Observational studyBMJ open2018
Importance of clinical educators to research use and suggestions for better efficiency and effectiveness: results of a cross-sectional survey of care aides in Canadian long-term care facilities.
Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed.
- How context links to best practice use in long-term care homes: a mixed methods study.Implementation science communications · 2024Article
- Characterizing worker compensation claims in long-term care and examining the association between facility characteristics and severe injury: a repeated cross-sectional study from Alberta, Canada.Human resources for health · 2023Article
- Conceptual and relational advances of the PARIHS and i-PARIHS frameworks over the last decade: a critical interpretive synthesis.Implementation science : IS · 2022Review
- Reporting unit context data to stakeholders in long-term care: a practical approach.Implementation science communications · 2022Article
- The Influence of Context on Implementation and Improvement: Protocol for a Mixed Methods, Secondary Analyses Study.JMIR research protocols · 2022Article
- Translation and validation of the Alberta Context Tool for use in Norwegian nursing homes.PloS one · 2021Article
- The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature.Implementation science : IS · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThis study explored the effect of clinical educators as facilitators of research use and how it may be modified by organisational context in the settings.
designCross-sectional observational study.
settingA representative sample of 91 residential long-term care (LTC) facilities across Western Canada.
participantsWe used surveys to collect data from the frontline care aides and information about the organisational context of the care units. OUTCOME MEASURE AND EXPLANATORY VARIABLES: We assessed research use (the outcome) with the Conceptual Research Utilization (CRU) scale. Explanatory variables in the multiple regression analysis were facilitation, organisational context and the interaction terms. Facilitation was measured by the frequency of contacts between care aides and clinical educator or person who brings new ideas about resident care. Three core organisational context variables were measured using the Alberta Context Tool.
resultsWe included data of 3873 care aides from 294 care units in the LTC facilities. We found significant associations between CRU and facilitation, leadership, culture and evaluation. Interactions of facilitation x leadership and facilitation x culture were negative. The coefficient of the facilitation x evaluation term in the regression model was positive (0.019, 95% CI 0.012 to 0.026), suggesting synergistic effects between facilitation and a well-developed process to evaluate care quality using relevant data.
conclusionsFindings indicate clinical educators are effective facilitators of research use among the care aides, but the effect is modified by organisational context. For greatest impact, managers can direct efforts of the clinical educators to care units where leadership and culture ratings are lowest, but a proficient feedback and evaluation process is in place. This understanding enables managers to deploy clinical educators (a scarce resource in LTC settings) most efficiently.
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Registered trials
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