A Review and Synthesis of Literature Examining Healthcare Managers' Use of Knowledge in Their Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/621567
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
A Review and Synthesis of Literature Examining Healthcare Managers' Use of Knowledge in Their Practice
Author(s):
Cummings, Greta G.; Tate, Kaitlyn C.; Hewko, Sarah J.; McLane, Patrick B.; Baxter, Pamela E.; Armijo-Olivo, Susan; Estabrooks, Carole A.
Lead Author STTI Affiliation:
Non-member
Author Details:
Greta G. Cummings, PhD, RN, FCAHS, FAAN, Professional Experience: 2013 - ongoing Centennial Professor, University of Alberta 2010 – ongoing Professor, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada 2008 – 2010 Associate Professor 2004 – 2008 Assistant Professor Author Summary: Dr. Cummings has an international reputation for her research in healthcare leadership and management. Dr. Cummings supervises undergraduate and graduate students and teaches leadership, policy, knowledge translation and research .
Abstract:

Background. Despite acceptance of the merits of evidence-based practice, healthcare managers are frequently cited as discounting the value of research evidence to inform management practice. We identified and evaluated the effectiveness of interventions implemented to enhance healthcare managers’ use of research in their management practice.

Methods We searched ten online bibliographic databases. Articles eligible for inclusion reported on interventions targeted to healthcare managers for enhancing research utilization in their practice. Two reviewers independently screened all titles, abstracts and manuscripts using predefined inclusion and exclusion criteria and independently conducted quality reviews on all manuscripts meeting inclusion criteria. Four research team members employed Hoon’s (2013) approach to meta-synthesis of qualitative studies to synthesize review results. We validated our findings in two semi-structured focus groups with 16 healthcare managers.

Results Our database search yielded 15, 715 potentially relevant records. After duplicates were removed, a total of 14, 227 unique references remained. These references were screened and 178 titles moved forward to full text screening. Seven studies of variable quality (reported in 11 articles) met inclusion criteria. Three were case studies with primarily qualitative results. Interventions employed to enhance research use among healthcare managers’ included: informal and formal training, a computer-based/desktop application; meeting based, executive-level knowledge translation activities; and a formal residency program. Meta-synthesis yielded four themes including organizational culture/context, prioritization, time as a resource, and capacity building. An additional perspective was identified after reviewing focus group data. Awareness relates to participant’s lack of awareness that literature exists to inform management practice in health care or participants’ prematurely concluding that there is no relevant research in a particular area.

Conclusions Methods employed to study interventions to enhance management research use among healthcare managers are primarily qualitative. Qualitative results can inform future studies, with study designs that can demonstrate causation and the relative effectiveness of specific components of an intervention in this area. The small number of studies available in the literature and the diverse strategies employed hindered our ability to identify one intervention or strategy as superior to any other.

Keywords:
Healthcare Managers; Research Use; Systematic Review
Repository Posting Date:
21-Jun-2017
Date of Publication:
21-Jun-2017
Other Identifiers:
INRC17L09
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleA Review and Synthesis of Literature Examining Healthcare Managers' Use of Knowledge in Their Practiceen_US
dc.contributor.authorCummings, Greta G.en
dc.contributor.authorTate, Kaitlyn C.en
dc.contributor.authorHewko, Sarah J.en
dc.contributor.authorMcLane, Patrick B.en
dc.contributor.authorBaxter, Pamela E.en
dc.contributor.authorArmijo-Olivo, Susanen
dc.contributor.authorEstabrooks, Carole A.en
dc.contributor.departmentNon-memberen
dc.author.detailsGreta G. Cummings, PhD, RN, FCAHS, FAAN, Professional Experience: 2013 - ongoing Centennial Professor, University of Alberta 2010 – ongoing Professor, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada 2008 – 2010 Associate Professor 2004 – 2008 Assistant Professor Author Summary: Dr. Cummings has an international reputation for her research in healthcare leadership and management. Dr. Cummings supervises undergraduate and graduate students and teaches leadership, policy, knowledge translation and research .en
dc.identifier.urihttp://hdl.handle.net/10755/621567-
dc.description.abstract<p><strong>Background. </strong><span>Despite acceptance of the merits of evidence-based practice, healthcare managers are frequently cited as discounting the value of research evidence to inform management practice. We identified and evaluated the effectiveness of interventions implemented to enhance healthcare managers’ use of research in their management practice.</span></p> <p><strong><strong>Methods </strong>. </strong>We searched ten online bibliographic databases. Articles eligible for inclusion reported on interventions targeted to healthcare managers for enhancing research utilization in their practice. Two reviewers independently screened all titles, abstracts and manuscripts using predefined inclusion and exclusion criteria and independently conducted quality reviews on all manuscripts meeting inclusion criteria. Four research team members employed Hoon’s (2013) approach to meta-synthesis of qualitative studies to synthesize review results. We validated our findings in two semi-structured focus groups with 16 healthcare managers.</p> <p><strong><strong>Results </strong>. </strong>Our database search yielded 15, 715 potentially relevant records. After duplicates were removed, a total of 14, 227 unique references remained. These references were screened and 178 titles moved forward to full text screening. Seven studies of variable quality (reported in 11 articles) met inclusion criteria. Three were case studies with primarily qualitative results. Interventions employed to enhance research use among healthcare managers’ included: informal and formal training, a computer-based/desktop application; meeting based, executive-level knowledge translation activities; and a formal residency program. Meta-synthesis yielded four themes including organizational culture/context, prioritization, time as a resource, and capacity building. An additional perspective was identified after reviewing focus group data. Awareness<strong> </strong>relates to participant’s lack of awareness that literature exists to inform management practice in health care or participants’ prematurely concluding that there is no relevant research in a particular area.</p> <p><strong><strong>Conclusions </strong>. </strong>Methods employed to study interventions to enhance management research use among healthcare managers are primarily qualitative. Qualitative results can inform future studies, with study designs that can demonstrate causation and the relative effectiveness of specific components of an intervention in this area. The small number of studies available in the literature and the diverse strategies employed hindered our ability to identify one intervention or strategy as superior to any other.</p>en
dc.subjectHealthcare Managersen
dc.subjectResearch Useen
dc.subjectSystematic Reviewen
dc.date.available2017-06-21T14:05:51Z-
dc.date.issued2017-06-21-
dc.date.accessioned2017-06-21T14:05:51Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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