Faculty of Nursing, University of Alberta, Edmonton, Alberta T6G 1C9, Canada.
Implement Sci. 2012 Sep 13;7:87. doi: 10.1186/1748-5908-7-87.
This report is an introduction to a series of three research papers that describe the evolution of the approaches taken by the Translating Research in Elder Care (TREC) research team during its first four years to feed back the research findings to study participants. TREC is an observational multi-method health services research project underway in 36 nursing homes in the prairie provinces of Canada. TREC has actively involved decision makers from the sector in all stages from initial planning, through data collection to dissemination activities. However, it was not planned as a fully integrated knowledge translation project. These three papers describe our progress towards fully integrated knowledge translation--with respect to timely and requested feedback processes. The first paper reports on the process and outcomes of creating and evaluating the feedback of research findings to healthcare aides (unregulated health professionals). These aides provide over 80% of the direct care in our sample and actively requested the feedback as a condition of their continued cooperation in the data acquisition process. The second paper describes feedback from nursing home administrators on preliminary research findings (a facility annual report) and evaluation of the reports' utility. The third paper discusses an approach to providing a more in-depth form of feedback (expanded feedback report) at one of the TREC nursing homes.
Survey and interview feedback from healthcare aides is presented in the first paper. Overall, healthcare aides' opinions about presentation of the feedback report and the understand ability, usability, and usefulness of the content were positive. The second paper describes the use of telephone interviews with facility administrators and indicates that the majority of contextual areas (e.g., staff job satisfaction) addressed in facility annual report to be useful, meaningful, and understandable. More than one-half of the administrators would have liked to have received information on additional areas. The third paper explores how a case study that examined how involvement with the TREC study influenced management and staff at one of the TREC nursing homes. The importance of understanding organizational routines and the impact of corporate restructuring were key themes emerging from the case study. In addition, the Director of Care suggested changes to the structure and format of the feedback report that would have improved its usefulness.
We believe that these findings will inform others undertaking integrated knowledge translation activities and will encourage others to become more engaged in feedback processes.
本报告是对三篇研究论文的介绍，这些论文描述了 Translating Research in Elder Care（TREC）研究团队在其最初四年中为将研究结果反馈给研究参与者而采取的方法的演变。TREC 是一个正在加拿大草原省份的 36 家养老院进行的观察性多方法卫生服务研究项目。TREC 积极让该领域的决策者参与从最初规划、数据收集到传播活动的各个阶段。然而，它并不是作为一个完全整合的知识转化项目来计划的。这三篇论文描述了我们在完全整合知识转化方面的进展——及时和请求的反馈过程。第一篇论文报告了创建和评估研究结果反馈给医疗保健助手（非监管健康专业人员）的过程和结果。这些助手在我们的样本中提供了超过 80%的直接护理，并要求将反馈作为他们继续合作获取数据过程的条件。第二篇论文描述了养老院管理员对初步研究结果（设施年度报告）的反馈以及对报告实用性的评估。第三篇论文讨论了在 TREC 养老院之一提供更深入形式的反馈（扩展反馈报告）的方法。
第一篇论文介绍了医疗保健助手的调查和访谈反馈。总体而言，医疗保健助手对反馈报告的呈现以及内容的可理解性、可用性和有用性的意见是积极的。第二篇论文描述了对设施管理员进行电话访谈的使用，并指出设施年度报告中涉及的大多数背景领域（例如，员工工作满意度）是有用的、有意义的和可理解的。超过一半的管理员希望收到关于其他领域的信息。第三篇论文探讨了一项案例研究如何影响一家 TREC 养老院的管理层和员工。从案例研究中出现的关键主题包括了解组织惯例的重要性和公司重组的影响。此外，护理主任建议对反馈报告的结构和格式进行更改，以提高其有用性。
我们相信，这些发现将为其他从事综合知识转化活动的人提供信息，并鼓励更多人参与反馈过程。
