Knowledge Synthesis: Six Steps to Information and Evidence in a palliative care websiteTieman JJ, Rawlings D
JBI Conference August 2012
Purpose
• Role of knowledge in health• Palliative care and nurses• About CareSearch • Why Six Steps• Overview of Six Steps• What we’ve learned
Role of knowledge in health
• Health as a knowledge industry
• What we know from research can inform clinical decision making, policy making and service delivery
• Evidence and guidance is growing. – 75 trials & 11 systematic reviews published every day
Bastian et al, 2010
• How do individuals, services and systems know about, find and select what is important?
About palliative care
• Cure is not the goal of care• Referral based, co-morbidity,
multidisciplinary• Patient and family as unit of care• Care provided in many settings• Often a family carer
Palliative care and nurses
• At home/Across settings– Specialist services, Other Clinical specialist
services, Acute hospital, RACFs, Community, Rural and remote
• Different roles– Generalist (RN, EN), Clinical
specialist, Nurse practitioner
• Multidisciplinary team
About CareSearch• Palliative care resource
– Evidence based– Online – Funded by DoHA
• Audience– Health professional– Patients, carers, families
• Knowledge Translation framework – Facilitate access to, and use of, evidence in
practice
Why Six Steps?• Size of the website
– In one place, but over 2,000 pages
• Best sources being used?
• Familiarity with evidence contexts?
• Creating utility– Evidence in formats that clinicians can use– Structured approach to literature – Awareness of evidence tools
Overview of Six Steps
1. Is there a Clinical Practice page? 2. Check the Review Collection3. Check for a related PubMed search topic4. Build your own PubMed Search Topic5. Check the CareSearch Grey Literature6. Find about “How to search”
Breathlessness
Six Steps Learning Resources • Six Steps Factsheet
– Summary sheet on the approach– Over 4,000 sheets ordered
• My Learning Modules 1 & 2Jan to July use– My Learning 1: 661– My Learning 2: 223
Feedback on Six Steps
• Hi thank you for these informative modules, I have always found it difficult to navigate around caresearch for some reason so now hopefully will find it more productive.
• I never wanted to study this sort of stuff, but your information is very helpful and presented in a way that is informative and engaged
• This form of education is valuable and inexpensive, very interesting and more so appropriate for a dynamic industry.
What we’ve learned
• Not enough to provide resources– Consider needs and skills of intended users– Part of a range of activities (e.g. NHN news, QUC)
• Value in a structured approach – Encourages use of most
appropriate resource– Promotes understanding of
level of evidence– Team have a common framework
• Positive feedback and usage