An Overview of the TK2A Theme

Aim
We are seeking to develop step change in the way research findings are implemented in practice by engaging in knowledge translation activities in order to enhance service quality, contribute towards improving patient outcomes and increase patient safety.

Objectives
Our Objectives are to:

  1. Develop, pilot and evaluate innovative implementation strategies to promote evidence-based practice in response to identified service priorities.
  2. Disseminate successful implementation initiatives across the CLAHRC partnership, regionally and nationally.
  3. Develop the capacity and capability of clinicians/practitioners to engage in evidence-based practice through education and work-based learning initiatives.
  4. Promote the development of a critical evaluative organisational culture in which individuals and teams are receptive to change and change management is driven by research-based evidence.
  5. Establish creative partnerships between academic and NHS partners to facilitate knowledge translation in order to enhance the quality of care and benefit patients.

Approach
The main focus of our activity is on piloting and evaluating innovative strategies for implementation which can then be rolled out across the NIHR CLAHRC for SY partnership with further evaluation of their impact. Learning from initial pilots will be used to inform subsequent implementation across partner sites.

We work with NHS partners to identify clinical priorities for implementation which are embedded within their organisational priorities and those of commissioners. We adopt an action research approach, working collaboratively with clinicians and managers to design and carry out implementation projects. We evaluate projects by looking at both the impact of the clinical intervention and the implementation strategies used.

The Canadian Institutes of Health Research model of knowledge translation (2005) forms an overarching conceptual framework for our work and we are drawing on the Knowledge to Action framework (Graham et al 2006) in designing individual projects. Specifically we work with NHS partners to:

  • Identify problem that needs addressing
  • Identify, review and select knowledge relevant to the problem
  • Adapt the knowledge to the local context
  • Assess barriers to using the knowledge
  • Design transfer strategies to promote the use of knowledge
  • Monitor how the knowledge diffuses throughout the user group
  • Evaluate the impact of the users’ application of the knowledge
  • Sustain the ongoing use of knowledge by users

Other activities
MSc Clinical Research
This programme is part of the NIHR Clinical Academic Training Pathway for Nurses, Midwives and Allied Health Professionals. The programme is delivered by the School of Health and Related Research (ScHARR) University of Sheffield. An innovative clinical research practice module is hosted by Sheffield Teaching Hospitals NHS Foundation Trust and the TK2A theme.  The module provides students with the opportunity to learn how to undertake clinical and health service research and they have the opportunity to undertake research placements with CLAHRC research and implementation teams. Full and part-time NIHR bursaries are available to cover course fees and students’ salary costs (including on costs). For further information please see here

Guide for Clinical Audit, Research and Service Review
We worked with the clinical audit, practice development and research departments at Sheffield Teaching Hospitals to develop a practical toolkit for differentiating between research and implementation projects such as audit, service development and service evaluation. The toolkit was commissioned by HQIP and is available on their website here.

References
Graham I, Logan J, Harrison M, Strauss S, Tetroe J, Caswell W, Robinson N (2006) 
Lost in knowledge translation: Time for a map.
Journal of Continuing Education in the Health Professions 26:1 13–24