Papers by Alison Hutchinson
Health Research Policy and Systems
Background There is growing evidence that context mediates the effects of implementation interven... more Background There is growing evidence that context mediates the effects of implementation interventions intended to increase healthcare professionals’ use of research evidence in clinical practice. However, conceptual clarity about what comprises context is elusive. The purpose of this study was to advance conceptual clarity on context by developing the Implementation in Context Framework, a meta-framework of the context domains, attributes and features that can facilitate or hinder healthcare professionals’ use of research evidence and the effectiveness of implementation interventions in clinical practice. Methods We conducted a meta-synthesis of data from three interrelated studies: (1) a concept analysis of published literature on context (n = 70 studies), (2) a secondary analysis of healthcare professional interviews (n = 145) examining context across 11 unique studies and (3) a descriptive qualitative study comprised of interviews with heath system stakeholders (n = 39) in four ...
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BackgroundResearch co-production is an umbrella term used to describe research users and research... more BackgroundResearch co-production is an umbrella term used to describe research users and researchers working together to generate knowledge. Research co-production is used to create knowledge that is relevant to current challenges and to increase uptake of that knowledge into practice, programs, products, and/or policy. Yet, rigorous theories and methods to assess the quality of co-production are limited. Here we describe a framework for assessing the quality of research co-production – Research Quality Plus for Co-Production (RQ+ 4 Co-Pro) – and outline our field test of this approach.MethodsUsing a co-production approach, we aim to field test the relevance and utility of the RQ+ 4 Co-Pro framework. To do so we will recruit participants who have led research co-production projects from the international Integrated Knowledge Translation Research Network. We aim to sample 16 to 20 co-production project leads, assign these participants to dyadic groups (8 to 10 dyads), train each part...
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Implementation Science Communications, 2020
BackgroundIncreasingly, health researchers must demonstrate the impact and real-life applications... more BackgroundIncreasingly, health researchers must demonstrate the impact and real-life applications of their research. We investigated how health researchers with expertise in knowledge translation report research translation activities and impact on their curriculum vitae (CV).MethodsWe conducted a cross-sectional survey of health researchers with expertise in knowledge translation as we anticipated best practices in CV reporting from this specialized group. Our survey asked participants about their reporting of research translation and impact activities on their CVs, intention to report, and barriers and facilitators to reporting such activities on their CVs. We calculated univariate descriptive statistics for all quantitative data. Linear regression models determined predictors of researchers’ intention to report research translation and impact activities on their CVs. We analyzed open-ended qualitative responses using content analysis.ResultsOne hundred and fifty-three health rese...
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Implementation Science, 2019
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BMJ Open, 2018
ObjectivesTo investigate what healthcare professionals perceived and experienced as key patient s... more ObjectivesTo investigate what healthcare professionals perceived and experienced as key patient safety concerns in Bhutan’s healthcare system.DesignQualitative exploratory descriptive inquiry.SettingsThree different levels of hospitals, a training institute and the Ministry of Health, Bhutan.ParticipantsIn total, 140 healthcare professionals and managers.MethodsNarrative data were collected via conversational in-depth interviews and Nominal Group Meetings. All data were subsequently analysed using thematic analysis strategies.ResultsThe data revealed that medication errors, healthcare-associated infections, diagnostic errors, surgical errors and postoperative complications, laboratory/blood testing errors, falls, patient identification and communication errors were perceived as common patient safety concerns. Human and system factors were identified as contributing to these concerns. Instituting clinical governance, developing and improving the physical infrastructure of hospitals, ...
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Additional file 1: Supplementary file 1. Table of Included Studies.
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Further detail on each attribute, including the identity of the features within each attribute, d... more Further detail on each attribute, including the identity of the features within each attribute, definitions, and an illustrative quote for each feature within the attributes, and the frequency of each feature overall and within each of the 11 datasets specifically. (XLS 129 kb)
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The Australian and New Zealand Continence Journal, 2016
The psychological process of living in a residential aged care facility and being incontinent and... more The psychological process of living in a residential aged care facility and being incontinent and dependent on another person for assistance with bladder and bowel function is largely unchartered. Likewise, little is known about the experiences and opinions of next-ofkin family members. As the function of many family members is as key advocate for residents, it is important to understand and share their perspectives about quality continence care. The aim was to explore next-of-kin family members' understandings and expectations about the concept of 'quality continence care' for their relative living in a residential aged care facility. The findings suggest shared indicators of quality continence care centre on practices that family members believe will maintain a resident's cleanliness and comfort, interpret the behaviours of cognitively impaired residents, optimise personal continence and autonomy, identify and address underlying medical conditions, and validate fam...
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BMC Family Practice, 2021
Background Primary care nurses can assist General Practitioner’s to identify cognition concerns a... more Background Primary care nurses can assist General Practitioner’s to identify cognition concerns and support patient health self-management for those experiencing cognitive impairment or dementia. This support may lead to more appropriate care and better health outcomes for this group. Consequently, there is a need to identify the role of the primary care nurse in dementia care provision, nurse perceptions of this role and to also understand the barriers and enablers that may influence any current or potential primary care nurse role in dementia care provision. Methods Eight focus groups were conducted with a total of 36 primary care nurses. Data was transcribed verbatim and thematically analysed. Results There was a high level of agreement between primary care nurses that they had a role in provision of dementia care. This role was largely attributed to the strong therapeutic relationship between nurses and patients. However, dementia care provision was not without its challenges, i...
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Women and Birth, 2019
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Palliative Medicine, 2017
Background: Conducting research with dying persons can be controversial and challenging due to co... more Background: Conducting research with dying persons can be controversial and challenging due to concerns for the vulnerability of the dying and the potential burden on those who participate with the possibility of little benefit. Aim: To conduct an integrative review to answer the question ‘What are dying persons’ perspectives or experiences of participating in research? Design: A structured integrative review of the empirical literature was undertaken. Data sources: Cumulative Index Nursing and Allied Health Complete, PsycINFO, MEDLINE, Informit and Embase databases were searched for the empirical literature published since inception of the databases until February 2017. Results: From 2369 references, 10 papers were included in the review. Six were qualitative studies, and the remaining four were quantitative. Analysis revealed four themes: value of research, desire to help, expression of self and participation preferences. Dying persons value research participation, regarding their...
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Clinical Context for Evidence-based …, 2010
The importance of the context of practice to the quality of care delivered has been established i... more The importance of the context of practice to the quality of care delivered has been established in prior chapters and is no less important in the acute care setting. The term “acute care” generally refers to care delivered within a hospital (Mosby's Medical ...
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Worldviews on Evidence-Based Nursing, 2009
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Practical Diabetes International, 1989
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Nursing Research, 2008
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Implementation Science, 2010
Background A commonly recommended strategy for increasing research use in clinical practice is to... more Background A commonly recommended strategy for increasing research use in clinical practice is to identify barriers to change and then tailor interventions to overcome the identified barriers. In nursing, the BARRIERS scale has been used extensively to identify barriers to research utilization. Aim and objectives The aim of this systematic review was to examine the state of knowledge resulting from use of the BARRIERS scale and to make recommendations about future use of the scale. The following objectives were addressed: To examine how the scale has been modified, to examine its psychometric properties, to determine the main barriers (and whether they varied over time and geographic locations), and to identify associations between nurses' reported barriers and reported research use. Methods Medline (1991 to September 2009) and CINHAL (1991 to September 2009) were searched for published research, and ProQuest® digital dissertations were searched for unpublished dissertations usi...
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Implementation Science, 2009
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Implementation Science, 2011
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Implementation Science, 2009
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Papers by Alison Hutchinson