It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”
Healthcare decisions are often made under pressure, with varying levels of information in a changing clinical context. With limited resources and a focus on improving patient outcomes, healthcare managers and health professionals strive to implement both clinical and cost-effective care. However, th...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2015-11-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/pdf_3069_5b0771502815b69422532d9fdcd6ce69.html |
| _version_ | 1818444791460921344 |
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| author | Tracey Bucknall Mariann Fossum |
| author_facet | Tracey Bucknall Mariann Fossum |
| author_sort | Tracey Bucknall |
| collection | DOAJ |
| description | Healthcare decisions are often made under pressure, with varying levels of information in a changing clinical context. With limited resources and a focus on improving patient outcomes, healthcare managers and health professionals strive to implement both clinical and cost-effective care. However, the gap between research evidence and health policy/clinical practice persists despite our best efforts. In an attempt to close the gap through behaviour change interventions, there has been a strong held belief that ‘more is better,’ without understanding the mechanisms and circumstances of knowledge translation (KT). We argue that even a singleintervention or strategy in translating evidence into healthcare policy or practice is rarely simple to implement. Nor is the evidence compelling on the best approach. As Harvey and Kitson argued, designing and evaluating KT interventions requires flexibility and responsiveness. If we are to move forward in translation science then we need to use rigorous designs such as randomised controlled trials to test effectiveness of interventions or strategies with embedded process evaluations to understand the reason interventions do or do not work! |
| first_indexed | 2024-12-14T19:21:33Z |
| format | Article |
| id | doaj.art-098e48953956455f838d7eba4a76ff99 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-14T19:21:33Z |
| publishDate | 2015-11-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-098e48953956455f838d7eba4a76ff992022-12-21T22:50:18ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392015-11-0141178778810.15171/ijhpm.2015.142It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”Tracey Bucknall0 Mariann Fossum1School of Nursing and Midwifery, Faculty of Health, Deakin University and Alfred Health, Melbourne, VIC, AustraliaSchool of Nursing and Midwifery, Faculty of Health, Deakin University and Alfred Health, Melbourne, VIC, AustraliaHealthcare decisions are often made under pressure, with varying levels of information in a changing clinical context. With limited resources and a focus on improving patient outcomes, healthcare managers and health professionals strive to implement both clinical and cost-effective care. However, the gap between research evidence and health policy/clinical practice persists despite our best efforts. In an attempt to close the gap through behaviour change interventions, there has been a strong held belief that ‘more is better,’ without understanding the mechanisms and circumstances of knowledge translation (KT). We argue that even a singleintervention or strategy in translating evidence into healthcare policy or practice is rarely simple to implement. Nor is the evidence compelling on the best approach. As Harvey and Kitson argued, designing and evaluating KT interventions requires flexibility and responsiveness. If we are to move forward in translation science then we need to use rigorous designs such as randomised controlled trials to test effectiveness of interventions or strategies with embedded process evaluations to understand the reason interventions do or do not work!http://www.ijhpm.com/pdf_3069_5b0771502815b69422532d9fdcd6ce69.htmlClinical Decision-MakingEvidence-Based HealthcareKnowledge Translation (KT)Multifaceted InterventionsProcess Evaluation |
| spellingShingle | Tracey Bucknall Mariann Fossum It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?” International Journal of Health Policy and Management Clinical Decision-Making Evidence-Based Healthcare Knowledge Translation (KT) Multifaceted Interventions Process Evaluation |
| title | It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?” |
| title_full | It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?” |
| title_fullStr | It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?” |
| title_full_unstemmed | It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?” |
| title_short | It Is Not That Simple nor Compelling!; Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?” |
| title_sort | it is not that simple nor compelling comment on translating evidence into healthcare policy and practice single versus multi faceted implementation strategies is there a simple answer to a complex question |
| topic | Clinical Decision-Making Evidence-Based Healthcare Knowledge Translation (KT) Multifaceted Interventions Process Evaluation |
| url | http://www.ijhpm.com/pdf_3069_5b0771502815b69422532d9fdcd6ce69.html |
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