Translating knowledge to practice: An occupational therapy perspective

Metzler, Megan J.; Metz, Gerlinde A. S.

doi:10.1111/j.1440-1630.2010.00873.x

Cited by 36 publications

(34 citation statements)

References 23 publications

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“…Similar to our study, there was evidence of change in the therapist's clinical practice and internal perceptions, in particular confidence, as outcomes of their CPD. Physiotherapists in our study reported practice changes, with particular reference to how they educated patients, and explained the evidence behind their treatment choices, illustrating a knowledge translation process in action [15]. While the journal clubs were the most valued component of the CoP, participants also appreciated the resources that had been created through the CoP, for example, website and shoulder class protocol, which were transferable and sustainable products of the work that had been undertaken, and further spread the knowledge translation process to physiotherapists beyond the CoP.…”

Section: Discussionmentioning

confidence: 79%

Shouldering the burden of evidence-based practice: The experiences of physiotherapists partaking in a community of practice

McCreesh¹,

Larkin

Lewis

2017

Musculoskeletal Science and Practice

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The study aim was to elicit the motivators, barriers, and benefits of participation in a Community of Practice (CoP) for primary care physiotherapists. We used a qualitative approach using semistructured interviews. The participants were twelve physiotherapists partaking in a newly formed Shoulder CoP. A desire for peer support was the strongest motivator for joining, with improving clinical practice being less apparent. Barriers to participation included time and work pressures and poor research skills. The structure of the CoP, in terms of access to meetings and the provision of preparation work and deadlines for the journal clubs, was reported to be a facilitator. Multiple benefits ensued from participation. The role of teamwork was emphasised in relation to reducing isolation and achieving goals. The majority of participants reported positive clinical practice changes in terms of improved patient education, increased confidence, and availability of new resources. All participants reported some element of personal growth and development, in particular in their evidence-based practice skills. The results provide support for the use of CoPs as a means of continuing professional development for physiotherapists in the workplace, as significant benefits are gained in terms of evidence-based practice (EBP), patient care, and therapist personal development.

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Section: Discussionmentioning

confidence: 79%

Shouldering the burden of evidence-based practice: The experiences of physiotherapists partaking in a community of practice

McCreesh¹,

Larkin

Lewis

2017

Musculoskeletal Science and Practice

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“…In public health, Higgins, Strange, Scarr, & Pennock et al (2011) explored how practitioners use evidence in practice and found the lack of transferability of statistically based evidence to local communities meant that professional judgements were dependent on a mix of knowledge of the evidence based literature and tacit knowledge based on professional experiences and observations thus building cumulative and shared wisdom. In occupational therapy Metzler & Metz (2010) show how therapists synthesise research based evidence with experiential knowledge when exercising clinical judgement and that the high value placed on research knowledge may result in tacit knowledge being driven underground.…”

Section: Introductionmentioning

confidence: 99%

Cardiopulmonary resuscitation decisions in the emergency department: An ethnography of tacit knowledge in practice

Brummell

Seymour

Higginbottom

2016

Social Science & Medicine

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. AbstractDespite media images to the contrary, cardiopulmonary resuscitation in emergency departments is often unsuccessful. The purpose of this ethnographic study was to explore how health care professionals working in two emergency departments in the UK, make decisions to commence, continue or stop resuscitation. Data collection involved participant observation of resuscitation attempts and in-depth interviews with nurses, medical staff and paramedics who had taken part in the attempts. Detailed case examples were constructed for comparative analysis. Findings show that emergency department staff use experience and acquired tacit knowledge to construct a typology of cardiac arrest categories that help them navigate decision making. Categorisation is based on `less is more' heuristics which combine explicit and tacit knowledge to facilitate rapid decisions. Staff then work as a team to rapidly assimilate and interpret information drawn from observations of the patient's body and from technical, biomedical monitoring data. The meaning of technical data is negotiated during staff interaction. This analysis was informed by a theory of `bodily' and `technical' trajectory alignment that was first developed from an ethnography of death and dying in intensive care units. The categorisation of cardiac arrest situations and trajectory alignment are the means by which staff achieve consensus decisions and determine the point at which an attempt should be withdrawn. This enables them to construct an acceptable death in highly challenging circumstances.2

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“…This article introduces the building capacity process, intentionally designed to foster KT within a CoP by involving practitioners in a combination of professional development and community-building strategies (reading, reflection, face-to-face meetings, and online discussions) over an extended period of time to translate knowledge to occupational therapy practice. This research is needed because of the limited KT models developed within occupational therapy (Metzler & Metz, 2010). In this study, we sought to shed new light on KT by addressing the following research questions: (1) Does participation in the building capacity process result in enhanced knowledge of and perceived ability to apply a public health approach to mental health with children and youth and (2) what is the meaning of participation and perceived practice outcomes for occupational therapy practitioners who complete the building capacity process?…”

mentioning

confidence: 99%

Building Capacity of Occupational Therapy Practitioners to Address the Mental Health Needs of Children and Youth: A Mixed-Methods Study of Knowledge Translation

Bazyk

Demirjian²,

LaGuardia

et al. 2015

The American Journal of Occupational Therapy

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PURPOSE. We explored the meaning and outcomes of a 6-mo building capacity process designed to promote knowledge translation of a public health approach to mental health among pediatric occupational therapy practitioners participating in a Community of Practice. METHOD. A one-group (N = 117) mixed-methods design using a pretest–posttest survey and qualitative analysis of written reflections was used to explore the meaning and outcomes of the building capacity process. RESULTS. Statistically significant improvements (p < .02) in pretest–posttest scores of knowledge, beliefs, and actions related to a public health approach to mental health were found. Qualitative findings suggest that participation resulted in a renewed commitment to addressing children’s mental health. CONCLUSION. The building capacity process expanded practitioner knowledge, renewed energy, and promoted confidence, resulting in change leaders empowered to articulate, advocate for, and implement practice changes reflecting occupational therapy’s role in addressing children’s mental health.

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Translating knowledge to practice: An occupational therapy perspective

Cited by 36 publications

References 23 publications

Shouldering the burden of evidence-based practice: The experiences of physiotherapists partaking in a community of practice

Shouldering the burden of evidence-based practice: The experiences of physiotherapists partaking in a community of practice

Cardiopulmonary resuscitation decisions in the emergency department: An ethnography of tacit knowledge in practice

Building Capacity of Occupational Therapy Practitioners to Address the Mental Health Needs of Children and Youth: A Mixed-Methods Study of Knowledge Translation

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