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A cross-sectional survey of supports for evidence-informed decision-making in healthcare organisations: a research protocol

机译:卫生保健组织中支持循证决策的横断面调查:一项研究方案

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Background This protocol builds on the development of a) a framework that identified the various supports (i.e. positions, activities, interventions) that a healthcare organisation or health system can implement for evidence-informed decision-making (EIDM) and b) a qualitative study that showed the current mix of supports that some Canadian healthcare organisations have in place and the ones that are perceived to facilitate the use of research evidence in decision-making. Based on these findings, we developed a web survey to collect cross-sectional data about the specific supports that regional health authorities and hospitals in two Canadian provinces (Ontario and Quebec) have in place to facilitate EIDM. Methods/design This paper describes the methods for a cross-sectional web survey among 32 regional health authorities and 253 hospitals in the provinces of Quebec and Ontario (Canada) to collect data on the current mix of organisational supports that these organisations have in place to facilitate evidence-informed decision-making. The data will be obtained through a two-step survey design: a 10-min survey among CEOs to identify key units and individuals in regard to our objectives (step 1) and a 20-min survey among managers of the key units identified in step 1 to collect information about the activities performed by their unit regarding the acquisition, assessment, adaptation and/or dissemination of research evidence in decision-making (step 2). The study will target three types of informants: CEOs, library/documentation centre managers and all other key managers whose unit is involved in the acquisition, assessment, adaptation/packaging and/or dissemination of research evidence in decision-making. We developed an innovative data collection system to increase the likelihood that only the best-informed respondent available answers each survey question. The reporting of the results will be done using descriptive statistics of supports by organisation type and by province. Discussion This study will be the first to collect and report large-scale cross-sectional data on the current mix of supports health system organisations in the two most populous Canadian provinces have in place for evidence-informed decision-making. The study will also provide useful information to researchers on how to collect organisation-level data with reduced risk of self-reporting bias.
机译:背景本协议建立在以下基础上:a)框架,该框架确定了医疗组织或卫生系统可以为证据明智的决策(EIDM)实施的各种支持(即职位,活动,干预措施),以及b)定性研究该图显示了加拿大一些医疗机构目前所提供的支持组合以及被认为有助于在决策中使用研究证据的支持。基于这些发现,我们开发了一个网络调查,以收集有关两个加拿大省(安大​​略省和魁北克省)的地区卫生部门和医院为促进EIDM的支持而提供的具体支持的横截面数据。方法/设计本文介绍了在魁北克省和安大略省(加拿大)的32个地区卫生部门和253家医院中进行的横断面网络调查的方法,以收集有关这些组织现有的组织支持组合的数据。促进循证决策。数据将通过两步调查设计获得:在CEO中进行10分钟的调查,以识别与我们的目标相关的关键单位和个人(步骤1),在CEO中进行20分钟的调查,以调查步骤中确定的关键单位1收集有关其单位在决策过程中进行的有关研究证据的获取,评估,改编和/或传播的活动的信息(步骤2)。该研究将针对三种类型的信息提供者:CEO,图书馆/文献中心经理和所有其他主要经理,其单位参与决策过程中研究证据的获取,评估,改编/包装和/或传播。我们开发了一种创新的数据收集系统,以提高只有最能提供信息的受访者才能回答每个调查问题的可能性。结果的报告将使用组织类型和省份的支持性描述性统计数据完成。讨论该研究将是第一个收集和报告有关加拿大两个人口最多的省份的卫生系统组织当前支持证据组合决策的现有混合构成的大规模横截面数据的报告。这项研究还将为研究人员提供有用的信息,帮助他们了解如何在降低自我报告偏见风险的情况下收集组织级数据。

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