Bosma Mark, Cassidy Keri-Leigh, Le Clair J Kenneth, Helsdingen Sherri, Devichand Pratima
Department of Psychiatry, Dalhousie University, Halifax, NS.
Can Geriatr J. 2011 Mar;14(1):12-6. doi: 10.5770/cgj.v14i1.6. Epub 2011 Apr 13.
The Canadian Coalition for Seniors' Mental Health (CCSMH) developed national best-practice guidelines in seniors' mental health. Promoting adoption of new guidelines is challenging, as paper dissemination alone has limited impact on practice change.
We hypothesized that the existing knowledge transfer (KT) mechanisms of the Nova Scotia Seniors' Mental Health Network would prove useful in transferring the CCSMH best-practice guidelines.
In this observational KT study, CCSMH best-practice guidelines were delivered through two interactive, case-based teaching modules on Depression & Suicide, and Delirium via a provincial tele-education program and local face-to-face sessions. Usefulness of KT was measured using self-report evaluations of material quality and learning. Evaluation results from the two session topics and from tele-education versus face-to-face sessions were compared.
Sessions were well attended (N = 347), with a high evaluation return rate (287, 83%). Most participants reported enhanced knowledge in seniors' mental health and intended to apply knowledge to practice. Ratings did not differ significantly between KT session topics or modes of delivery.
The KT mechanisms of a provincial seniors' mental health network facilitated knowledge acquisition and the intention of using national guidelines on seniors' mental health among Nova Scotian clinicians. Key elements of accelerating KT used in this initiative are discussed.
加拿大老年人心理健康联盟(CCSMH)制定了老年人心理健康方面的全国最佳实践指南。由于仅通过纸质传播对实践变革的影响有限,推广采用新指南具有挑战性。
我们假设新斯科舍省老年人心理健康网络现有的知识转移(KT)机制将被证明有助于转移CCSMH最佳实践指南。
在这项观察性KT研究中,CCSMH最佳实践指南通过两个关于抑郁症与自杀以及谵妄的互动式、基于案例的教学模块,通过省级远程教育项目和当地面对面会议进行传递。使用对材料质量和学习的自我报告评估来衡量KT的有用性。比较了两个课程主题以及远程教育与面对面会议的评估结果。
参会人数众多(N = 347),评估回复率很高(287,83%)。大多数参与者报告称在老年人心理健康方面的知识有所增加,并打算将知识应用于实践。KT课程主题或授课方式之间的评分没有显著差异。
省级老年人心理健康网络的KT机制促进了新斯科舍省临床医生对知识的获取以及使用老年人心理健康全国指南的意愿。讨论了该倡议中加速KT的关键要素。