and uptake of research findings into clinical practice. There is uncertainty about whether this delay exists in the intensive care unit (ICU) context and whether participation in research influences changes in clinical practice. Knowing whether ICU participation in research increases the likelihood of research findings being incorporated into clinical care is important to funders, researchers and patients. Aim: To investigate the effects of participating in the Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen therapy (ICU-ROX) randomised controlled trial on attitudes and practices in relation to ICU oxygen therapy. Methods: The research question was examined using three different methods: a survey, an inception cohort study, and a retrospective cohort study. The practitioner attitudes survey and inception cohort study were conducted before ICU-ROX started, after ICU-ROX finished but before the results were known, and, finally, after publication of the ICU-ROX results. The retrospective cohort study (using the Australian and New Zealand ICU adult patient database) compared data from 48 weeks before and 48 weeks after publication of the ICU-ROX trial. Results: Practitioner attitudes survey: Responses were received from 112 specialist doctors and 153 ICU nurses from 11 ICU-ROX and 11 non-ICU-ROX sites. Before the ICU-ROX trial was conducted, respondents from ICU-ROX trial sites and those from non-ICU-ROX trial sites were similarly likely to indicate they would use a fraction of inspired oxygen (FIO2) of 0.21, in a ventilated patient with peripheral oxygen saturations (SpO2) of 91-96%. However, after participation in the ICU-ROX trial, and before the trial results were known, ICU-ROX trial site respondents were significantly more likely than their non-ICU-ROX trial site counterparts to state they would use an FIO2 of 0.21 in a patient with an SpO2 of 91-96%. The differences in all patient admission categories, except the ‘other ICU patients’ category, persisted after the ICU-ROX trial was published. Nurses were generally less likely to report they would use an FIO2 of 0.21 in a ventilated patient than doctors. Following ICU-ROX publication, 41.1% of the doctors compared to 13.6% of the nurses knew the ICU-ROX results (P<0.001), and 53.1% and 5.4%, respectively, reported having read the publication (P<0.001). Inception cohort study: Data were analysed from 650 patients from 11 ICU-ROX and 11 non-ICU-ROX sites. ICU-ROX site patients spent 8.2% of the time ventilated at FIO2 of 0.21, before ICU-ROX started, 7.7% after their participation in the ICU-ROX trial and 7.1% of the time after ICU-ROX publication, a change over time was not statistically significant. For the non-ICU-ROX site patients, time spent ventilated at FIO2 of 0.21 was 0.9% before ICU-ROX, 2.4% after ICU-ROX was conducted and 3.3% after publication. This change for non-ICU-ROX site patients after ICU-ROX publication was statistically significant (relative rate 3.63; 95% CI 1.39 to 9.47, P=0.01). Retrospective cohort study: The FIO2 from the arterial blood gas associated with the worst Acute Physiology and Chronic Health Evaluation III-J score in the first 24 hours of admission to ICU was analysed for 51,498 pre-publication admissions and 47,523 post-publication admissions from 15 ICU-ROX sites and 188 non-ICU-ROX sites. Although the average FIO2 values varied considerably from week to week, there was a statistically significant reduction in the average FIO2 over time in ICU-ROX sites (P=0.01) but not in non-ICU-ROX sites (P=0.49). Conclusion: Differences between attitudes of practitioners in relation to oxygen in ICU-ROX sites compared with non-ICU-ROX sites changed over time (before and after the ICU-ROX trial, and after publication of the results). Differences in oxygen therapy practice changes for ICU-ROX versus non-ICU-ROX sites shown in the inception cohort study and retrospective cohort study were small, and are unlikely to be clinically important. These studies did not demonstrate a consistent effect of participation in ICU-ROX on knowledge translation.

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Section: Research Methods and Topicsmentioning

confidence: 99%

Section: Gaps In Knowledgementioning

confidence: 99%

Section: Gaps In Knowledgementioning

confidence: 99%

Section: Gaps In Knowledgementioning

confidence: 99%

Section: Search Strategymentioning

confidence: 99%

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Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study

Mackle¹

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Behaviour Change Techniques to promote self-management and home exercise adherence for people attending physiotherapy with musculoskeletal conditions: A scoping review and mapping exercise

Chester

Daniell

Belderson

et al. 2023

Musculoskeletal Science and Practice

Self Cite

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The Influence of Participation in an Intensive Care Trial on Health Practitioners' Knowledge of the Results—A Self‐Reported Survey

Mackle,

Nelson,

Beasley

et al. 2024

Journal of Advanced Nursing

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AimThe Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen Therapy Trial (ICU‐ROX) compared conservative oxygen therapy with usual care in mechanically ventilated adults in Australian and New Zealand intensive care units. Dissemination focused on publication and presentation, with no targeted approach.The current study aimed to investigate whether health practitioners from intensive care units that participated in ICU‐ROX were more likely to report they knew the trial results and had read the publication than those from intensive care units that did not participate; explore whether there was a difference between doctors' and nurses' knowledge of the ICU‐ROX results and whether they read the publication. DesignSurvey using a self‐administered, quantitative design, developed for this study.MethodsConvenience sample of 197 Australian and New Zealand intensive care specialist doctors and nurses.ResultsThere was no difference in the knowledge of the study results between respondents from intensive care units that participated in ICU‐ROX compared to those that did not. Nurses were significantly less likely to have knowledge of the trial results or have read the publication than doctors. The commonest way for doctors and nurses to get the results was by word of mouth at work.ConclusionsParticipation in ICU‐ROX did not make a difference to knowledge of the findings. While the dissemination of trial results was extensive, it failed to adequately reach nurses, who play an important role in administering oxygen in intensive care.ImpactThis study has provided further evidence that nurses working in intensive care were unlikely to read the research results of an important study about oxygen management.Implications for the Profession Researchers, unit management and nurse leaders need to ensure dissemination methods that will reach nurses are used for research findings. Reporting MethodThis study followed the STROBE reporting guidelines for observational studies.Patient or Public ContributionNo patient or public contribution.Trial RegistrationThis study is a substudy of a trial that was prospectively registered before the first participant was recruited: ACTRN12615000957594

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Clinicians' involvement in data collection for portfolio research: impact on their clinical practice and perception of research

Cited by 4 publications

References 9 publications

Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study

Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study

Behaviour Change Techniques to promote self-management and home exercise adherence for people attending physiotherapy with musculoskeletal conditions: A scoping review and mapping exercise

The Influence of Participation in an Intensive Care Trial on Health Practitioners' Knowledge of the Results—A Self‐Reported Survey

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