Background
Methods
Developing the interview guide
Selecting and recruiting the sample
Data analysis
Ethics
Results
Province | Number of interview participants (% of total) | ||||||
---|---|---|---|---|---|---|---|
Total | Organization | Position | |||||
PCPa(7 organizations) | Hospital (11 organizations) | RHAb(6 organizations) | Senior manager | Knowledge broker | Library manager | ||
Ontario | 29 (51%) | 3 (5%) | 14 (25%) | 8 (14%) | 19 (33%) | 5 (9%) | 5 (9%) |
Quebec | 28 (49%) | 6 (11%) | 18 (32%) | 8 (14%) | 14 (25%) | 6 (11%) | 8 (14%) |
Total | 57 (100%) | 9 (16%) | 32 (56%) | 16 (28%) | 33 (58%) | 11 (20%) | 13 (23%) |
Barriers and facilitators to implementing supports for EIDM
Number of interview participants (n)a
| |||||||||
---|---|---|---|---|---|---|---|---|---|
Total (n = 57) | Organizationb
| Province | Occupation | ||||||
PCP (n = 9) | Hospital (n = 32) | RHA (n = 16) | Ontario (n = 29) | Quebec (n = 28) | Senior manager (n = 33) | Knowledge broker (n=11) | Library manager (n = 13) | ||
Barriers
|
50
|
8
|
29
|
13
|
24
|
26
|
28
|
10
|
12
|
-Limited resourcesc
| 34 |
6
| 19 | 9 | 16 | 18 | 19 |
8
| 7 |
-Time constraints | 23 |
6
| 11 | 6 | 16 |
7
| 12 | 4 | 7 |
-Negative attitude toward change |
14
| 3 |
8
|
3
|
7
|
7
|
7
| 4 |
3
|
Facilitators
| 30 | 4 | 18 | 8 | 17 | 13 | 18 |
8
|
4
|
-Genuine interest from health system decision-makers | 23 | 3 | 15 |
5
| 16 |
7
| 14 | 7 |
2
|
Views about emerging development of supports for EIDM
Support for evidence-informed decision-making | Number of interview participants (n)a
| ||||||||
---|---|---|---|---|---|---|---|---|---|
Total (n = 57) | Organizationb
| Province | Occupation | ||||||
PCP (n = 9) | Hospital (n = 32) | RHA (n = 16) | Ontario (n = 29) | Quebec (n = 28) | Senior manager (n = 33) | Knowledge broker (n = 11) | Library manager (n = 13) | ||
Facilitating pull efforts
| 25 | 4 | 14 | 7 |
8
| 17 | 11 | 6 | 8 |
-Implement accessible and efficient systems to support the use of research in decision-makingc
|
14
| 4 |
6
|
4
|
6
|
8
|
9
|
2
|
3
|
-Implement technical infrastructure to support research use and to ensure no restrictions are placed on staff’s access to online resources that contain relevant research evidence |
12
|
1
|
10
|
1
|
4
|
8
|
3
|
3
| 6 |
-Provide easy access to journals and scientific literature either through bulk purchasing of subscriptions or promoting open-access resourcesd
|
10
|
1
|
6
|
3
|
2
|
8
|
4
|
1
| 5 |
Climate for research use
| 19 |
2
| 14 |
3
|
8
| 11 | 13 |
3
|
3
|
-Develop and implement an infrastructure or positions where the accountability for encouraging knowledge use liese
|
13
|
0
|
10
|
3
|
5
|
8
|
7
|
3
|
3
|
Pull efforts |
16
|
2
|
10
|
4
|
8
|
8
|
7
| 7 |
2
|
-Enable training and continuing education that focus on finding and using research evidence in decision-making |
8
|
1
|
6
|
1
|
3
|
5
|
5
|
1
|
2
|
-Ensure decision-making processes promote the use of research in decision-making |
7
|
1
|
5
|
1
|
4
|
3
|
3
|
3
|
1
|
Linkage and exchange efforts
|
14
| 3 |
7
|
4
|
6
|
8
|
8
|
2
|
4
|
-Establish formal and informal ties to researchers and knowledge brokers outside the organization who can assist in integrating evidence into decision-makingf
|
13
| 3 |
6
|
4
|
5
|
8
|
8
|
2
|
3
|
Push efforts
|
14
|
0
|
10
|
4
|
3
| 11 |
5
|
3
| 6 |
-Use a knowledge intelligence service that scans the literature and distributes research evidence throughout the organizationg
|
11
|
0
|
7
|
4
|
2
|
9
|
4
|
1
| 6 |
Research production efforts
|
9
|
2
|
6
|
1
|
3
|
6
|
5
| 4 |
0
|
Evaluation of efforts to link research to action
|
7
|
1
|
3
|
3
|
2
|
5
|
3
|
3
|
1
|
Views about the priorities to bridge the gaps in the current mix of supports for EIDM
Support for evidence-informed decision-making | Number of interview participants (n)a
| ||||||||
---|---|---|---|---|---|---|---|---|---|
Total (n = 57) | Organizationb
| Province | Occupation | ||||||
PCP (n = 9) | Hospital (n = 32) | RHA (n = 16) | Ontario (n = 29) | Quebec (n = 28) | Senior manager (n = 33) | Knowledge broker (n = 11) | Library manager (n = 13) | ||
Facilitating pull efforts
| 29 | 4 | 16 | 9 | 15 | 14 | 14 |
8
| 7 |
-Implement technical infrastructure to support research use and to ensure no restrictions are placed on staff’s access to online resources that contain relevant research evidencec
|
17
| 3 |
9
|
5
|
6
| 11 |
8
| 4 | 5 |
-Provide easy access to journals and scientific literature either through bulk purchasing of subscriptions or promoting open-access resourcesd
|
11
|
2
|
7
|
2
|
2
|
9
|
4
| 4 |
3
|
-Implement accessible and efficient systems to support the use of research in decision-makinge
|
10
|
2
|
5
|
3
|
7
|
3
|
7
|
1
|
2
|
Linkage and exchange efforts
|
18
| 4 |
8
| 6 | 10 |
8
| 12 | 4 |
2
|
-Establish formal and informal ties to researchers and knowledge brokers outside the organization who can assist in integrating evidence into decision-makingf
|
17
| 4 |
7
| 6 |
9
|
8
| 12 | 4 |
1
|
Pull efforts |
18
| 3 |
10
|
5
| 12 |
6
|
10
| 5 |
3
|
-Enable training and continuing education that focus on finding and using research evidence in decision-making |
8
|
1
|
7
|
0
|
5
|
3
|
4
|
1
|
3
|
-Ensure decision-making processes promote the use of research in decision-making |
6
|
1
|
5
|
0
|
4
|
2
|
4
|
1
|
1
|
Climate for research use
|
16
|
1
| 12 |
3
|
8
|
8
| 11 |
3
|
2
|
-Develop and implement an infrastructure or positions where the accountability for encouraging knowledge use lies |
11
|
1
|
8
|
2
|
4
|
7
|
7
|
2
|
2
|
Evaluation efforts to link research to action |
13
| 3 |
7
|
3
|
6
|
7
|
7
|
2
|
4
|
Push efforts |
12
|
2
|
9
|
1
|
2
| 10 |
8
|
2
|
2
|
-Use a knowledge intelligence service that scans the literature and distributes research evidence throughout the organizationg
|
8
|
0
|
7
|
1
|
2
|
6
|
5
|
2
|
1
|
Research production efforts
|
10
| 4 |
4
|
2
|
4
|
6
|
7
|
3
|
0
|