OUR IMPACT. December 2014

Transcription

1 OUR IMPACT December 2014

2 IMPACT MEASURING WHAT MATTERS: THE IMPORTANCE OF IMPACT The Joanna Briggs Institute is now approaching its 20th year of operation (in 2016), which is an impressive organisational milestone. To date we have focussed heavily on achieving our vision and mission of improving global health through the provision of the best available evidence to inform decision making at the point of care. Measuring and reporting impact is becoming increasingly important to evidence-based healthcare. It is integral to monitoring the influence and effect of research evidence on decision-making at the point of care and its ability to improve health outcomes for the community. Evaluating and reporting on the success of JBI activities, initiatives and outputs and learning from that experience are key to the progression and maturity of our organisation and our future development. Learning can and should be a critical business process, providing organisations with the ability to enhance performance and move forward strategically. This document represents a body of work related to impact evaluation undertaken in It is work that is ongoing and developmental, but we have already learned much from both the process and the findings and we are keen to share this preliminary work with you. We will continue to engage with our key stakeholders as we progress and encourage you to make contact with us to share your experiences of using JBI resources in practice. Associate Professor Zoe Jordan Acting Executive Director

3 JBI Since its inception in 1996 JBI has been committed to making a positive impact on implementing best evidence into practice. Our vision is to promote and support the synthesis, transfer and utilization of evidence through identifying feasible, appropriate, meaningful and effective healthcare practices to assist in the improvement of healthcare outcomes globally. Our mission is to provide best practice educational material and support to all aspects of health care practice.

4 WHAT DO WE DO? We create high quality materials; systematic reviews, evidence summaries, best practice information sheets and implementation reports, on a vast range of healthcare topics. We provide access to our evidence-based resources and tools relating to all the health professions - medicine, nursing and allied health - as well as health policy makers, planners and executives - are provided exclusively through Wolters Kluwer Health / Ovid and Lippincott Williams and Wilkins. We empower health professionals and consumers with knowledge and skills to take positive action for better practice.

5 HOW WELL DO WE DO? GLOBAL REACH SHORT COURSES HIGHER DEGREE RESEARCH PUBLICATIONS EVENTS JBI FOUNDATION WHAT PEOPLE SAY MEDIA

6 GLOBAL OUR GLOBAL REACH JBI has over 70 Collaboration Centres, and organisations from 28 countries subscribing to JBI resources (The top subscribing countries being Australia, USA, Canada and Finland), with developing countries able to access JBI resources free via Hinari. 70+ COLLABORATION CENTRES 28 SUBSCRIBING COUNTRIES A large factor associated with the wide impact of JBI, both in Australia and worldwide, is attributed to JBI s commitment to synthesising the best internationally available evidence and providing this information in appropriate, relevant formats to inform health systems, health professionals and consumers. JBI provides programs to enable the effective implementation of evidence and evaluation of its impact on healthcare practice.

7 SHORT COURSES Short courses generally run four times a year and offer classes run in Adelaide together with on-site learning within individual workplaces. 113 ENROLMENTS to Comprehensive Systematic Review Training Program (CSRTP) 68 ENROLMENTS to the Evidence-Based Clinical Fellowship Program Training conducted at JBI Adelaide (2013 to date) Training conducted at Collaboration Centres (2013 to date) CSRTPs ENROLMENTS collaboration centres offered the CSRTP

8 HIGHER DEGREE JBI s successful Higher Degree courses run every year. Enrolments MClinSci 15 PhD Completions MClinSci PhD

9 RESEARCH Taking on research projects reinforces JBI s mission belief that the very best healthcare should be delivered with the very best evidence available. $4.5 MILLION Research Funding Amount of funding (AUD) raised through research projects undertaken from 2011 to-date Research Projects Undertaken

10 PUBLICATIONS Systematic Reviews, Evidence Summaries and Recommended Practices form part of our prolific output of first class healthcare information. Publication Type No. produced since 1996 Systematic Reviews Evidence Summaries Recommended Practices

11 EVENTS Events offer a unique opportunity to learn, network and exchange ideas with a vast range of colleagues from home and abroad DELEGATES DELEGATES DELEGATES DELEGATES JBI Convention Adelaide JBI Convention Adelaide JBI Colloquium Thailand JBI Colloquium Singapore

12 FOUNDATION Actively promoting improved healthcare around the world, the Joanna Briggs Foundation has helped fund 19 Fellow students from Africa. 2 beneficiary events 1 corporate cocktail function 1 boardroom luncheon 5EVENTS 1 corporate funding proposal 19 Brazil Ethiopia Ghana Kenya $ Malawi Myanmar FELLOWS Nairobi Uganda $49,000 Amount raised from 3 events

13 WHAT PEOPLE SAY ABOUT US I would (and have) recommend the JBI MClinSci course to a number of mid and later career health professionals. It has been invaluable to me, and I believe would be for others, to aid in retaining relevant and up to date literature skills in the modern health workplace Lynn Costi, Pharmacist Communication and support from JBI staff has been ongoing and has also assisted in the facilitation of numerous projects that I have been involved in. Rochelle Kurmis, Allied Health Project Manager I have and will always recommend the JBI Clinical Fellowship Program to nurses who are interested in the improvement of patient outcomes through evidence based work. Mark Ramage, Clinical Practice Consultant JBI reignited my passion for nutrition and dietetics. For my clinical fellowship JBI provided the framework in which to work. Tools like the Practical Application of Clinical Evidence System (PACES) and the template for writing the implementation report were very useful and gave me a starting point... Joanna Briggs Institute staff were there to assist directly when we had any difficulties. Gail Whitelock, Senior Dietician JBI supported us by creating evidence reviews when we did not find one in JBI COnNECT Poh chi Tho, Nurse Educator

14 WHAT PEOPLE SAY ABOUT US ROCHELLE KURMIS Allied Health Project Manager, Adult Burns Service, Royal Adelaide Hospital. My position is varied, predominately I support allied health staff to participate in quality improvement and research activities related to burn care. I also represent the burns service on multiple levels, through my role as co-chair of the JBI Burns Node, as a steering committee member for the Burns Registry of Australia and New Zealand, and as a member of the ANZBA Allied Health Committee. Topic: Trace element supplementation following severe burn injury: Systematic review and meta-analysis JBI Resources I have used: I have used PACES numerous times for conducting clinical audits, on both a local and national multi-centre level. These have assisted in benchmarking and monitoring compliance of nutritional criterion for the burns unit. I have also used JBI SUMARI (mainly CREMS and MAStARI modules) for assisting in the conducting of systematic reviews. JBI Evidence Summaries and Recommended practices have also assisted in the compilation of the ANZBA/JBI Allied Health Guideline development which I have been involved in. Utilising PACES for a multi-centre audit was a really simple way of benchmarking practice across Australia and New Zealand. This project has recently been published in an International Burns Journal, so has the ability to inform practice on an international level. I have completed a JBI Clinical Fellowship and am a currently a Master of Clinical Science student with the JBI. The leadership component of the Clinical Fellowship was a very informative and useful session in my previous clinical practice. It is also something that I refer to in my current, nonclinical role. As a MClinSc student, the systematic review training has been excellent. Although I was familiar with critical appraisal previously, formalising the methodology behind structuring and writing a review has been insightful. The support of my primary supervisor, appointed by the JBI, has also been invaluable throughout this learning process. Ongoing communication and support with JBI staff, especially Zac Munn through our roles on the Burns Node, has also assisted in the facilitation of numerous projects that I have been involved in. Although these projects may have eventuated without this support, I am sure that the process would not have been as streamlined, the tasks would have been more onerous on involved clinicians and as a result taken longer to complete, possibly without such professional outcomes. October 2014

15 WHAT PEOPLE SAY ABOUT US MARK RAMAGE D arcy Sutherland Cardiothoracic Surgical Unit at the Royal Adelaide Hospital. Currently I am the Clinical Practice Consultant for the Cardiothoracic Surgical Unit. This involves the case management of urgent and emergency cases requiring heart and lung surgery and the organisation of transfers from referring hospitals, elective and urgent list management involving the triaging of patients, post-operative pathway and discharge planning education, and complex wound management for post-operative inpatients and outpatients through wound clinics. Topic: Malnutrition among elderly in an acute care tertiary setting : a best practice implementation project (through the JBI Fellowship Program) JBI Resources I have used: PACES as an on-line audit tool and POOL as a database for collection and storage of audit data from PACES. Conducting the above project, Malnutrition among elderly in an acute care tertiary setting, has resulted in a number of successful outcomes: The implementation of the emust (electronic Malnutrition Universal Screening Tool), The PROWL (Prevention and Reduction of Weight Loss in acute care patients) study, which led to the ongoing use of emust in the Royal Adelaide Hospital and subsequently through-out the Department of Health, The Nutritional Observation Chart, Introduction of nourishing fluids to the ward areas (all ward areas now have patient fridges for the storage of theses fluids), Meal Alert Signs, and The Red Tray project. emust will also be incorporated into the EPAS system. I completed the JBI Evidenced-Based Clinical Fellowship Program which helped me with the use of audit tools such as PACES, understanding the importance of evidence based practice and how good evidence based research can lead to positive change in clinical practice. I have and will always recommend the Clinical Fellowship Program to nurses who are interested in the improvement of patient outcomes through evidence based work. November 2014

16 WHAT PEOPLE SAY ABOUT US POH CHI THO I am a Nurse Educator in an Evidence-Based Nursing Unit. My present roles are conducting training, facilitating and mentoring nurses who are interested in implementing evidence-based practice in their setting. There are also times when I collaborate with nursing students from the university as site PI or collaborator. Implementation of Best Practice in Management of Peripheral Intravenous Catheter in Coronary Care Unit (CCU) Topic: Evidence-Based Nursing Unit is a small unit set up by the Nursing department consist of one Assistant Director and four Nurse Educators. Each educator is in charge of different nursing clusters. The current settings that I am overseeing are the High Dependency Units, Intensive Care Units and Emergency Department. We have been actively utilizing the resources from JBI COnNECT+. We encourage the nurses to look at Best Practice Information Sheets (BPIS), Evidence Based Recommended Practice and Evidence Summaries. We encourage nurses to look at the current practices in their own setting and any clinical indicators that are of concern in the setting. We then login to JBI COnNECT to search of any best practices that are evidence-based. When we retrieve the evidence resources, we will need to compare with our current practice to check for any gaps in practice. We will conduct a baseline audit to find out the gaps/barriers to practice. We will use JBI PACEs to conduct audit. After the audit, sharing sessions will be conducted to create awareness using information from JBI resources (Best Practice Information Sheets/ Evidence Based Recommended Practice/ Evidence Summaries) and results of audit. During these sessions, we gather feedback and suggestions from the ground nurses to address the gaps in practice. For this particular project mentioned, the rate of phlebitis is a concern in the unit. We aimed to reduce phlebitis rate in the unit. We utilized the evidence from BPIS where we removed peripheral venous catheter when clinically not indicated. In a Coronary Care Unit where the perception of nurses is every patient should have a line standby for just in case is a challenge to change the mindset of nurses. We shared the evidence with the Clinical Director and work with him on the clinical justification criteria for PVC. A baseline audit on PVC care was conducted and we found that 64% of the PVCs were not removed when it clinical use is no longer justify. There was another area that the nurses did not perform well, is monitoring checking patency of the site was not done according to recommended practice, where the compliance rate is only 4%. Training session was conducted to inform the recommended practice and introduction of the clinical justification criteria for PVC. A post audit (3 months) showed an improvement for both criteria where PVC were removed when clinical use is no longer justify (83%) and monitor and checking of patency (96%). A follow-up audit (6 months) showed 100% and 83% compliance rate respectively. We successfully reduced phlebitis rate by 80% for the unit. I did not have any formal training on JBI COnNECT or PACEs. JBI supported us by creating evidence reviews when we did not find one in JBI COnNECT. September 2014

17 WHAT PEOPLE SAY ABOUT US GAIL ROSS-ADJIE RN PhD Nurse Researcher, Centre for Nursing and Midwifery Research, St John of God Murdoch Hospital, Murdoch WA A 522 bed private acute surgical hospital, 24 hour emergency department, wide range of surgical specialties and major maternity services provider with ~2000 deliveries per year. Topic: Graduated compression stockings for the prevention of post-operative venous thromboembolism in obstetric patients: a best practice implementation project. Currently, our organisation has full access to JBI materials and resources. We use PACES to a small degree as ACSQH and St John of God mandate some clinical audit tools which we must use. We do not use the Manual Builder or pamphlet builder as our PR dept. like to be involved in the publication of those. Best Practice Information Sheets are used to provide information for policy development. Gail is a clinical fellow alumni member of JBI having completed a clinical fellowship in This training assisted with using many of the JBI resources especially PACES. Prior to the implementation of the new OVID platform many staff complained that the interface was clunky and difficult to access although feedback on this has now been more positive since the introduction of the new OVID platform. Carl Austin has provided training to our librarian and clinical practice and policy nurse on the new OVID platform. The above project was published in the International Journal of Evidence Base Healthcare 2012; 10: and has been cited quite a number of times by other authors. After this publication Gail was interviewed by Science Network WA about the study (available from: and approached by Vasomed: the European journal of angiology, phlebology, lymphology and wound healing to write an amended article on the same topic The implementation of evidence-based guidelines for VTE prophylaxis in maternity patients has resulted in a reduction in VTE events in this cohort. September 2014

18 MEDIA PROMOTIONS TYPE OF MEDIA RELEASES TO DATE PRESS RELEASES NEWSPAPER ARTICLES DIGITAL NEWS ARTICLES NEWS REPORT Joanna Briggs Foundation Governor General s Visit University of Adelaide Press release on the Stillbirth Project University of Adelaide Press release on the JBI Colloquium Singapore June 02 September 02 September 03 September 04 November JBI Stillbirth Project Channel 10 News JBI Stillbirth Project Advertiser Newspaper

19 SOCIAL MEDIA IMPACT 912 Likes Facebook (Oct 2011) 165 Members LinkedIn (July 2014) Followers Tweets Twitter (Nov 2009)

20 THANK YOU It is with many thanks to our hard working staff, the international centres, students, and all our subscribers for helping JBI achieve our success in forging better outcomes and promoting and supporting best practice in global healthcare practices.