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Putting weight-related conversations into practice: Lessons learned from implementing a knowledge translation casebook in a disability context.

التفاصيل البيبلوغرافية
العنوان: Putting weight-related conversations into practice: Lessons learned from implementing a knowledge translation casebook in a disability context.
المؤلفون: Provvidenza CF; Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Institute, Toronto, Canada., Bonder R; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Institute, Toronto, Canada., McPherson AC; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Institute, Toronto, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.
المصدر: Child: care, health and development [Child Care Health Dev] 2024 May; Vol. 50 (3), pp. e13257.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7602632 Publication Model: Print Cited Medium: Internet ISSN: 1365-2214 (Electronic) Linking ISSN: 03051862 NLM ISO Abbreviation: Child Care Health Dev Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, Blackwell Scientific Publications.
مواضيع طبية MeSH: Pandemics* , Translational Science, Biomedical*, Humans ; Child ; Canada ; Communication ; Health Personnel
مستخلص: Background: Due to reported challenges experienced by healthcare providers (HCPs) when having weight-related conversations with children with disabilities and their families, a knowledge translation (KT) casebook was developed, providing key communication principles with supportive resources. Our aim was to explore how the KT casebook could be implemented into a disability context. Study objectives were to develop and integrate needs-based implementation supports to help foster the uptake of the KT casebook communication principles.
Methods: A sample of nurses, physicians, occupational therapists and physical therapists were recruited from a Canadian paediatric rehabilitation hospital. Informed by the Theoretical Domains Framework, group interviews were conducted with participants to understand barriers to having weight-related conversations in their context. Implementation strategies were developed to deliver the KT casebook content that addressed these identified barriers, which included an education workshop, simulations, printed materials, and a huddle and email strategy. Participant experiences with the implementation supports were captured through workshop evaluations, pre-post surveys and qualitative interviews. Post-implementation interviews were analysed using descriptive content analysis.
Results: Ten HCPs implemented the KT casebook principles over 6 months. Participants reported that the workshop provided a clear understanding of the KT casebook content. While HCPs appreciated the breadth of the KT casebook, they found the abbreviated printed educational materials more convenient. Strategies developed to address participants' need for a sense of community and opportunities to learn from each other did not achieve their aim. Increased confidence in integrating the KT casebook principles into practice was not demonstrated, due, in part, to having few opportunities to practice. This was partly because of the increase in competing clinical demands at the onset of the COVID-19 pandemic.
Conclusions: Despite positive feedback on the product itself, changes in the organisational and environmental context limited the success of the implementation plan. Monitoring and adapting implementation processes in response to unanticipated changes is critical to the success of implementation efforts.
(© 2024 John Wiley & Sons Ltd.)
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معلومات مُعتمدة: Centres for Leadership for Child Development, with support from Holland Bloorview Kids Rehabilitation Hospital Foundation
فهرسة مساهمة: Keywords: casebook; communication; healthcare professionals; implementation; knowledge translation; obesity
تواريخ الأحداث: Date Created: 20240408 Date Completed: 20240409 Latest Revision: 20240409
رمز التحديث: 20240409
DOI: 10.1111/cch.13257
PMID: 38587273
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2214
DOI:10.1111/cch.13257