Development of an implementation-focused network to improve healthcare delivery as informed by the experiences of the SCI knowledge mobilization network

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2019.1649343 · Published: January 1, 2019

Simple Explanation

This paper discusses the experiences and lessons learned from a network of seven Canadian Spinal Cord Injury (SCI) rehabilitation centers. The network focused on implementing best practices for pressure injury and pain prevention and management, using implementation science principles. The learnings from this network are being used to inform a new implementation-focused network involving SCI rehabilitation programs in Ontario, Canada.

Study Duration

2011-2017

Participants

Seven Canadian Spinal Cord Injury (SCI) rehabilitation centers

Evidence Level

Not specified

Key Findings

1
The SCI KMN successfully implemented best practices in pressure ulcer and pain prevention and management across participating sites.
2
The network built capacity in implementation methods among site personnel, enabling project scaling and application to other initiatives.
3
Dissemination of papers, abstracts, conference presentations, and an implementation guide informed the field of implementation science.

Research Summary

The manuscript describes several key lessons learned from seven years of participation in an implementation-focused network across seven Canadian SCI rehabilitation sites. Among the most important lessons were a highly representative governance structure, the use of primary indicators, and the systematic application of implementation science-based processes. Effective implementation is crucial for translating evidence into practice and achieving the best possible patient outcomes.

Practical Implications

Improved Healthcare Delivery

Implementing research findings into clinical practice can be improved through structured networks and implementation science principles.

Capacity Building

Building implementation capacity within healthcare teams can lead to the successful adoption of best practices and scaling of projects.

Network Collaboration

Collaboration within a community of practice can enhance knowledge sharing, standardization of care, and mutual support among healthcare providers.

Study Limitations

1
Absence of adequate supports and resources for data management and analysis.
2
Variability among individual sites with respect to the time frames for data collection and use.
3
Challenges related to data management and effective data utilization, balancing local site needs and central functions.

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