Continuing Professional Development Knowledge Market - PowerPoint PPT Presentation

Loading...

PPT – Continuing Professional Development Knowledge Market PowerPoint presentation | free to download - id: 578137-MDNmZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Continuing Professional Development Knowledge Market

Description:

Continuing Professional Development Knowledge Market Designing CPD for Better Practice and Outcomes Evidence, Practice and Debate 9th May 2013 Overview: Evidence base ... – PowerPoint PPT presentation

Number of Views:91
Avg rating:3.0/5.0
Slides: 20
Provided by: JeniFa
Learn more at: http://www.knowledge.scot.nhs.uk
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Continuing Professional Development Knowledge Market


1
Continuing Professional DevelopmentKnowledge
Market
  • Designing CPD for Better Practice and Outcomes
  • Evidence, Practice and Debate 9th May 2013

2
Overview Evidence base for CPD
  • Literature on CPD influencing practice and
    outcomes.
  • Evidence-based CPD methods.
  • Combining CPD and improvement to translate
    knowledge into practice.

3
The Challenge
4
Knowledge-Practice Gap (1)
  • 40-45 defect rate in healthcare system
    patients not receiving care as recommended in
    guidelines.
  • Grol, 2001
  • McGlynn et al, 2003
  • NHS Atlas of Variation, 2012

  • 17 years to get research recommendations into
    practice. (Balas et al 2000)

Institute of Medicine, 2001
5
Knowledge-Practice Gap (2)
  • Information overload- Seventy-Five Trials and
    Eleven Systematic Reviews a Day How Will We Ever
    Keep Up?

  • Bastian, H. et al 2010
  • 2. Practice vs research Overestimation of
    impact in research studies compared with
    real-life contexts.


  • Ioannidis, 2011.

6
Continuing Professional Development Bridging
the Knowledge-Practice Gap?
7
The Literature
  • Can CPD change practice and healthcare outcomes?
  • How can we design CPD for maximum impact?

8
The evidence base
  • Fragmented, partial and complex evidence base on
    CPD methods and theories - healthcare, education,
    sociology, psychology, management, organisational
    change.
  • A stronger evidence base is needed metrics,
    research, evaluation.

9
Key evidence sources
  • Marinopoulos 2007 Overview of reviews and
    primary studies. Overall CPD approaches were
    effective in acquiring and sustaining knowledge,
    attitudes and skills, changing behaviours, and
    improving clinical outcomes.
  • Institute of Medicine 2010 62 evaluations 20
    systematic reviews. Evidence that CPD works, in
    some cases, to improve clinical practice and
    patient outcomes.

10
Effective CPD approaches
Interactive learning
Patient/Service Need
Multiple methods Time to assimilate and reflect.
Practice orientation Embedding Feedback
11
Examples
  1. Use of clinical pathways
  2. Audit and feedback
  3. Interactive education meetings, workshops,
    online communities.
  4. Educational outreach visits (academic
    detailing)
  5. On-screen, point of care computer reminders
  6. Local opinion leaders
  7. Printed educational materials
  8. Rapid-response educational technologies access
    to new knowledge.

Cochrane Effective Practice and Organisation of
Care Group
12
Pathman-PRECEED Model
Individual

Intervention Awareness Agreement Adoption Adherence
Predisposing Print materials Journals Lectures
Enabling Opinion leaders Small group sessions Small group sessions. Educational detailing. Patient education.
Reinforcing Small group audit and feedback. Reminders Multiple interventions
System
Davis et al 2003
13
CPD Outcomes Chain
HEALTHCARE OUTCOMES the resulting impact on
patients and communities.
PERFORMANCEapplication of knowledge in practice.
COMPETENCE..demonstrated in educational setting.
KNOW-HOWlearners acquire skills and procedural
knowledge.
KNOW-WHAT learners acquire new knowledge about
interventions.
SATISFACTION learners react in these ways.
PARTICIPATION.reaches learner.
Moore et al 2009
14
Knowledge Translation Combining CPD and
Improvement
15
Transformative LearningBridging the
Knowledge-Practice Gap
Individual change Clinical competency Healthcare
performance
Translating Knowledge Into Practice and Quality
Outcomes
Continuing Professional Development
Adult learning principles
Policy Other partners System and process System
change
Implementation Person-Centred Values Safety
Systems Improvement Systems Learning Principles
16
Educational Bridge to Quality
  • Institute of Medicine (2003)
  • 5 educational themes central to quality and
    safety in all professions
  • Person-centred care.
  • Interprofessional team working.
  • Evidence-based practice.
  • Continuous quality improvement.
  • Health informatics - combining data and evidence
    to support decisions and improve quality of care.

17
Summary
  • Transformative learning to bridge the
    knowledge-practice gap calls for a combination
    of
  • CPD education as intervention.
  • Systems improvement implementation, patient
    safety and quality improvement methods.
  • Clinical knowledge and improving quality
    knowledge.
  • Opportunity for NES to contribute through
    research and evaluation to the evolving evidence
    base for CPD contributing to improvement in
    practice and outcomes.

18
Discussion and debate
  • How can NES develop its leadership role in CPD,
    combining clinical knowledge and improvement
    knowledge, to improve practice and patient
    outcomes?
  • How can NES help to build the evidence base for
    continuing professional development?

19
Continuing Professional DevelopmentKnowledge
Market
  • Combining Education, Improvement and Knowledge
  • for Better Practice and Outcomes
  • Evidence, Practice and Debate 9th May 2013
About PowerShow.com