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Embedding Research in Practice. Judy Lawrence RD PhD [email protected]. Aim. To outline ways in which AHP’s, can embed research in their work Audit/Practice evaluation Research projects Getting help. What is research?. Definition - PowerPoint PPT Presentation
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Embedding Research in Practice
Judy Lawrence RD [email protected]
Aim
To outline ways in which AHP’s, can embed research in their work
– Audit/Practice evaluation
– Research projects
– Getting help
What is research?
Definition• Aims to derive new knowledge which is
potentially generalisable or transferable.
Barriers to dietetic research
• Time and money• Lack of research knowledge and skills• No support and advice• No research culture in our dept• No personal interest
• Howard et al, J Hum Nutr Diet. 2013; 26 S1:180-7.
No time
Audit and service evaluation involve lots of research skills, and should be part of your roleAudit “Clinical audit should be compulsory for all healthcare professionals providing clinical care and the requirement to participate in it should be included as part of the contract of employment.” 'Principles for Best Practice in Clinical Audit' (2002, NICE/CHI)
Lack of knowledge & skills
Audit• Does not involve a completely new treatment
or practice• Addresses a clearly defined audit question• Uses robust methodology• Measures against an established standard• Generates evidence to demonstrate a level of
compliance with agreed standards
How to get involved
Should be part of your job description• Get management support• Start by repeating an audit as part of the cycleCan the original audit be improved?– Was the method robust?– Could the data collection be expanded?– Get help from clinical audit department
How to get involved
• Initiate a new audit• What standards exist in your area?• What are neighbouring trusts auditing?• Develop a student project• Share the outcome - publish
Audit as CPD
What did you learn?• Clear aim• Robust methodology• People skills • Data collection • Analysis• Writing up• Presentation skills
No research culture in the dept.
Service evaluation• Aims to judge a services’
effectiveness/efficiency through assessment of its aims activities outcomes and cost. May also be called benchmarking or organisational audit.
http://www.institute.nhs.uk/research_and_evaluation/general/research_and_evaluation_home.html
Get involved
Usually designed to answer the question “What standard does this service achieve?”• Monitor how well the service meets its aim
and how it can be improved– What is the aim of your service?– What outcomes do you expect to see?– Do you routinely collect data?
Process
How can you evaluate your serviceWhat data do you routinely collect?• How robustly is it collected?Does it relate to your aim?• Do you need to collect different data or better data?• Quantitative/qualitative/both• How will you analyse it?
Outcomes
Data collection– Interviews, focus groups, questionnaires• What questions are you trying to answer?• Are there validated questionnaires available?• Who will do the interviews?• Are there conflicts of interest?
Ethical approval may not be needed but the work should still be ethical
Data analysis
Consider this before you collect the data• Do you have the skills necessary• How can you acquire them?• How will the analysed data allow you to show
that the service met its aim?How will you share the work you have done?CPD - What have you learnt?
Research Projects
Derives generalisable new knowledgeYou already have lots of the skills neededQuestion your practice• What is the evidence base for what you do?• Would another treatment option be better?May compare interventions or evaluate an
experienceDon’t be put off by ethics
A clear aim
The success of the project depends on the clarity of the aim
Time/Money
Students!Grants• Companies • Nutricia, DANONE
• Charities• http://www.amrc.org.uk/our-members_member-profiles
• What do they want done?• Can you do it? You may need to use your own time
NIHRNational Institute of Health Research• http://www.nihr.ac.uk/Pages/default.aspx• Commission and fund NHS, social care and public
health research• Funding based on quality and relevance• Research design service• Publications – briefing documents• Calls for proposals• Research training
Clinical Academic Training Nurses, midwives and AHP • Brilliant scheme• (internships)• Masters in Research, Masters in Clinical
Research• Clinical Doctoral Research Fellowships• Clinical Lectureship• Senior Clinical Lectureshiphttp://www.nihrtcc.nhs.uk/cat/
Internship
New schemeAllows clinicians to try research About £10,000Administered by Local Education & Training Boards
(LETBs)
http://em.hee.nhs.uk/2013/10/09/health-education-east-midlands-launch-the-new-clinical-academic-careers-internship/
Masters in Research University of Birmingham• http://
www.birmingham.ac.uk/postgraduate/courses/combined/med/health-research.aspx
• To link theory and method with practical skills• Funding to cover salary and fees• Minimum of 1 year experience as AHP
Clinical Doctoral Research Fellowship
• 1 years clinical experience since graduating• Sufficient research training or experience• Wish to obtain a PhD by research whilst
developing their clinical skills• Salary cost + tuition fees + research costs
• http://www.nihrtcc.nhs.uk/cat/cdrf
Research Design Service
Part of NIHR• Give priority to grant applications • Regional centres, hub in Birmingham– Workshops– Seminars– Newsletter– Resource packs
http://www.rds-wm.nihr.ac.uk/web/guest/home/
Help
Centre for Reviews and Disseminationhttp://
www.york.ac.uk/inst/crd/finding_studies_systematic_reviews.htm
Cochranehttp://training.cochrane.org/AHP Research Networkhttp://
www.csp.org.uk/professional-union/research/networking/allied-health-professions-research-network