Knowledge into Action: supporting education and learning

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Knowledge into Action supporting education and
learning

Host Derek Boyle Senior Knowledge Manager, NHS
Education for Scotland Email derek.boyle_at_nes.scot
.nhs.uk Tel [phone]
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Learning outcomes

• Improve your understanding of Knowledge into
  Action and your ability to explain it to others
• Increase your awareness of the resources and
  people that supports Knowledge into Action
• Knowledge of working examples in practice
• Discuss potential benefits for including
  Knowledge into Action in current education and
  learning activities

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A couple of questions

• Can you tell us a little bit about how you
  currently support learning in your organisation?
• What are your initial thoughts on how Knowledge
  into Action might benefit these activities?

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What is Knowledge into Action?
knowledge translation
The move beyond simple dissemination of
knowledge to actual use of knowledge Straus, et
al (2009)
knowledge implementation

• evidence based practice

implementation science
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Knowledge into Action review

• help practitioners to apply knowledge to
  frontline practice.
• embed use of knowledge in healthcare improvement.
• support practitioners and managers to translate
  knowledge into better health outcomes, i.e.
  safe, effective, person-centred, efficient care.

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From Accessing to Applying Knowledge in NHS
Scotland

• Knowing
• 66 libraries
• 116 library staff
• 12 million resources
• Doing
• How much of this gets used in a meaningful way to
  improve safe, effective, person-centred care?

http//www.knowledge.scot.nhs.uk
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Knowledge as process
Practice

• Know-where
• Systems
• Processes
• Variation

• Know-how
• Actionable
• Relational
• Organisational

Research

• Know-what
• Journals
• MEDLINE
• Cochrane

Experience

• Know-who
• Service user
• Practitioner
• Teams

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Knowledge as process

• Relational use of knowledge
• Communities of Practice
• Social networking
• Social learning

• Know-how
• Actionable
• Relational
• Organisational

• Actionable knowledge
• Checklists
• Pathways
• Mobile apps

• Organisational enablers
• Backing at national and board level
• Tests of change to demonstrate impact
• Knowledge broker

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Weve looked at the knowledgenow lets look at
some action

• Practice based small group learning using real
  clinical problems to stimulate reflection,
  discussion and learning among groups of peers
• Sepsis and VTE collaborative develop a driver
  diagram, change package measurement package to
  improve outcomes for patients with sepsis in
  Scotland.

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Practice based small group learning

• Specially prepared modules produced which closes
  the gap between current practice and best
  practice
• Knowledge brokers provided support to clinicians
  in developing a PBSGL module on cervical
  screening.
• Educational perspective clinicians and
  knowledge brokers working together

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Sepsis and VTE collaborative

• The Sepsis Collaborative aims to contribute to
  overall aim of the Scottish Patient Safety
  Programme of reducing mortality rates by 20 by
  December 2015
• Knowledge broker involved in a range of
  activities
• Educational perspective knowledge broker role
  combined with tools and resources produced a
  positive outcome.

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Suggested approaches
Source select appropriate resources Find
Training on searching Evaluate Critical
appraisal training Combine Use of KM
tools Share Use of CoPs and social media Apply
use of actionable knowledge tools
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• Where to find out more?
• Take the knowledge management module on the QI
  Hub http//www.qihub.scot.nhs.uk
• What can you do?
• Join a local or national test of change - contact
  your local NHS librarian

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Summary

• Knowledge into Action is a national strategy
  which aims to develop the skills of frontline
  practitioners for applying knowledge into
  frontline practice and improvement
• This is not something new rather about embedding
  this approach into existing learning
  opportunities.
• There are tools, resources and people to support
  this moving forward.

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Over to you
Can you tell us a little bit about how you
currently support learning in your
organisation? What are your initial thoughts on
how Knowledge into Action might benefit these
activities?

• Objectives from my project plan
• Identify pilot groups to test approaches.
• Embed the core principles of knowledge into
  action into medical and quality improvement
  training.

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References

1. Straus SE, Tetroe J, Graham ID. Knowledge
   Translation in Health Care Moving from Evidence
   to Practice. Oxford Blackwell Publishing Ltd.,
   2009.
2. Morris, Z.S. Wooding, S Grant, J. The answer is
   17 years, what is the question understanding
   time lags in translational research. Journal of
   the Royal Society of Medicine. 2011. 104510-520
3. NHS Education for Scotland and Healthcare
   Improvement Scotland. Getting Knowledge into
   Action to Improve Healthcare Quality Report of
   Strategic Review and Recommendations, 2012.