Abstract
BackgroundNurses and allied health care professionals (physiotherapists, occupational therapists, speech and language pathologists, dietitians) form more than half of the clinical health care workforce and play a central role in health service delivery. There is a potential to improve the quality of health care if these professionals routinely use research evidence to guide their clinical practice. However, the use of research evidence remains unpredictable and inconsistent. Leadership is consistently described in implementation research as critical to enhancing research use by health care professionals. However, this important literature has not yet been synthesized and there is a lack of clarity on what constitutes effective leadership for research use, or what kinds of intervention effectively develop leadership for the purpose of enabling and enhancing research use in clinical practice. We propose to synthesize the evidence on leadership behaviours amongst front line and senior managers that are associated with research evidence by nurses and allied health care professionals, and then determine the effectiveness of interventions that promote these behaviours.Methods/DesignUsing an integrated knowledge translation approach that supports a partnership between researchers and knowledge users throughout the research process, we will follow principles of knowledge synthesis using a systematic method to synthesize different types of evidence involving: searching the literature, study selection, data extraction and quality assessment, and analysis. A narrative synthesis will be conducted to explore relationships within and across studies and meta-analysis will be performed if sufficient homogeneity exists across studies employing experimental randomized control trial designs.DiscussionWith the engagement of knowledge users in leadership and practice, we will synthesize the research from a broad range of disciplines to understand the key elements of leadership that supports and enables research use by health care practitioners, and how to develop leadership for the purpose of enhancing research use in clinical practice.Trial registrationPROSPERO CRD42014007660.
Highlights
Nurses and allied health care professionals form more than half of the clinical health care workforce and play a central role in health service delivery
With the engagement of knowledge users in leadership and practice, we will synthesize the research from a broad range of disciplines to understand the key elements of leadership that supports and enables research use by health care practitioners, and how to develop leadership for the purpose of enhancing research use in clinical practice
The overall purpose of this systematic review is to synthesize the evidence on front line and senior managers’ leadership behaviours associated with the use of research evidence by nurses and allied health care professionals, and determine the effectiveness of interventions that promote these behaviours amongst health care leaders
Summary
The aim of this systematic review is to synthesize the research evidence on the frontline and senior managers’ leadership behaviours that are associated with research use by clinical staff in five health care professions; we will assess the effectiveness of interventions to develop these behaviours. She brings expertise in synthesis methodologies, the study of context, and the design and evaluation of theory-based knowledge translation interventions. She holds a University Research Chair in Evidence-based Practice in Rehabilitation and is a member of the musculoskeletal group at Collaboration Cochrane, and provides expertise for synthesis and interpretation of findings related to physiotherapy and other allied health professions, as well as the use of knowledge translation strategies to enhance research use in physiotherapy. His research is focused on implementation and knowledge use in health care organizations
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