1. Kate Gerrish Professor of Nursing Sheffield Teaching Hospitals NHS FT Sheffield Hallam University Translating Knowledge into Action Implementation Theme Barnsley Doncaster Rotherham Sheffield NIHR CLAHRC for South Yorkshire

2. Barnsley Doncaster Rotherham Sheffield  To develop step change in the way research findings are implemented in practice by … trialling and evaluating innovative implementation strategies to facilitate evidence-based care in order to … enhance service quality, improve patient outcomes, and/or increase patient safety Aim – TK into A

3. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield  Develop, pilot and evaluate implementation strategies to promote evidence-based practice in response to identified service priorities  Implementation in practice  Implementation research  Disseminate successful initiatives across CLAHRC partnership  Develop the capacity of health care professionals to engage in evidence-based practice and applied research  Establish collaborations between NHS and academic partners to facilitate knowledge translation Objectives – TK into A

4. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield Knowledge Translation  Knowledge translation (implementation)  Closing the gap between what we know and what we do (reducing the know-do gap)  Making users aware of knowledge / innovations and facilitating their use of it to improve health and health care systems  Knowledge translation research  Studying the determinants of knowledge use and effective methods of promoting the uptake of knowledge use Graham (2007) CIHR

5. The Knowledge to Action Cycle From : Graham et al (2006) Lost in Knowledge Translation. Time for a Map?

6. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield Approach to KT  Collaboration between clinicians, managers and researchers  Project management group for each clinical priority  Facilitation  Knowledge Translation Project Leads  Knowledge Translation Facilitators  KT Projects  Implementation plan using Knowledge into Action cycle  Dissemination plan

7. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield  Identification of clinical priorities  Review of national, regional policy directives  1 st clinical project group  nutrition support for patients with LTCs  Other priorities under consideration  NICE guidelines on management of depression in primary care  NICE guidelines on medicines adherence  Palliative care of patients with COPD and/or Heart Failure  Reducing variation in the quality and service provision in stroke units across S Yorks Implement strategies to promote evidence-based practice

8. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield  Knowledge Translation Case Book  Objectives  capture existing / new KT activity across CLAHRC partnership  provide a vehicle for sharing learning about KT  provide concrete KT examples for training and outreach  demonstrate the impact of implementing research evidence  Dissemination strategy built into each project plan Disseminate learning across the CLAHRC partnership

9. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield  Clinical academic training pathway for nurses / AHPs  MSc Clinical Research  Research placements within CLAHRC themes  Progress to clinical doctoral fellowships  Developing skills in evidence-based practice  STHFT education programmes on developing EBP  Governance framework  Ethics and clinical governance framework for non-research activity  National tool commissioned by HQIP Capacity building EBP & applied research

10. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield  Strengthen primary and secondary care partnerships across South Yorkshire  Draw upon expertise of academic partners from two universities  Further develop knowledge translation in partner organisations  Systematically evaluate clinical impact of KT interventions  Systematically evaluate KT implementation strategies used  Use learning to inform undergraduate and postgraduate curriculum development Collaboration between NHS and academic partners

11. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield Knowledge translation: an example  Professor Nanette Mutrie, Professor of Physical Activity and Health Science University of Glasgow  Survey of women using an anxiety and depression scale  Housework makes women depressed http://news.bbc.co.uk/2/low/health/2287960.stm

13. NIHR CLAHRC for South Yorkshire Barnsley Doncaster Rotherham Sheffield Thank you Contact k.gerrish@shu.ac.ukk.gerrish@shu.ac.uk / kate.gerrish@sth.nhs.uk kate.gerrish@sth.nhs.uk