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Keeping you in touch with the Education in Implementation Science Community of Practice

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Welcome

Keeping you in touch with the Education in Implementation Science Community of Practice

Welcome to the first edition of the Education in Implementation Science Community of Practice’s bi-monthly newsletter. Each issue we will be spotlighting interesting people and projects, as well as letting you know what is happening in the Community of Practice, and how you can be involved. We hope that this will be a dynamic and inclusive community, and if you have any comments, feedback, or anything you would like to share with the rest of the CoP, we would love to hear from you.

Who's Who? - Dr Emily Stone 

 

 

Who's Who? - Dr Ann Dadich 



 
Project Spotlight - Sydney West

What is the Education in Implementation Science Community of Practice?

The CoP is a Cancer Institute NSW funded initiative that has been set up to
 
  • Increase knowledge and skills in the science of implementation and translation of evidence into practice;
  • Provide support for conceptual developments in implementation projects; and
  • Support establishment of a network of scientists and clinicians involved in implementation science.
The CoP includes representatives from across the Translational Cancer Research Centres and Units. In particular, the key contacts at each of the TCRC/Us are:
 
 




A/Prof Andrew Searles - Community of Practice contact
Prof Rob Sanson-Fisher - Public Health Program Leader
Ms Susan Goode - Research Manager
 

Sydney Vital (Northern)



Dr Melanie Lovell - Community of Practice contact
Ms Suzie Nguyen - Research Manager 
 

South-West Sydney TCRU   





Dr Ann Dadich - Community of Practice contact
A/Prof Norbert Kienzle -- Research Manager 


Sydney Catalyst  









A/Prof Tim Shaw - Community of Practice contact
Dr Nicole Rankin - Community of Practice contact
Ms Danielle Miller - Research Manager 


Sydney-West TCRC








Dr Tracy Robinson - Community of Practice contact
Ms Pamela Proven - Research Manager


TCRN 






Ms Lena Caruso -  Research Manager
Ms Carmel Quinn - Community of Practice contact


The Kids Cancer Alliance








Dr Geoff McCowage - Community of Practice contact
Mr Michael Evtushenko - Research Manager




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Recent activities

Contents:


The CoP has been a flurry of activity over the last few months, and we have a lot more in store! Recently we have...

…ran a well attended Implementation science webinar

 
On 12th August Dr Ulfat Shaikh, Director for Healthcare Quality, and Associate Professor of Paediatrics at the University Of California Davis, School of Medicine and Associate Professor Tim Shaw from the University of Sydney presented how they use online education in safety and quality and implementation science.

The webinar presentation, entitled "Using online learning interventions in quality improvement and implementation science" explored challenges around the growing use of online learning for programs in safety and quality and implementation science, including the use of new online programs such as Qstream developed recently in Boston, USA.




The webinar was bought in partnership by International Society for Quality in Healthcare (ISQua), The Cancer Institute NSW Community of Practice in Implementation Science and the Clinical Excellence Commission of NSW.

A recording of this webinar can be viewed online here.

…held two successful workshops with visiting expert Professor Grimshaw
 

On 6th March we held two workshops, with Prof Jeremy Grimshaw from the Ottawa Health Research Institute in Canada.


The first was a one hour “Introduction to Implementation Science” workshop which looked at what we mean by Implementation Science and why it is important. Prof. Grimshaw’s take home points from the workshop were:

  • Implementation research is about saving lives, improving health outcomes and the quality of health services.
  • Substantive evidence base on the effects of different implementation interventions; good news is that it is possible to change stakeholder decisions and behaviours!
  • However current evidence base provides little practical guidance for health care systems about which interventions to use and how to optimise them
  • Future evaluative efforts need to focus on better, more transparent intervention development, more creative designs to enhance the informativeness of studies
  • Substantial theoretical and methodological development needed.


The rest of the day was an “Implementation Science Deep Dive”, attended by around 40 representatives from across the TCRC/Us. The group looked at how to map an implementation project, explored the barriers and enablers to implementation and discussed what the future holds for education in implementation science in NSW cancer care.

We hope that those of you who attended the workshops found them valuable. We took away some great comments and suggestion which will inform the future directions of the CoP.

 

…scoped an Implementation Science syllabus


One of the major objectives for the CoP is the development of a curriculum or syllabus for Implementation Science. A review of curriculum and approaches to implementation science revealed many different definitions around implementation science or knowledge translation and many different approaches to delivering education and training in these areas.
 
After reviewing some of these resources, the development team has put forward for discussion the following content areas that it believes need to be covered in any program that aims at supporting capacity building in Implementation Science. While this ‘Syllabus’ draws on the Canadian Curriculum it also incorporates other approaches internationally.
 
  1. Fundamentals of Implementation Science
  2. Setting the Scene and Engagement
  3. Research Methodology, design and evaluation in Implementation Science
    1. Design selection
    2. Implementation and intervention strategies
    3. Implementation tools
    4. Evaluation in IS/KT (including process, outcome and impact)
    5. Sustainability and longer term change
  4. Implementation Science and Policy
Please click here to review the full detail of the proposed syllabus. We will be seeking feedback and consultation, and would love to hear your comments.
 

…drafted a global scan of education in implementation science 
 


This review of international resources and activities informed the implementation science syllabus. Please click here to review the full document.
 

…begun scoping an online information portal

The portal will be a hub of information on education in implementation science. Watch this space!


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Who’s who in Implementation Science?

Dr Emily Stone

Staff Specialist in Thoracic Medicine at St Vincents Hospital

Dr Emily Stone has embarked upon PhD studies in the field of implementation in lung cancer.  She comes to this from a clinical background as chair of the St Vincent's Lung Cancer MDT and clinical practice in general Thoracic Medicine with a subspecialty interest in lung cancer.

Her interest in implementation has been driven by her experiences in founding and building the St Vincent's Lung MDT including a dedicated database.  From her work in developing this database she has become interested in the potential of linked data to influence lung cancer outcomes in a number of ways including identification of gaps in care, bridging the public-private divide and in application of evidence-based and guideline-directed care.  Vast quantities of routinely collected data from various sources in the Australian health care system could contribute to our understanding of lung cancer care and outcomes. Dr Stone is interested in exploring and analysing linked-data and testing key findings in the MDT setting to better understand and optimize outcomes in lung cancer. 

Her particular interests include accuracy of diagnosis and staging as well application of genomics, with a focus on optimal molecular workup at the time of diagnosis or progression. Pivotal collaborations will include work with key epidemiologists and data custodians as well as clinical interventions working with other lung cancer clinicians.  This is a fast-developing area in lung cancer which may permit innovative approaches to use of data with immediate feedback to the clinic.                                         

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Dr Ann Dadich

Senior Lecturer, School of Business, University of Western Sydney

PhD, BSocSci Psych (Hons), MAPS, NSW JP.

Dr Ann Dadich is a member of the Centre for Oncology Education and Research Translation (CONCERT). She is also a Senior Lecturer within the University of Western Sydney, School of Business, a registered psychologist, and a full member of the Australian Psychological Society. Following undergraduate training, Ann entered the government and third sectors to work with different populations within the community. These include children and young people, people with mental health and/or substance use issues, family members and carers, as well as prisoners. These experiences continue to inform her approach to conducting research that is both empirical and respectful. Ann is a Senior Editor of the Australasian Medical Journal, an Editorial Board Member of the Austin Journal of Nursing & Health Care, and until recently, she was a member of the International Editorial Board of Youth Studies Australia. She also reviews manuscripts for several international and national academic journals. In addition to academic research, Ann supports the academic training of university students. She currently supervises doctoral students and teaches undergraduate units in management, particularly in the context of change and innovation.

Since entering academe, Ann has accumulated considerable research experience in health services management, with a particular focus on knowledge translation. This is demonstrated by her publishing record, which includes over 100 refereed journal articles, book chapters, and conference proceedings. Further confirmation of the quality of her scholarship is found in the awards she has received – most recently, these include the Australian and New Zealand Academy of Management (ANZAM) Best Paper Award in the Conference Stream, Health Management, Public Sector & Not-for-Profit, as well as the Australian College of Health Services Management Best Paper Award in the ANZAM Conference Stream, Health Management, Public Sector & Not-for-Profit.

Ann aims to understand the complex processes through which knowledge translates into practice. Although the ultimate aim of knowledge translation is to improve consumer care, she recognises that this translation is influenced by practitioner expertise, consumer (and potentially carer) preferences, available resources, and the context in which care is delivery. As she appreciates that knowledge translation represents more than the mere superimposition or overlay of clinical guidelines onto a health service – it involves, and is shaped by many interrelated complex processes.

To better understand the complexity of knowledge translation, Ann led a state-wide impact and process evaluation of clinical resources to promote evidence-based sexual healthcare within the primary care sector. Findings from this and other studies that she has conducted incited her to develop a novel methodology to engage practitioners in participative research – namely, citizen social science. Ann plans to examine how this approach might enhance current understandings of knowledge translation.

Ann is always keen to learn from, and with fellow scholars, health service managers, practitioners, consumers, and carers. She appreciates that learning emerges not only with those who share her passion, but also with those who hold complementary interests                                     
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Project Spotlight -  Sydney West TCRC


Sydney West Translational Cancer Research Centre is developing a number of Implementation strategies to accelerate how new research findings can be translated into clinical practice within a knowledge management framework. The team at Sydney West is led by Professor Paul Harnett working with Associate Professor Tim Shaw, Dr Tracy Robinson, Ms Anna Janssen, Kylie Museth, Pam Provan and Karin Lyon. One example of such a study is a recent online QStream program that disseminated revised criteria for referral of women with ovarian cancer for consideration of genetic counseling and / or testing to gynaecology oncologists and their trainees. 

More recently, the team has undertaken a collaborative study to explore the role of Multidisciplinary Teams (MDTs) in implementation science (T3 research) and how we might build their capacity to engage in ‘practice based’ research. This work is part of an overall strategy to strengthen MDTs into “Tumour Programs” across the Sydney West Cancer Network (SWCN). This study has several phases (gap identification, priority setting, intervention and evaluation). In Phase one, a review of the literature, observational and interview data were utilized to identify gaps and enabling factors for Translational Research within a program of MDT cancer care.

A focus on the enabling factors and barriers to ‘implementation research’ also provides the environment for rigorously testing system improvements. Hence, the studies described above conform to the model described by Westfall et al., (2007) and aim to act as a “blue highway” between basic science, clinical research and bedside care. Other emerging implementation strategies at SW-TCRC include an online QStream Cup Challenge that addresses adverse events for oncology registrars at several sites and the development of orientation packages (that include information on translational research) for oncology trainees across tumor streams. 
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Upcoming events

December 2014:

Into 2015:

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Contribute to future editions

If you have a great idea for what you'd like to see included in future newsletters we welcome your suggestions. This might include:
  • future events in implementation including regional activities,
  • nominations for features on early career and high profile researchers or projects in implementation science,
  • new ideas on how we can collaborate or engage on research, or
  • opportunities to develop research skills, or suggested education topics.
To submit your ideas or suggestions please email to charlotte.pointeaux@sydney.edu.au
 

This initiative has been funded by

Copyright © 2014 Implementation Science Community of Practice, All rights reserved.

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