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Exploring the Impact of a Structured Model of Journal Club in Allied Health–A Qualitative Study

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DOI: 10.4236/ce.2012.326164    4,096 Downloads   6,003 Views   Citations

ABSTRACT

Background: This paper presents the findings of a qualitative study associated with an experimental trial which examined the impact over time, of a structured model of journal club (JC) on the knowledge, skills and evidence uptake of allied health practitioners (AHPs). The primary aim of this qualitative study was to explore the experiences of AHPs regarding the use of iCAHE (International Centre for Allied Health Evidence) JC as a medium for evidence uptake. The secondary aim was to explain the quantitative findings in the iCAHE JC trial based on the perspectives of the JC members. Methods: Semi-structured individual interviews with purposively selected participants from the JCs were undertaken. The participants were asked about their experiences with the iCAHE JC, and to comment on the results of the iCAHE JC trial. Analysis of data was undertaken using the principles of the framework approach. Findings: A total of 12 AHPs participated in the interview. Their experiences of the JC were classified into seven themes: knowledge and confidence gain, convenience, empowerment, evidence utilisation, impediments, peculiarities, and refinements to iCAHE model. The participants found the current structure of JC suitable and useful in generating creative thinking about how practices can be influenced by research evidence. They identified ways of how they have used research evidence to inform their clinical decisions and described circumstances when research findings are not applicable to practice. The participants thought that the variability in EBP outcomes across disciplines found in the iCAHE JC trial was not surprising given that allied health disciplines operate using different models of care, and vary in terms of culture, attitude, professional orientation and the volume of evidence base available in their specific disciplines. There were a few minor suggestions to modify the current iCAHE model of JC. Conclusion: When lack of EBP knowledge and skills, and limited access to evidence sources are reported as barriers, they can be effectively addressed by running a structured JC such as the iCAHE JC. In instances when barriers other than lack of knowledge are present, more than one approach may be required. Future research should determine the impact of other approaches that may be integrated with the iCAHE JC to promote evidence uptake and sustain practice behaviour change.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Lizarondo, L. , Kumar, S. & Grimmer-Somers, K. (2012). Exploring the Impact of a Structured Model of Journal Club in Allied Health–A Qualitative Study. Creative Education, 3, 1094-1100. doi: 10.4236/ce.2012.326164.

References

[1] Bennett, S., Tooth, L., McKenna, K., Rodger, S., Strong, J., Ziviani, J., Mickan, S., et al. (2003). Perceptions of evidence-based practice: A survey of Australian occupational therapists. Australian Occupational Therapy Journal, 50, 13-22.
[2] Burstein, J., Hollander, J., & Barlas, D. (1996). Enhancing the value of journal club: Use of a structured review instrument. American Journal of Emergency Medicine, 14, 561-563.
[3] Buswell, C. (1998). Journal clubs—A rationale for implementation. Journal of Community Nursing, 13, 52-53.
[4] Curry, L. A., Nembhard, I. M., & Bradley, E. H. (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation, 1191, 1442-1452.
[5] Estabrooks, C., Midodzi, W., Cummings, G., & Wallin, L. (2007). Predicting research use in nursing organizations: A multi-level analysis. Nursing Research, 56, S7-S23.
[6] Grol, R., & Grimshaw, J. (2003). From best evidence to best practice: Effective implementation of change in patients’ care. Lancet, 362, 1225-1230.
[7] Goldsmith, M. R., Bankhead, C. R., & Austoker, J. (2007). Synthesising quantitative and qualitative research in evidence-based patient information. Journal of Epidemiology & Community Health, 61, 262- 270.
[8] Heiwe, S., Kajermo, N., Tyni-Lenne, R., Guidetti, S., Samuelsson, M., Andersson, I., & Wengstrom, Y. (2011). Evidence-based practice: Attitudes, knowledge and behavior among allied health care professionals. International Journal for Quality in Health Care, 23, 198- 209.
[9] Jette, D. U., Bacon, K., Batty, C., Carlson, M., Ferland, A., Hemingway, R. D., Hill, J. C., et al. (2003). Evidence-based practice: Beliefs, attitudes, knowledge, and behaviors of physical therapists. Physical Therapy, 83, 786-805.
[10] Khan, K., Dwarakanath, L., Pakkal, M., Brace, V., & Awonuga, A. (1999). Postgraduate journal club as a means of promoting evidence-based obstetrics and gynaecology. Journal of Obstetrics & Gynaecology, 19, 231-234.
[11] Lewin, S., Glenton, C., & Oxman, A. D. (2009). Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: Methodological study. British Medical Journal, 339, 1-7.
[12] Liamputtong, P., & Ezzy, D. (2005). Qualitative research methods (2nd ed.). South Melbourne, VIC: Oxford University Press.
[13] Linzer, M., Brown, J. T., Frazier, L. M., DeLong, E. R., & Siegel, W. C. (1988). Impact of medical journal club on house-staff reading habits, knowledge and critical appraisal skills. A randomised controlled trial. Journal of the American Medical Association, 4, 2537-2541.
[14] Linzer, M., DeLong, E. R., & Hupart, K. H. (1987). A comparison of two formats for teaching critical reading skills in a medical journal club. Journal of Medical Education, 62, 690-692.
[15] Lizarondo, L., Grimmer-Somers, K., Kumar, S., & Crockett, A. (2012). Does journal club membership improve research evidence uptake in different allied health disciplines: A pre-post study. BMC Research Notes.
[16] Macrae, H., Regehr, G., McKenzie, M., Henteleff, H., Taylor, M., Barkun, J., Fitzgerald, G., et al. (2004). Teaching practicing surgeons critical appraisal skills with an internet-based journal club: A randomised controlled trial. Surgery, 136, 641-646.
[17] McCluskey, A., & Bishop, B. (2009). The adapted fresno test of competence in evidence-based practice. Journal of Continuing Education in the Health Professions, 29, 119-126.
[18] Miles, A., Bentley, P., & Grey, J. (1997). Evidence-based medicine: why all the fuss? This is why. Journal of Evaluation in Clinical Practice, 3, 83-86.
[19] Miles, A., Bentley, P., Grey, J., & Price, N. (1998). Recent progress in health services research: On the need for evidence-based debate. Journal of Evaluation in Clinical Practice, 4, 257-265.
[20] Mitchell, G. J. (1999). Evidence-based practice: Critique and alternative view. Nursing Science Quarterly, 12, 30-35.
[21] Mukherjee, R., Owen, K., & Hollins, S. (2006). Evaluating qualitative papers in a multidisciplinary evidence-based journal club: A pilot study. The Psychiatrist, 30, 31-34.
[22] Palinkas, L. A., Aarons, G. A., Horwitz, H., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011). Mixed methods design in implementation research. Administration and Policy in Mental Health, 38, 44-53.
[23] Petticrew, M., Roberts, H. (2003). Evidence, hierarchies, and typologies: Horses for courses. Journal of Epidemiology & Community Health, 57, 527-529.
[24] Pope, C., Ziebland, S., & Mays, N. (2000). Analysing qualitative data. British Medical Journal, 320, 114-116.
[25] Sandelowski, M. (2002). Re-embodying qualitative inquiry. Qualitative Health Research, 12, 104-115.
[26] Seelig, C. (1991). Affecting residents’ literature reading attitudes, behaviors, and knowledge through a journal club intervention. Journal of General Internal Medicine, 6, 330-34.
[27] Steenbeek, A., Edgecombe, N., Durling, J., LeBalnc, A., Anderson, R., & Bainbridge, R. (2009). Using an interactive journal club to enhance nursing research knowledge acquisition, appraisal and application. International Journal of Nursing Education Scholarship, 6, 1-8.
[28] Spillane, A., & Crowe, P. (1998). The role of journal club in surgical training. The Australian and New Zealand Journal of Surgery, 68, 288-291.
[29] Thompson, C. (2006). Fostering skills for evidence-based practice: The student journal club. Nurse Education in Practice, 6, 69-77.
[30] Upton, D., & Upton, P. (2006). Knowledge and use of evidence-based practice by allied health and health science professionals in the United Kingdom. Journal of Allied Health, 35, 127-133.
[31] Woodall, J., Raine, G., South, J., & Warwick-Booth, L. (2010). Empowerment and health & well-being. URL (last checked 12 June 2012). http://www.google.com.au/url?sa=t&rct=j&q=Empowerment+and+health+%26+well-being.+&source=web&cd=1&ved=0CEkQFjAA&url=http%3A%2F%2Fwww.yhpho.org.uk%2Fresource%2Fview.aspx%3FRID%3D87504&ei=pOotUPSuBM2jiAet_oDYAw&usg=AFQjCNFx-Wl8Q29sN1cwdcpYBKzEoRJzlQ

  
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