Assessing the Perceived Importance and Prevalence of Organizational Resources for Research Use in Health Systems

Transcription

1 Assessing the Perceived Importance and Prevalence of Organizational Resources for Research Use in Health Systems Celeste Alvaro, Ph.D. Research Scientist CPHA Presentation - June 20,

2 Research Team Co-Authors (Presentation) Renee Lyons, Ph.D., Scientific Director /TD Chair in Complex Chronic Illness and Professor (Status), University of Toronto Grace Warner, Ph.D., Associate Professor, Dalhousie University Iona Worden-Driscoll, MA, Dalhousie University Danielle Poulos, MA, Dalhousie University CIHR Knowledge Translation Strategies Operating Grant Team Co-Principal Investigators: Renee Lyons, Ph.D. and Grace Warner, Ph.D. Co-Investigators: Stevan Hobfoll, Ph.D., Patricia Martens, Ph.D., Ronald Labonte, Ph.D., and E. Richard Brown, Ph.D. Postdoctoral Fellow: Celeste Alvaro, Ph.D. 2

3 Rationale Health System Challenges Under-resourced Regions with poorer health status Conservation of Resources Theory Hobfoll, 1989 COR Theory and Knowledge Translation Resources needed for research uptake Resource needs vary as a function of stages in knowledge translation Threat of resource loss resistance to research uptake Optimize resources 3

4 Research Team 4

5 Background Literature Synthesis Review of literature on KT, organizational change, diffusion of innovations to identify organizational resources for research uptake Theory Development COR KT Theory Alvaro, C., Lyons, R.F., Warner, G., Hobfoll, S.E., Martens, P.J., Labonte, R., Brown, E.R. (2010). Conservation of resources theory and knowledge translation in health systems. Implementation Science, Taxonomy of organizational resources Multiple case-study validation 5

6 Validation of Taxonomy Preliminary Findings Objective To validate the taxonomy of organizational resources To assess: Perceived importance Perceived prevalence Method Online survey 59 participants to date (Nova Scotia sample); Toronto in progress Practitioners (n = 17), health promotion workers (n=13), managers/policy decision-makers (n=12), physicians (n=3), researchers (n=2), other (n=12) 6

7 Research Use Experiences and Challenges Research Use Experiences Implement, develop, or introduce evidence-based programs or practices Develop and/or implement policy change Positive Outcomes Improvement in policy/practice/program Enhance understanding, knowledge, awareness Offer evidence-based support for decisions future programs were developed based on needs identified by the population. (Researcher) 7

8 Research Use Experiences and Challenges Challenges Accessing and interpreting data Ensuring quality, relevance, and applicability of research staff struggled with the research, struggled with buy-in, fully understanding the intent, and being able to critically appraise the research... (Health Promotion Worker) 8

9 Importance and Prevalence By INDEX (indirect) Note: Within each category, means NOT sharing a common subscript differ significantly (p <.05); the non-response rate was greater than 10% for all indexes. 9

10 Importance and Prevalence By Category (Direct) Note: Within each category, means NOT sharing a common subscript differ significantly (p <.05); the non-response rate was greater than 10% for each question. 10

11 Notable Trends Importance Most important: Organizational culture & human resources Least important: Condition resources & economic resources Direct ratings (category): Organizational culture is significantly more important than condition resources and economic resources Indirect ratings (index): No differences across categories Prevalence Least prevalent: Economic resources Many don t know responses indicative of organizational culture? 11

12 Discrepancy Scores (Importance Prevalence) Largest Discrepancies 12

13 Discrepancy Scores (Importance Prevalence) Smallest Discrepancies 13

14 The Importance Prevalence Discrepancy Statistical differences between importance ratings and prevalence ratings for each category of organizational resources (indices) Importance > Prevalence

15 Comments Related to Importance and Prevalence Economic Resources Funding constraints/limitations Competing interests/priorities Unaware of available funding / budget Organizational Culture Support vs. resistance to change Slow to implement Adaptability

16 Comments Related to Importance and Prevalence Human Resources Competencies Propensity

17 Implications General Importance > Prevalence Demand > Supply Imbalance barrier to research uptake? Motivation? Theory COR theory and knowledge translation (KT) 17

18 Implications Health Systems COR-KT theory guided interventions Assessment of resource strengths and limitations Overcoming the fear of resource loss Optimizing resources for research use Prevalence of resources of greater importance COR-KT theory plus Not a stand alone theory Organizational change, social psychological theories, social influence theories, social movement, empowerment theories 18

19 Thank you Celeste Alvaro, Ph.D. Research Scientist Bridgepoint Collaboratory for Research and Innovation Bridgepoint Health 14 St. Matthews Rd Toronto ON M4M 2B5