Barriers and facilitators to research use: developing an evidence resource
description
Transcript of Barriers and facilitators to research use: developing an evidence resource
Barriers and facilitators to research use: developing an
evidence resource
Mary DunneNational Documentation Centre on Drug Use
Health Research Board
Disseminating evidence
‘a key challenge is to disseminate best practice among
service providers to ensure that it is applied’
(Department of Community, Equality & Gaeltacht Affairs (2009) Interim National Drugs Strategy, p.75).
Barriers
What are the barriers to research use among allied health practitioners in the AOD area?
EVIDENCE PRACTICE
BARRIERS
Facilitators
What are the services, strategies and resources that may alleviate these issues?
EVIDENCE PRACTICE
LIS Facilitators
LIS Facilitators
BARRIERS
Studybarriers & facilitators to research use
among allied health practitionersin the alcohol and drugs (AOD) area.
• 3 focus groups• Survey of 175 counsellors
Method29 potential barriers to research use under
4 factors1:
• Practitioner • Setting • qualities of the research • communication 1Funk, S. G., Champagne, M.T., Wiese, R.A. & Tornquist, E.M. (1991). BARRIERS: The
barriers to research utilization scale. Applied Nursing Research, 4(1), 39–45.
Barriers to research useModerate/ great barriers for the majority of counsellors
Communication
Setting
Not aware of research
Not capable of evaluating quality
Do not have time to read
Not generalizable to setting
Inadequate facilities for implementation
Uncooperative medical staff
Statistics not understandable
Unclear practice implications
Amount is overwhelming
Not compiled in one place
Not clear or readable
Not readily available
Not relevant to practice
Practitioner
Communication
Placement 1 Statistical analyses are not understandable 2 Implications for practice are not made clear 3 The amount of research information is overwhelming 4 The relevant literature is not compiled in one place 5 The research is not reported clearly and readably 7 Research is not readily available 8 The research is not relevant to my practice
Mean: 2.78
Setting
• Green – scored above the mean
Placement 6 I do not have time to read research
9 I feel results are not generalisable to my setting
12 Facilities are inadequate for implementation
13 Medical staff will not cooperate with implementation
14 There is insufficient time on the job to implement new ideas
19 Administrators/managers will not allow implementation
20 Other staff are not supportive of implementation
23 I do not feel I have enough authority to change
Mean: 2.39
Qualities of the research
Placement 15 The literature reports conflicting results
17 I am uncertain whether to believe research results
18 The research has not been replicated 21 The research has methodological inadequacies
24 Research reports/articles are not published fast enough
26 The conclusions drawn from the research are not justified
Mean: 2.17
Practitioner
• Blue – scored above the mean
Placement 10 I am unaware of the research 11 I do not feel capable of evaluating research quality 16 I am isolated from knowledgeable colleagues 22 I feel benefits of changing practice will be minimal 25 There is not a documented need to change practice 27 I see little benefit for myself 28 I do not see the value of research for practice 29 I am unwilling to change/try new ideas
Mean: 2.03
LIS Facilitators for research use
BARRIERS
Statistics not understandable
Unclear practice implications
Amount is overwhelming
Research not compiled in one place
Not clear or readable 6
Do not have time to read
Research not readily available
Not relevant to practice
Cannot generalise to setting
Practitioner not aware of research
Not capable of evaluating quality
Inadequate implementation facilities
Uncooperative medical staff
List of evidence-based websites
An email summary newsletter
Plain English summaries
Facility to email information professional
Organised meetings with others
Current awareness service
Help with literature searching
Online discussion forum
Facilitators Mean
A list of evidence-based websites 3.62
An email newsletter summarising research news 3.60
‘Plain English’ summaries of new research 3.54
The facility to email an information professional with a question 3.28
Organised meetings with others from your field 3.14
Current awareness service 3.09
Help with literature searching 3.03
An online discussion forum with others from your area of practice 2.79
Evidence sources
Evidence sources
• Cochrane Library
• European Monitoring Centre for Drugs & Drug Addiction
• National Institute for Health and Clinical Excellence
• National Institute on Drug Abuse
• National Registry of Evidence-based Programs & Practices SAMHSA.
• National Treatment Agency for Substance Misuse
• Social Care Institute for Excellence
• World Health Organization mhGAP Evidence Resource Centre
Evidence resource: search
Evidence resource search by type
Evidence resource: record
www.drugsandalcohol.ie
‘Remember, each barrier offers an opportunity for change’
Addiction Technology Transfer Center Network (2004). The change book: a blueprint for technology transfer (2nd ed.). Missouri: ATTC Network, p.24
EVIDENCE PRACTICE
BARRIERS
LIS Facilitators
Information literacy training