Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis
Abstract Background To increase the likelihood of successful implementation of evidence-based practices, researchers, knowledge users, and healthcare professionals must consider aspects of context that promote and hinder implementation in their setting. The purpose of the current study was to identi...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13012-019-0900-8 |
| _version_ | 1818989286713720832 |
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| author | Janet E. Squires Laura D. Aloisio Jeremy M. Grimshaw Kainat Bashir Kristin Dorrance Mary Coughlin Alison M. Hutchinson Jill Francis Susan Michie Anne Sales Jamie Brehaut Janet Curran Noah Ivers John Lavis Thomas Noseworthy Jocelyn Vine Michael Hillmer Ian D. Graham |
| author_facet | Janet E. Squires Laura D. Aloisio Jeremy M. Grimshaw Kainat Bashir Kristin Dorrance Mary Coughlin Alison M. Hutchinson Jill Francis Susan Michie Anne Sales Jamie Brehaut Janet Curran Noah Ivers John Lavis Thomas Noseworthy Jocelyn Vine Michael Hillmer Ian D. Graham |
| author_sort | Janet E. Squires |
| collection | DOAJ |
| description | Abstract Background To increase the likelihood of successful implementation of evidence-based practices, researchers, knowledge users, and healthcare professionals must consider aspects of context that promote and hinder implementation in their setting. The purpose of the current study was to identify contextual attributes and their features relevant to implementation by healthcare professionals and compare and contrast these attributes and features across different clinical settings and healthcare professional roles. Methods We conducted a secondary analysis of 145 semi-structured interviews comprising 11 studies (10 from Canada and one from Australia) investigating healthcare professionals’ perceived barriers and enablers to their use of research evidence in clinical practice. The data was collected using semi-structured interview guides informed by the Theoretical Domains Framework across different healthcare professional roles, settings, and practices. We analyzed these data inductively, using constant comparative analysis, to identify attributes of context and their features reported in the interviews. We compared these data by (1) setting (primary care, hospital-medical/surgical, hospital-emergency room, hospital-critical care) and (2) professional role (physicians and residents, nurses and organ donor coordinators). Results We identified 62 unique features of context, which we categorized under 14 broader attributes of context. The 14 attributes were resource access, work structure, patient characteristics, professional role, culture, facility characteristics, system features, healthcare professional characteristics, financial, collaboration, leadership, evaluation, regulatory or legislative standards, and societal influences. We found instances of the majority (n = 12, 86%) of attributes of context across multiple (n = 6 or more) clinical behaviors. We also found little variation in the 14 attributes of context by setting (primary care and hospitals) and professional role (physicians and residents, and nurses and organ donor coordinators). Conclusions There was considerable consistency in the 14 attributes identified irrespective of the clinical behavior, setting, or professional role, supporting broad utility of the attributes of context identified in this study. There was more variation in the finer-grained features of these attributes with the most substantial variation being by setting. |
| first_indexed | 2024-12-20T19:36:04Z |
| format | Article |
| id | doaj.art-40063c19f3cd4f9abcc6112866837c1a |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-12-20T19:36:04Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-40063c19f3cd4f9abcc6112866837c1a2022-12-21T19:28:39ZengBMCImplementation Science1748-59082019-05-0114111410.1186/s13012-019-0900-8Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysisJanet E. Squires0Laura D. Aloisio1Jeremy M. Grimshaw2Kainat Bashir3Kristin Dorrance4Mary Coughlin5Alison M. Hutchinson6Jill Francis7Susan Michie8Anne Sales9Jamie Brehaut10Janet Curran11Noah Ivers12John Lavis13Thomas Noseworthy14Jocelyn Vine15Michael Hillmer16Ian D. Graham17Department of Health Sciences, School of Nursing, University of OttawaClinical Epidemiology Program, Ottawa Hospital Research InstituteClinical Epidemiology Program, Ottawa Hospital Research InstituteInstitute of Health Policy, Management, Evaluation, University of TorontoClinical Epidemiology Program, Ottawa Hospital Research InstituteClinical Epidemiology Program, Ottawa Hospital Research InstituteMonash HealthClinical Epidemiology Program, Ottawa Hospital Research InstituteUniversity College LondonUniversity of MichiganClinical Epidemiology Program, Ottawa Hospital Research InstituteFaculty of Health, School of Nursing, Dalhousie UniversityWomen’s College HospitalMcMaster UniversityUniversity of CalgaryIWK Health CentreOntario Ministry of Health and Long-term CareClinical Epidemiology Program, Ottawa Hospital Research InstituteAbstract Background To increase the likelihood of successful implementation of evidence-based practices, researchers, knowledge users, and healthcare professionals must consider aspects of context that promote and hinder implementation in their setting. The purpose of the current study was to identify contextual attributes and their features relevant to implementation by healthcare professionals and compare and contrast these attributes and features across different clinical settings and healthcare professional roles. Methods We conducted a secondary analysis of 145 semi-structured interviews comprising 11 studies (10 from Canada and one from Australia) investigating healthcare professionals’ perceived barriers and enablers to their use of research evidence in clinical practice. The data was collected using semi-structured interview guides informed by the Theoretical Domains Framework across different healthcare professional roles, settings, and practices. We analyzed these data inductively, using constant comparative analysis, to identify attributes of context and their features reported in the interviews. We compared these data by (1) setting (primary care, hospital-medical/surgical, hospital-emergency room, hospital-critical care) and (2) professional role (physicians and residents, nurses and organ donor coordinators). Results We identified 62 unique features of context, which we categorized under 14 broader attributes of context. The 14 attributes were resource access, work structure, patient characteristics, professional role, culture, facility characteristics, system features, healthcare professional characteristics, financial, collaboration, leadership, evaluation, regulatory or legislative standards, and societal influences. We found instances of the majority (n = 12, 86%) of attributes of context across multiple (n = 6 or more) clinical behaviors. We also found little variation in the 14 attributes of context by setting (primary care and hospitals) and professional role (physicians and residents, and nurses and organ donor coordinators). Conclusions There was considerable consistency in the 14 attributes identified irrespective of the clinical behavior, setting, or professional role, supporting broad utility of the attributes of context identified in this study. There was more variation in the finer-grained features of these attributes with the most substantial variation being by setting.http://link.springer.com/article/10.1186/s13012-019-0900-8ContextSecondary analysisEvidence-based practice |
| spellingShingle | Janet E. Squires Laura D. Aloisio Jeremy M. Grimshaw Kainat Bashir Kristin Dorrance Mary Coughlin Alison M. Hutchinson Jill Francis Susan Michie Anne Sales Jamie Brehaut Janet Curran Noah Ivers John Lavis Thomas Noseworthy Jocelyn Vine Michael Hillmer Ian D. Graham Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis Implementation Science Context Secondary analysis Evidence-based practice |
| title | Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis |
| title_full | Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis |
| title_fullStr | Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis |
| title_full_unstemmed | Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis |
| title_short | Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: a multi-study analysis |
| title_sort | attributes of context relevant to healthcare professionals use of research evidence in clinical practice a multi study analysis |
| topic | Context Secondary analysis Evidence-based practice |
| url | http://link.springer.com/article/10.1186/s13012-019-0900-8 |
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