Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia.
Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Health Promot J Austr. 2023 Oct;34(4):867-874. doi: 10.1002/hpja.698. Epub 2023 Feb 11.
Health professionals have described barriers to providing carer smoking cessation support in children's wards. This article reports the findings of a research translation process that explored opportunities and developed pathways for change.
A facilitated discussion workshop and scheduled stakeholder meetings were used to evaluate research evidence and translate it to an evidence-informed organisational change process, with actions for implementation. Workshop and meeting participants were senior health staff with either a pharmacist, personnel with expertise in alcohol and other drugs, medical or nursing backgrounds, and who held senior managerial roles who worked in a hospital in the Northern Territory. A qualitative approach was used. The data from the workshop were transcribed and analysed using thematic analysis. The first author took notes for meetings that were not recorded and analysed these alongside the transcripts.
The process was able to initiate change to overcome barriers to providing carer smoking cessation support. All participants agreed to prioritise and make carer smoking cessation everybody's responsibility and supported a systematic approach, including provision of nicotine replacement therapy, new record-keeping systems, and training to address staff knowledge deficits and skills gaps. This movement to solution-focused change continued after the workshop.
With some preparation, a research translation workshop and meetings with selected leaders can initiate organisational change in similar settings and is consistent with theories of planned change. SO WHAT?: This article describes the use of a process to support health promotion through new policies and practices following research which identified barriers in a hospital ward.
健康专业人员描述了在儿科病房为照顾者提供戒烟支持的障碍。本文报告了一项研究转化过程的研究结果,该过程探讨了机会并为变革开辟了途径。
利用促进讨论的研讨会和预定的利益相关者会议来评估研究证据,并将其转化为循证组织变革过程,制定实施措施。研讨会和会议的参与者是具有药剂师背景、酒精和其他药物专业知识、医学或护理背景的资深卫生人员,以及在北领地医院担任高级管理职务的人员。采用定性方法。从研讨会获得的数据通过主题分析进行转录和分析。第一作者为没有记录的会议做了笔记,并与转录本一起进行了分析。
该过程能够启动变革,以克服为照顾者提供戒烟支持的障碍。所有参与者都同意将照顾者戒烟作为每个人的责任,并支持一种系统的方法,包括提供尼古丁替代疗法、新的记录保存系统以及培训,以解决员工知识不足和技能差距的问题。这种以解决方案为导向的变革在研讨会之后仍在继续。
经过一些准备,研究转化研讨会和与选定领导者的会议可以在类似的环境中启动组织变革,这与计划变革理论一致。
本文描述了一种使用过程在医院病房中确定的障碍后,通过新政策和实践来支持健康促进的研究。