Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Characteristics of an educational publication sourced from deaths investigated by the Coroner that is reported to have promoted practice change

Judith A. McInnes A B and Joseph E. Ibrahim A
+ Author Affiliations
- Author Affiliations

A Department of Forensic Medicine, Monash University, 57–83 Kavanagh Street, Southbank, VIC 3006, Australia. Email: josephi@vifm.org

B Corresponding author. Email: judy.mcinnes@monash.edu

Australian Health Review 36(4) 367-373 https://doi.org/10.1071/AH11036
Submitted: 15 April 2011  Accepted: 19 January 2012   Published: 27 August 2012

Abstract

Objective. The purpose of this study was to investigate the characteristics of the Residential Aged Care Coronial Communiqué that have promoted previously reported professional practice change, and to explore the circumstances of these changes.

Methods. This was an exploratory, qualitative study for which data was collected through semi-structured interview of 15 subscribers to the Residential Aged Care Coronial Communiqué.

Results. The Residential Aged Care Coronial Communiqué was reported to promote self-reported practice change though the inclusion of case studies, by being associated with the Coroner, and by providing evidence to justify change. The combination of existing concerns about risk and staff awareness, in conjunction with reading the Residential Aged Care Coronial Communiqué was also reported to promote practice change, as was having the support of senior staff and the authority to implement change.

Conclusions. The combination of narrative case studies in the context of an educational publication associated with the Coroner’s Office has been reported to provided evidence and incentive to promote professional practice change in an aged care setting. However the relative influence of the Residential Aged Care Coronial Communiqué, and other background circumstance and facilitating factors on practice change cannot be determined from this study.

What is known about the topic? Passive dissemination of written educational material has little or no impact on altering clinical practice.

What does this paper add? Exploratory research findings published in this paper provide insight into characteristics of an electronic, educational publication for a health professional audience reported to have promoted practice change in a residential aged care setting.

What are the implications for practitioners? The inclusion of short, clearly written case studies that describe real situations that have been investigated by the Coroner, in the context of a publication associated with the Coroner’s Office, has been reported to motivate staff to change professional practice to improve safety in a residential aged care setting.


References

[1]  Harvey P, Scherer S. Position Statement 9 and 10: The geriatricians’ perspective on medical services to residential aged care facilities (RCFs) in Australia. Sydney: Australian and New Zealand Society for Geriatric Medicine. 2011. Available online at http://www.anzsgm.org/documents/ps9AND10RCFsANZSGM2810_000.pdf [verified 18 July 2012].

[2]  Australian Institute of Health and Welfare. Residential aged care in Australia 2008–09. Aged care statistics series no. 31. Cat. no. AGE 62. Canberra: AIHW; 2010.

[3]  Australian Institute of Health and Welfare. Older Australia at a glance. 4th ed. Cat. no. AGE 52. Canberra: AIHW; 2007.

[4]  Sackett D, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ 1996; 312 71–2.
Evidence based medicine: what it is and what it isn’t.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK287ktF2itw%3D%3D&md5=542ee7540c04ed1cedff4056c5a5a9ebCAS | 8555924PubMed |

[5]  Pillemer K, Breckman R, Sweeney CD, Brownell P, Fulmer T, Berman J, et al Practitioners’ views on elder mistreatment research priorities: recommendations from a Research-to-Practice Consensus conference. J Elder Abuse Negl 2011; 23 115–26.
Practitioners’ views on elder mistreatment research priorities: recommendations from a Research-to-Practice Consensus conference.Crossref | GoogleScholarGoogle Scholar | 21462046PubMed |

[6]  Lomas J. Words without action? The production, dissemination, and impact of consensus recommendations. Annu Rev Public Health 1991; 12 41–65.
Words without action? The production, dissemination, and impact of consensus recommendations.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3M3msV2iug%3D%3D&md5=e90163d9ef8b4b1ee8860fe14e6f094cCAS | 2049143PubMed |

[7]  National Health and Medical Research Council. A guide to the development, implementation and evaluation of clinical practice guidelines. Canberra: NHMRC; 1999. Available at http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cp30.pdf [verified 18 July 2012].

[8]  Martis R, Ho JJ, Crowther CA. Survey of knowledge and perception on the access to evidence-based practice and clinical practice among maternal and infant health practitioners in South East Asia. BMC Pregnancy Childbirth 2008; 8 34–44.
Survey of knowledge and perception on the access to evidence-based practice and clinical practice among maternal and infant health practitioners in South East Asia.Crossref | GoogleScholarGoogle Scholar | 18680603PubMed |

[9]  Veness M, Rikard-Bell G, Ward J. Views of Australian and New Zealand radiation oncologists and registrars about evidence-based medicine and their access to Internet based sources of evidence. Australas Radiol 2003; 47 409–15.
Views of Australian and New Zealand radiation oncologists and registrars about evidence-based medicine and their access to Internet based sources of evidence.Crossref | GoogleScholarGoogle Scholar | 14641194PubMed |

[10]  Hutchinson A, Johnston L. Bridging the divide: a survey of nurses’ opinions regarding barriers to, and facilitators of, research utilization in the practice setting. J Clin Nurs 2004; 13 304–315.
| 15009333PubMed |

[11]  Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003; 362 1225–30.
From best evidence to best practice: effective implementation of change in patients’ care.Crossref | GoogleScholarGoogle Scholar | 14568747PubMed |

[12]  Berwick D. Disseminating innovations in health care. JAMA 2003; 289 1969–75.
Disseminating innovations in health care.Crossref | GoogleScholarGoogle Scholar | 12697800PubMed |

[13]  Halliday L, Thomson JA, Roberts L, Bowen S, Mead C. Influenza vaccination of staff in aged care facilities in the ACT: how can we improve the uptake of influenza vaccine? Aust N Z J Public Health 2003; 27 70–5.
Influenza vaccination of staff in aged care facilities in the ACT: how can we improve the uptake of influenza vaccine?Crossref | GoogleScholarGoogle Scholar | 14705271PubMed |

[14]  Buchan H. Gaps between best evidence and practice: causes for concern. Med J Aust 2004; 180 S48–9.
| 15012579PubMed |

[15]  McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, et al The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348 2635–45.
The quality of health care delivered to adults in the United States.Crossref | GoogleScholarGoogle Scholar | 12826639PubMed |

[16]  Hunt J, Lumley J. Are recommendations about routine antenatal care in Australia consistent and evidence-based? Med J Aust 2002; 176 255–9.
| 11999256PubMed |

[17]  Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust 2004; 180 S57–60.
| 15012583PubMed |

[18]  State Coroner’s Office of Victoria. Welcome to the Coroners Court of Victoria. Melbourne: Coroners Court of Victoria. 2012. Available at http://www.coronerscourt.vic.gov.au/ [verified 19 July 2012].

[19]  Victorian Institute of Forensic Medicine. Residential aged care communiqué. Melbourne: Victorian Institute of Forensic Medicine. 2012. Available at http://www.vifm.org/education-and-research/publications/residential-aged-care-communique/ [verified 19 July 2012].

[20]  Ibrahim JE, Davies Z, Nay R. Residential aged care coronial communique. Australas J Ageing 2007; 26 205
Residential aged care coronial communique.Crossref | GoogleScholarGoogle Scholar |

[21]  Ibrahim JE, Ehsani JP, McInnes JA. The impact of printed educational material from the Coroner in Victoria, Australia, on changing aged care health professional practice: a subscriber survey. J Am Geriatr Soc 2010; 58 585–591.
The impact of printed educational material from the Coroner in Victoria, Australia, on changing aged care health professional practice: a subscriber survey.Crossref | GoogleScholarGoogle Scholar | 20398124PubMed |

[22]  Farmer AP, Legare F, Turcot L, Grimshaw J, Harvey E, McGowan JL, Wolf F. Printed educational materials: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2008; CD004398
Printed educational materials: effects on professional practice and health care outcomes.Crossref | GoogleScholarGoogle Scholar |

[23]  Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 1998; 317 465–8.
Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1czmvV2htQ%3D%3D&md5=7fdd98babbe3de3de5fc90ff84efa64dCAS | 9703533PubMed |

[24]  Oxman AD, Thomson MA, Davis DA, Haynes RB. No magic bullets: a systematic review of 102 trials of interventions to help health care professionals deliver services more effectively or efficiently. Can Med Assoc J 1995; 153 1423–31.
| 1:STN:280:DyaK28%2FmslSgsw%3D%3D&md5=2447cfc46537da267018d850d9d9aa6fCAS |

[25]  Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. J Am Med Assoc 1995; 274 700–5.
| 1:STN:280:DyaK2MznvFWltg%3D%3D&md5=ba4581adc0aeeb5bbd1de75356887a2aCAS |

[26]  Arrighi JA. Educational initiatives for quality improvement projects: can you teach old dogs new tricks? Circulation 2011; 123 471–3.
Educational initiatives for quality improvement projects: can you teach old dogs new tricks?Crossref | GoogleScholarGoogle Scholar | 21262994PubMed |

[27]  Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, et al Changing provider behavior: an overview of systematic reviews of interventions. Med Care 2001; 39 II-1–II-45.

[28]  Britten N. Qualitative research: qualitative interviews in medical research. BMJ 1995; 311 251–3.
Qualitative research: qualitative interviews in medical research.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2MzltlWgsQ%3D%3D&md5=d81c1f959e63ef301c3161675ec30975CAS | 7627048PubMed |

[29]  Pope C, Mays N. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ 1995; 311 42–5.
Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2Mzjsl2ksw%3D%3D&md5=e815cf45070766d678a84858b83b0e9aCAS | 7613329PubMed |

[30]  Mays N, Pope C. Qualitative research in health care: assessing quality in qualitative research. BMJ 2000; 320 50–2.
Qualitative research in health care: assessing quality in qualitative research.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c%2FosV2itg%3D%3D&md5=d24c6f697212a2cd044f67cc62c38f7bCAS | 10617534PubMed |

[31]  Pope C, Ziebland S, Mays N. Qualitative research in health care: analysing qualitative data. BMJ 2000; 320 114–6.
Qualitative research in health care: analysing qualitative data.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c%2FptVOgug%3D%3D&md5=cd5df044202e9a2868e9b5e3d933923fCAS | 10625273PubMed |

[32]  National Health and Medical Research Council (NHMRC), Australian Research Council, and Australian Vice-Chancellors’ Committee. National statement on ethical conduct in human research. Canberra: NHMRC; 2007. Available at http://www.nhmrc.gov.au/publications/synopses/_files/e72.pdf [verified 19 July 2012].

[33]  Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovation in service organisations: systematic review and recommendations. Milbank Q 2004; 82 581–629.
Diffusion of innovation in service organisations: systematic review and recommendations.Crossref | GoogleScholarGoogle Scholar | 15595944PubMed |