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Research Agenda (research + agenda)
Kinds of Research Agenda Selected AbstractsGOVERNANCE AND CHARITIES: AN EXPLORATION OF KEY THEMES AND THE DEVELOPMENT OF A RESEARCH AGENDAFINANCIAL ACCOUNTABILITY & MANAGEMENT, Issue 1 2009Noel Hyndman The concept of governance has been widely discussed in both the business and non-business sectors. The debate has also been entered into within the charity sector, which comprises over 169,000 organizations in the UK. The UK-based Charity Commission, which describes itself as existing to ,promote sound governance and accountability', has taken a lead in this debate by promoting greater regulation and producing numerous recommendations with regard to the proper governance of charitable organizations. However, the concept of what is meant by governance is unclear and a myriad of ideas are placed under the umbrella of ,good governance'. This paper explores the major themes that form the basis of much of this discussion, examining both the theoretical underpinnings and empirical investigations relating to this area (looking from the perspective of the key stakeholders in the charity sector). Based on an analysis of the extant literature, this paper presents a broad definition of governance with respect to charities and outlines a future research agenda for those interested in adding to knowledge in this area [source] INSIGHTS INTO SERVICE OPERATIONS MANAGEMENT: A RESEARCH AGENDAPRODUCTION AND OPERATIONS MANAGEMENT, Issue 2 2003ALEDA V. ROTH This paper offers insights regarding an agenda for service operations management (SOM) research. First, we motivate the need for an SOM research agenda. Second, we offer a research framework that paints a broad-based picture of key architectural elements in the SOM research landscape. The framework builds upon prior and emerging research for designing, delivering and evaluating services. Third, in order to stimulate future research in SOM, we use this framework to hone in on five understudied and emerging research themes that underpin our proposed SOM research agenda. [source] Decision Sciences Research in China: A Critical Review and Research Agenda,Foundations and Overview,DECISION SCIENCES, Issue 4 2006Xiande Zhao ABSTRACT This article focuses on decision sciences research in China, providing an overview of current research and developing a foundation for future China-based research. China provides a unique research opportunity for decision sciences researchers, owing to its recent history, rapid economic development, and strong national culture. We examine recent economic reforms and their impact on the development of research questions in the decision sciences, as well as discuss characteristics of the diverse regions in China and their potential as sites for various types of research. We provide a brief overview of recent China-based research on decision sciences issues relating to national culture, supply chain management, quality management, production planning and control, operations strategy, and new product development and discuss some of the unique methodological challenges inherent in China-based research. We conclude by looking forward to emerging research opportunities in China. [source] Marital Research in the 20th Century and a Research Agenda for the 21st CenturyFAMILY PROCESS, Issue 2 2002John M. Gottman Ph.D. In this article we review the advances made in the 20th century in studying marriages. Progress moved from a self-report, personality-based approach to the study of interaction in the 1950s, following the advent of general systems theory. This shift led, beginning in the 1970s, to the rapid development of marital research using a multimethod approach. The development of more sophisticated observational measures in the 1970s followed theorizing about family process that was begun in the decade of the 1950s. New techniques for observation, particularly the study of affect and the merging of synchronized data streams using observational and self-report perceptual data, and the use of sequential and time-series analyses produced new understandings of process and power. Research in the decades of the 1980s and 1990s witnessed the realization of many secular changes in the American family, including the changing role of women, social science's discovery of violence and incest in the family, the beginning of the study of cultural variation in marriages, the expansion of the measurement of marital outcomes to include longevity, health, and physiology (including the immune system), and the study of co-morbidities that accompany marital distress. A research agenda for the 21st century is then described. [source] The Modern Girl around the World: A Research Agenda and Preliminary FindingsGENDER & HISTORY, Issue 2 2005Modern Girl Around the World Research Group Our research collaboration examines how the Modern Girl emerged as a global phenomenon in the first half of the twentieth century. By wearing provocative fashions and pursuing romantic love, Modern Girls everywhere appeared to disregard the roles of dutiful daughter, wife and mother. We develop the Modern Girl as a heuristic category that allows new insights into forces of globalisation and manifestations of gendered modernity. Through a case study of cosmetics advertising in China, India, South Africa, Germany and the United States, we show that the Modern Girl in each locale was shaped through multidirectional citations of elements from elsewhere, through transnational processes of racialisation and through distinct articulations of nationalism. [source] The Business of Temporary Staffing: A Developing Research AgendaGEOGRAPHY COMPASS (ELECTRONIC), Issue 8 2010Neil M. Coe This paper offers a critical review of the existing literatures on temporary staffing. It argues that while research on both client firm rationales and the experiences and characteristics of temporary agency workers are relatively well advanced, work that explores the temporary staffing industry and its own strategies and expansionary logics is still in its infancy. This is a significant oversight given the increasingly widespread influence of this particular form of labour market intermediary. Grounded in recent work in economic geography, the paper maps a future research agenda. [source] City-Regions, Neoliberal Globalization and Democracy: A Research AgendaINTERNATIONAL JOURNAL OF URBAN AND REGIONAL RESEARCH, Issue 1 2007MARK PURCELL This paper argues that research on city-regions could benefit from more sustained and critical attention to the question of democracy. That is, it should examine more closely how decisions in city-regions are made, why they are made that way, and how they can be made more democratically. Much current research on politics in cities has framed the issue in terms of citizenship. That work has produced great insight. However, the attention to citizenship has prompted very little attention to democracy, even though the two concepts are deeply intertwined. Current interest in city-regions opens up the possibility that a vibrant line of research on democracy can be added to and engage with that on citizenship. [source] Conference on the Furure of Chinese Cities: A Research Agenda for the 21st CenturyINTERNATIONAL JOURNAL OF URBAN AND REGIONAL RESEARCH, Issue 1 2000Nancy C. Netting No abstract is available for this article. [source] The Force of a Weak Field: Law and Lawyers in the Government of the European Union (For a Renewed Research Agenda)INTERNATIONAL POLITICAL SOCIOLOGY, Issue 2 2008Antoine Vauchez Rather than considering legal and judicial arenas as the mere surface of the weighty social processes that shape European integration, this article contends that they are actually one of the essential spaces where the government of Europe is being produced. To account for this paramount role played by law in EU polity, two hitherto unexplored research paths are followed. First of all, a socio-historical perspective focuses on the critical junctures at which Law has been formalized as a science of European government providing critical devices for integration. Second, a more sociological stance is taken in relation to the functioning of the "European legal field" (ELF). A preliminary inquiry leads to its characterization as weak, with porous internal and external borders. This article argues that this weak autonomy is what makes it strong and influential when it comes to shaping the representations and principles of EU government. [source] International Nonregimes: A Research Agenda,INTERNATIONAL STUDIES REVIEW, Issue 2 2007Radoslav S. Dimitrov Why are multilateral institutions absent from some areas of international relations? Governments have not concluded regulatory policy agreements on tactical nuclear weapons and small arms control, deforestation, information privacy, and other transnational issues. The absence of regimes in such policy arenas is an empirical phenomenon with considerable theoretical and policy implications. Yet, existing scholarship on global governance largely ignores the instances in which such institutions do not emerge. This essay develops a research agenda to extend and strengthen regime theory through analysis of nonregimes. We articulate the concept, draw a typology of nonregimes, discuss the contributions that nonregime studies can make to IR theory, outline methodological approaches to pursue the proposed agenda, and highlight a priori theoretical considerations to guide such research. Six illustrative cases in the realms of arms control, environmental management, and international political economy are described and used to make preliminary observations of factors that impede regime formation. [source] A Research Agenda for the Study of Migrants and Minorities in EuropeJCMS: JOURNAL OF COMMON MARKET STUDIES, Issue 4 2005GWENDOLYN SASSE First page of article [source] Special Issue Guest Editorial: The Scoping of an Interdisciplinary Research AgendaJOURNAL OF AGRICULTURAL ECONOMICS, Issue 2 2006Jeremy Phillipson No abstract is available for this article. [source] Research Agenda for Frailty in Older Adults: Toward a Better Understanding of Physiology and Etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older AdultsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2006Jeremy Walston MD Evolving definitions of frailty, and improved understanding of molecular and physiological declines in multiple systems that may increase vulnerability in frail, older adults has encouraged investigators from many disciplines to contribute to this emerging field of research. This article reports on the results of the 2004 American Geriatrics Society/National Institute on Aging conference on a Research Agenda on Frailty in Older Adults, which brought together a diverse group of clinical and basic scientists to encourage further investigation in this area. This conference was primarily focused on physical and physiological aspects of frailty. Although social and psychological aspects of frailty are critically important and merit future research, these topics were largely beyond the scope of this meeting. Included in this article are sections on the evolving conceptualization and definitions of frailty; physiological underpinnings of frailty, including the potential contributions of inflammatory, endocrine, skeletal muscle, and neurologic system changes; potential molecular and genetic contributors; proposed animal models; and integrative, system biology approaches that may help to facilitate future frailty research. In addition, several specific recommendations as to future directions were developed from suggestions put forth by participants, including recommendations on definition and phenotype development, methodological development to perform clinical studies of individual-system and multiple-system vulnerability to stressors, development of animal and cellular models, application of population-based studies to frailty research, and the development of large collaborative networks in which populations and resources can be shared. This meeting and subsequent article were not meant to be a comprehensive review of frailty research; instead, they were and are meant to provide a more-targeted research agenda-setting process. [source] From the Politics of Urgency to the Governance of Preparedness: A Research Agenda on Urban VulnerabilityJOURNAL OF CONTINGENCIES AND CRISIS MANAGEMENT, Issue 2 2005Will Medd To date, little social science understanding has been developed about what it would mean to strategically build resilience in the context of such rich interdependencies between social, technical and natural worlds. We argue that shifts in strategies to deal with urban crises marks a turn from the politics of urgency, characteristic of crisis management, towards a governance of preparedness, characterised by strategies to build urban resilience. Social science needs to develop research agendas that critically engage with different understandings of resilience and the challenges of building resilience across different scales of urban governance. [source] Organization and Management in the Third Sector: Toward a Cross-Cultural Research AgendaNONPROFIT MANAGEMENT & LEADERSHIP, Issue 1 2002David Lewis Third sector organizations in the industrialized and the developing world,and particularly the subset of third sector organizations known as development nongovernmental organizations (NGOs),are becoming more culturally diverse in internal staff composition, management styles, and working environments. Although cultural issues have been largely absent from the nonprofit and the NGO research literatures, the organizational implications of societal culture and organizational culture are widely debated within other research fields. This article proposes a closer engagement between third sector management research and the wider study of cross-cultural organizational issues within anthropology, development studies, and management theory. It argues that such an exchange is necessary if third sector organizational research agendas are to include changing organizational landscapes effectively, and the article concludes with some ideas for future research. [source] Preparing Professionals to Face Ethical Challenges in Today's Workplace: Review of the Literature, Implications for PI, and a Proposed Research AgendaPERFORMANCE IMPROVEMENT QUARTERLY, Issue 2 2004Deloise A. Frisque ABSTRACT Ethics is very much in the news today and on the minds of those who teach and/or train current and future professionals to work successfully in today's workplaces. While there seems to be agreement that organizations need to address the topic of ethics, there is also a concern about how best to proceed. Ethics and compliance offices, professional codes, ethics conferences, institutes, and centers, formal and informal ethics courses, and ethics hotlines are only some of the ways in which organizations have responded to the need for ethics preparedness. The diversity of our organizations and the global nature of our economy demands attention to multicultural/international issues as well. In this review, we examine the diverse body of literature research that explores teaching and training practices used to address ethical issues in corporations and institutions of higher education and include a special focus on multicultural environments. We discuss implications for PI professionals and propose a research agenda. [source] Surveillance of occupational health disparities: Challenges and opportunities,,AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2010Kerry Souza ScD Abstract Increasingly, the occupational health community is turning its attention to the effects of work on previously underserved populations, and researchers have identified many examples of disparities in occupational health outcomes. However, the occupational health status of some underserved worker populations is not described due to limitations in existing surveillance systems. As such, the occupational health community has identified the need to enhance and improve occupational health surveillance to describe the nature and extent of disparities in occupational illnesses and injuries (including fatalities), identify priorities for research and intervention, and evaluate trends. This report summarizes the data sources and methods discussed at an April 2008 workshop organized by NIOSH on the topic of improving surveillance for occupational health disparities. We discuss the capability of existing occupational health surveillance systems to document occupational health disparities and to provide surveillance data on minority and other underserved communities. Use of administrative data, secondary data analysis, and the development of targeted surveillance systems for occupational health surveillance are also discussed. Identifying and reducing occupational health disparities is one of NIOSH's priority areas under the National Occupational Research Agenda (NORA). Am. J. Ind. Med. 53:84,94 2010. Published 2010 Wiley-Liss, Inc. [source] The Administrative Presidency and Bureaucratic Control: Implementing a Research AgendaPRESIDENTIAL STUDIES QUARTERLY, Issue 1 2009ANDREW RUDALEVIGE As Richard Nathan pointed out in The Administrative Presidency 25 years ago, much contemporary policy making occurs through the execution of the laws and the management process. Thus, the conditions under which administrative power can be effectively exercised are important components of future research. In short, we must revisit an old question: Who controls the bureaucracy? This article sets out a research agenda for doing so by examining a set of related strategies that presidents have utilized in their efforts to assert control over the bureaucracy,namely, centralization, politicization, and reorganization,in the course of linking two strands of literature with significant overlap but little conversation between them: the largely quantitative bureaucratic control literature, and the largely qualitative "politicized presidency" literature focused on presidential structures. Each strand, I suggest, can inform and enrich the other; both would benefit from better measures of inputs, outputs, and, crucially, the processes that connect the two and influence the success of policy implementation. [source] Design, Meanings, and Radical Innovation: A Metamodel and a Research Agenda,THE JOURNAL OF PRODUCT INNOVATION MANAGEMENT, Issue 5 2008Roberto Verganti Recent studies on design management have helped us to better comprehend how companies can apply design to get closer to users and to better understand their needs; this is an approach usually referred to as user-centered design. Yet analysis of design-intensive manufacturers such as Alessi, Artemide, and other leading Italian firms shows that their innovation process hardly starts from a close observation of user needs and requirements. Rather, they follow a different strategy called design-driven innovation in this paper. This strategy aims at radically change the emotional and symbolic content of products (i.e., their meanings and languages) through a deep understanding of broader changes in society, culture, and technology. Rather than being pulled by user requirements, design-driven innovation is pushed by a firm's vision about possible new product meanings and languages that could diffuse in society. Design-driven innovation, which plays such a crucial role in the innovation strategy of design intensive firms, has still remained largely unexplored. This paper aims at providing a possible direction to fill this empty spot in innovation management literature. In particular, first it proposes a metamodel for investigating design-driven innovation in which a manufacturer's ability to understand, anticipate, and influence emergence of new product meanings is built by relying on external interpreters (e.g., designers, firms in other industries, suppliers, schools, artists, the media) that share its same problem: to understand the evolution of sociocultural models and to propose new visions and meanings. Managing design-driven innovation therefore implies managing the interaction with these interpreters to access, share, and internalize knowledge on product languages and to influence shifts in sociocultural models. Second, the paper proposes a possible direction to scientifically investigate the management of this networked and collective research process. In particular, it shows that the process of creating breakthrough innovations of meanings partially mirrors the process of creating breakthrough technological innovations. Studies of design-driven innovation may therefore benefit significantly from the existing body of theories in the field of technology management. The analysis of the analogies between these two types of radical innovations (i.e., meanings and technologies) allows a research agenda to be set for exploration of design-driven innovation, a relevant as well as underinvestigated phenomenon. [source] Mental Health and Emergency Medicine: A Research AgendaACADEMIC EMERGENCY MEDICINE, Issue 11 2009Gregory Luke Larkin MD Abstract The burden of mental illness is profound and growing. Coupled with large gaps in extant psychiatric services, this mental health burden has often forced emergency departments (EDs) to become the de facto primary and acute care provider of mental health care in the United States. An expanded emergency medical and mental health research agenda is required to meet the need for improved education, screening, surveillance, and ED-initiated interventions for mental health problems. As an increasing fraction of undiagnosed and untreated psychiatric patients passes through the revolving doors of U.S. EDs, the opportunities for improving the art and science of acute mental health care have never been greater. These opportunities span macroepidemiologic surveillance research to intervention studies with individual patients. Feasible screening, intervention, and referral programs for mental health patients presenting to general EDs are needed. Additional research is needed to improve the quality of care, including the attitudes, abilities, interests, and virtues of ED providers. Research that optimizes provider education and training can help academic settings validate psychosocial issues as core components and responsibilities of emergency medicine. Transdisciplinary research with federal partners and investigators in neuropsychiatry and related fields can improve the mechanistic understanding of acute mental health problems. To have lasting impact, however, advances in ED mental health care must be translated into real-world policies and sustainable program enhancements to assure the uptake of best practices for ED screening, treatment, and management of mental disorders and psychosocial problems. [source] The Assessment of Individual Cognitive Expertise and Clinical Competency: A Research AgendaACADEMIC EMERGENCY MEDICINE, Issue 11 2008Linda Spillane MD Abstract There is a large push to utilize evidence-based practices in medical education. At the same time, credentialing bodies are evaluating the use of simulation technologies to assess the competency and safety of its practitioners. At the 2008 Academic Emergency Medicine Consensus Conference on "The Science of Simulation in Healthcare," our breakout session critically evaluated several issues important to the use of simulation in emergency physician (EP) assessment. In this article, we discuss five topics felt to be most critical to simulation-based assessment (SBA). We then offer more specific research questions that would help to define and implement a SBA program in emergency medicine (EM). [source] Beyond Reserves: A Research Agenda for Conserving Biodiversity in Human-modified Tropical LandscapesBIOTROPICA, Issue 2 2009Robin L. Chazdon ABSTRACT To truly understand the current status of tropical diversity and to forecast future trends, we need to increase emphasis on the study of biodiversity in rural landscapes that are actively managed or modified by people. We present an integrated landscape approach to promote research in human-modified landscapes that includes the effects of landscape structure and dynamics on conservation of biodiversity, provision of ecosystem services, and sustainability of rural livelihoods. We propose research priorities encompassing three major areas: biodiversity, human,environment interactions, and restoration ecology. We highlight key areas where we lack knowledge and where additional understanding is most urgent for promoting conservation and sustaining rural livelihoods. Finally, we recommend participatory and multidisciplinary approaches in research and management. Lasting conservation efforts demand new alliances among conservation biologists, agroecologists, agronomists, farmers, indigenous peoples, rural social movements, foresters, social scientists, and land managers to collaborate in research, co-design conservation programs and policies, and manage human-modified landscapes in ways that enhance biodiversity conservation and promote sustainable livelihoods. [source] CSR and Small Business in a European Policy Context: The Five "C"s of CSR and Small Business Research Agenda 2007BUSINESS AND SOCIETY REVIEW, Issue 4 2007LAURA J. SPENCE First page of article [source] Revisiting the Emergency Medicine Services for Children Research Agenda: Priorities for Multicenter Research in Pediatric Emergency CareACADEMIC EMERGENCY MEDICINE, Issue 4 2008Steven Zane Miller MD Abstract Objectives:, To describe the creation of an Emergency Medical Services for Children (EMSC) research agenda specific to multicenter research. Given the need for multicenter research in EMSC and the unique opportunity afforded by the creation of the Pediatric Emergency Care Applied Research Network (PECARN), the authors revisited existing EMSC research agendas to develop a PECARN-specific research agenda. They sought to prioritize PECARN research efforts, to guide investigators planning to conduct research in PECARN, and to describe the creation of a prioritized EMSC research agenda specific for multicenter research. Methods:, The authors used the Nominal Group Process and Hanlon Process of Prioritization (HPP), which are recognized research prioritization methods incorporating both quantitative and qualitative data collection in group settings. The formula used to generate the final priority list heavily weighted practicality of conduct in a multicenter research network. By using size, seriousness, and practicality measures of each health priority, PECARN was able to identify factors that could be scored individually and were weighted relative to each other. Results:, The prioritization processes resulted in a ranked list of 16 multicenter EMSC research topics. Top among these priorities were 1) respiratory illnesses/asthma, 2) prediction rules for high-stakes/low-likelihood diseases, 3) medication error reduction, 4) injury prevention, and 5) urgency and acuity scaling. Conclusions:, The PECARN prioritization process identified high-priority EMSC research topics specific to multicenter research. PECARN has the capacity to answer long-standing, important clinical controversies in EMSC, largely due to its ability to conduct randomized controlled trials and observational studies on a large scale. [source] Executive Summary: Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence UptakeACADEMIC EMERGENCY MEDICINE, Issue 11 2007Eddy S. Lang MD First page of article [source] Funding Opportunities in Knowledge Translation: Review of the AHRQ's "Translating Research into Practice" Initiatives, Competing Funding Agencies, and Strategies for SuccessACADEMIC EMERGENCY MEDICINE, Issue 11 2007Michael Handrigan MD The Agency for Healthcare Research and Quality actively funds and conducts research to improve health care for all Americans. This article is intended to provide a brief overview of Agency for Healthcare Research and Quality activities in knowledge translation and to accompany the presentation given on May 15, 2007, to the Academic Emergency Medicine Consensus Conference, "Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake." [source] Cognitive and Social Issues in Emergency Medicine Knowledge Translation: A Research AgendaACADEMIC EMERGENCY MEDICINE, Issue 11 2007Jamie C. Brehaut PhD The individual practitioner is a linchpin in the process of translating new knowledge into practice, particularly in the emergency department, where physician autonomy is high, resources are limited, and decision-making situations are complex. An understanding of the cognitive and social processes that affect knowledge translation (KT) in emergency medicine (EM) is crucial and at present understudied. As part of the 2007 Academic Emergency Medicine Consensus Conference on KT in EM, our group sought to identify key research areas that would inform our understanding of these cognitive and social processes. We combined an online discussion group of interdisciplinary stakeholders, an extensive review of the existing literature, and a "public hearing" of the recommendations at the Consensus Conference to establish relative preference for the recommendations, as well as their relevance and clarity to attendees. We identified five key research areas as follows. 1) What provider-specific barriers/facilitators to the use of new knowledge are relevant in the EM setting? 2) Can social psychological theories of behavior change be used to develop better KT interventions for EM? 3) Can the study of "distributed cognition" suggest new vehicles for KT in the emergency department? 4) Can the concept of dual-process reasoning inform our understanding of the KT process? 5) Can patient-specific, immediate feedback serve as a vehicle for KT in EM? We believe that exploring these key research questions will directly lead to improved KT interventions and to further discussion of the cognitive and social factors impacting KT in EM. [source] The Emergency Physician and Knowledge Transfer: Continuing Medical Education, Continuing Professional Development, and Self-improvementACADEMIC EMERGENCY MEDICINE, Issue 11 2007Barbara J. Kilian MD A workshop session from the 2007 Academic Emergency Medicine Consensus Conference, Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake, focused on developing a research agenda for continuing medical education (CME) in knowledge transfer. Based on quasi-Delphi methodology at the conference session, and subsequent electronic discussion and refinement, the following recommendations are made: 1) Adaptable tools should be developed, validated, and psychometrically tested for needs assessment. 2) "Point of care" learning within a clinical context should be evaluated as a tool for practice changes and improved knowledge transfer. 3) The addition of a CME component to technological platforms, such as search engines and databases, simulation technology, and clinical decision-support systems, may help knowledge transfer for clinicians or increase utilization of these tools and should, therefore, be evaluated. 4) Further research should focus on identifying the appropriate outcomes for physician CME. Emergency medicine researchers should transition from previous media-comparison research agendas to a more rigorous qualitative focus that takes into account needs assessment, instructional design, implementation, provider change, and care change. 5) In the setting of continued physician learning, barriers to the subsequent implementation of knowledge transfer and behavioral changes of physicians should be elicited through research. [source] Toward Improved Implementation of Evidence-based Clinical Algorithms: Clinical Practice Guidelines, Clinical Decision Rules, and Clinical PathwaysACADEMIC EMERGENCY MEDICINE, Issue 11 2007Gary M. Gaddis MD This is a summary of the consensus-building workshop entitled "Guideline Implementation and Clinical Pathways," convened May 15, 2007, at the Academic Emergency Medicine Consensus Conference, "Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake." A new term, "evidence-based clinical algorithms" is suggested to encompass evidence-based information codified into clinical pathways, clinical practice guidelines, and clinical decision rules. Examples of poor knowledge translation (KT) relevant to the specialty of emergency medicine are identified, followed by brief descriptions of important research and concepts that inform the research recommendations. Four broad themes for research to improve the KT of evidence-based clinical algorithms are suggested: organizational factors, cognitive factors, social factors, and motivational factors. In all cases, research regarding optimizing KT for the subthemes identified by Glasziou and Haynes, "getting the evidence straight," and "getting the evidence used," are interwoven into the thematic research recommendations. Consensus was reached that the majority of research efforts to evaluate means to improve KT need to be centered on the factors that show promise to enhance "getting the evidence used," focused especially on organizational factors. [source] Public Health Considerations in Knowledge Translation in the Emergency DepartmentACADEMIC EMERGENCY MEDICINE, Issue 11 2007Steven L. Bernstein MD Effective preventive and screening interventions have not been widely adopted in emergency departments (EDs). Barriers to knowledge translation of these initiatives include lack of knowledge of current evidence, perceived lack of efficacy, and resource availability. To address this challenge, the Academic Emergency Medicine 2007 Consensus Conference, "Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake," convened a public health focus group. The question this group addressed was "What are the unique contextual elements that need to be addressed to bring proven preventive and other public health initiatives into the ED setting?" Public health experts communicated via the Internet beforehand and at a breakout session during the conference to reach consensus on this topic, using published evidence and expert opinion. Recommendations include 1) to integrate proven public health interventions into the emergency medicine core curriculum, 2) to configure clinical information systems to facilitate public health interventions, and 3) to use ancillary ED personnel to enhance delivery of public health interventions and to obtain successful funding for these initiatives. Because additional research in this area is needed, a research agenda for this important topic was also developed. The ED provides medical care to a unique population, many with increased needs for preventive care. Because these individuals may have limited access to screening and preventive interventions, wider adoption of these initiatives may improve the health of this vulnerable population. [source] |