Blog Archives

How research can improve patient care?

Life-changing research can only benefit patients if they receive an appropriate intervention (as part of normal clinical care)  implemented in the way it was designed. We need to reduce the time lag, currently estimated at 17 years, between research discovery

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Posted in collaboration, culture, health care services, implementation, improvement, organisation, patients, research culture, sustainability, using research

Logic Models: what, why, how?

A recent article emphasised the power of using theory to explain why improvement programmes work. When key components of an intervention can be identified and their theoretical contribution to final outcomes understood, causal associations can be identified and tested. Although

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Posted in behaviour, change, complex interventions, context, organisation, theories

Why is context important in healthcare improvement?

Context is the new keyword to describe the conditions present in the environment when an intervention is carried out to improve healthcare. It is usually excluded from controlled experimental studies, so that the treatment effect can be attributed to the

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Posted in change, complex interventions, context, implementation, improvement, intervention, organisation

What skills do you need to improve?

Many of us have accepted challenges to improve a service in which we have worked. Sometimes we were successful. But often when were not, we just moved on to a different place and project. Sometimes lessons have been learned, but

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Posted in change, implementation, improvement, leadership, learning, management, organisation

Keys to improving healthcare services

Can innovation be led by clinicians and professionals in local healthcare services? Can these innovations drive improved services for patients? It seems possible – at least in a recent learning report produced by the Health Foundation, who sponsored 32 Shine

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Posted in health care services, healthcare professional, implementation, improvement, information, innovation, learning, organisation

Does research knowledge change clinical practice?

When we teach clinicians the skills of  evidence-based practice (EBP), we encourage them to search for and critically appraise research  evidence to answer their clinical questions. Then, we expect them to apply this research evidence to improve their clinical practice,

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Posted in change, complex interventions, evidence-based practice, implementation, knowledge translation, organisation, sustainability, using research

knowledge to change practice

Recognising different types of knowledge helps to explain some of the difficulties of changing practice. I will summarise an impressive conceptual article that sadly, is not available via open access.  If we think about knowledge in its broader sense, it

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Posted in change, clinical practice, evidence, healthcare professional, knowledge, organisation, using research

Using research in clinical practice

Research findings need to be translated into information that is meaningful for clinicians, managers, policy makers, patients and their families. There is a need to exchange and transform knowledge between those producing and using it. Not only do clinicians need

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Posted in change, clinical practice, healthcare professional, implementation, knowledge translation, organisation, using research