Kaitlyn Tate1, Sarah Hewko2, Patrick McLane3, Pamela Baxter4, Karyn Perry5, Susan Armijo-Olivo6, Carole Estabrooks7, Deb Gordon8, Greta Cummings9. 1. 1 PhD Student, Faculty of Nursing, University of Alberta, CA. 2. 2 Research Associate, Faculty of Nursing, University of Alberta, CA. 3. 3 Assistant Scientific Director, Emergency Strategic Clinical Network, Alberta Health Services, CA. 4. 4 Dean and Professor, School of Nursing, McMaster University, CA. 5. 5 Manager Systemic Therapy, Southlake Regional Health Centre, CA. 6. 6 Principal Research Lead, Institute for Health Economics, CA. 7. 7 Professor, Faculty of Nursing, School of Public Health, University of Alberta, CA. 8. 8 Vice President & Chief Health Operations Officer Northern Alberta, CA. 9. 9 Dean and Professor, Faculty of Nursing, University of Alberta, CA.
Abstract
BACKGROUND: Scholarship cites health care managers (HCMs) as not using research evidence in their management practice. The purpose of this review was to evaluate the effectiveness of interventions to enhance HCMs use of research evidence in practice. METHODS: We carried out a systematic review and focus groups to validate the review findings. We searched 10 electronic databases for studies reporting on interventions for HCMs to enhance research utilization in their practice. Qualitative studies were analysed using Hoon's approach to meta-synthesis. RESULTS: Seven, primarily qualitative, studies of varying quality (reported in 11 articles) met our inclusion criteria. Interventions to enhance research use by HCMs included: informal and formal training, computer-based application, executive-level knowledge translation activities and residency programmes. Studies did not report efficacy of interventions or impacts of increasing managers' use of research on staff or patient outcomes. Meta-synthesis yielded four contextual factors influencing the perceived effectiveness of interventions to enhance research use by HCMs: organizational culture, competing priorities, time as a resource and capacity building. Included studies differed in how they defined research and demonstrated varying understandings of research among HCMs, limiting the generalizability of work in this field. CONCLUSIONS: Healthcare managers are increasingly called upon to make evidence-based decisions in practice, but the small number of studies and diverse strategies employed hinder our ability to identify any intervention to increase use of evidence as superior. Future studies in this area should clearly articulate the definition of research evidence they base their decisions on. Registration: PROSPERO (CRD42014006256).
BACKGROUND: Scholarship cites health care managers (HCMs) as not using research evidence in their management practice. The purpose of this review was to evaluate the effectiveness of interventions to enhance HCMs use of research evidence in practice. METHODS: We carried out a systematic review and focus groups to validate the review findings. We searched 10 electronic databases for studies reporting on interventions for HCMs to enhance research utilization in their practice. Qualitative studies were analysed using Hoon's approach to meta-synthesis. RESULTS: Seven, primarily qualitative, studies of varying quality (reported in 11 articles) met our inclusion criteria. Interventions to enhance research use by HCMs included: informal and formal training, computer-based application, executive-level knowledge translation activities and residency programmes. Studies did not report efficacy of interventions or impacts of increasing managers' use of research on staff or patient outcomes. Meta-synthesis yielded four contextual factors influencing the perceived effectiveness of interventions to enhance research use by HCMs: organizational culture, competing priorities, time as a resource and capacity building. Included studies differed in how they defined research and demonstrated varying understandings of research among HCMs, limiting the generalizability of work in this field. CONCLUSIONS: Healthcare managers are increasingly called upon to make evidence-based decisions in practice, but the small number of studies and diverse strategies employed hinder our ability to identify any intervention to increase use of evidence as superior. Future studies in this area should clearly articulate the definition of research evidence they base their decisions on. Registration: PROSPERO (CRD42014006256).
Entities:
Keywords:
healthcare management; research priority setting; systematic reviews