Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Evidence use in equity focused health impact assessment: a realist evaluation.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Delivery of Health Care* ; Evidence-Based Practice* ; Health Equity* ; Health Impact Assessment* ; Public Health* ; Translational Research, Biomedical*; Healthcare Disparities ; Humans ; Knowledge ; Socioeconomic Factors ; Stakeholder Participation
    • نبذة مختصرة :
      Background: Equity-focused health impact assessment (EFHIA) can function as a framework and tool that supports users to collate data, information, and evidence related to health equity in order to identify and mitigate the impact of a current or proposed initiative on health inequities. Despite education efforts in both the clinical and public health settings, practitioners have found implementation and the use of evidence in completing equity focussed assessment tools to be challenging.
      Methods: We conducted a realist evaluation of evidence use in EFHIA in three phases: 1) developing propositions informed by a literature scan, existing theoretical frameworks, and stakeholder engagement; 2) data collection at four case study sites using online surveys, semi-structured interviews, document analysis, and observation; and 3) a realist analysis and identification of context-mechanism-outcome patterns and demi-regularities.
      Results: We identified limited use of academic evidence in EFHIA with two explanatory demi-regularities: 1) participants were unable to "identify with" academic sources, acknowledging that evidence based practice and use of academic literature was valued in their organization, but seen as less likely to provide answers needed for practice and 2) use of academic evidence was not associated with a perceived "positive return on investment" of participant energy and time. However, we found that knowledge brokering at the local site can facilitate evidence familiarity and manageability, increase user confidence in using evidence, and increase the likelihood of evidence use in future work.
      Conclusions: The findings of this study provide a realist perspective on evidence use in practice, specifically for EFHIA. These findings can inform ongoing development and refinement of various knowledge translation interventions, particularly for practitioners delivering front-line public health services.
    • References:
      J Nurs Care Qual. 1999 Apr;13(4):19-33. (PMID: 10330788)
      J Epidemiol Community Health. 2003 Apr;57(4):254-8. (PMID: 12646539)
      Fam Pract. 2003 Aug;20(4):382-9. (PMID: 12876107)
      J Manipulative Physiol Ther. 2004 Mar-Apr;27(3):170-9. (PMID: 15129199)
      Int J Nurs Stud. 2007 Feb;44(2):183-95. (PMID: 16423354)
      Int J Health Serv. 1992;22(3):429-45. (PMID: 1644507)
      J Adv Nurs. 2007 Feb;57(3):257-69. (PMID: 17233646)
      Fam Pract. 2008 Apr;25(2):98-104. (PMID: 18304971)
      Can J Nurs Res. 2008 Jun;40(2):94-114. (PMID: 18714900)
      Milbank Q. 2009 Jun;87(2):391-416. (PMID: 19523123)
      Implement Sci. 2010 May 26;5:38. (PMID: 20504293)
      Implement Sci. 2011 Mar 20;6:24. (PMID: 21418604)
      Implement Sci. 2011 Jul 19;6:74. (PMID: 21771329)
      Milbank Q. 2012 Jun;90(2):311-46. (PMID: 22709390)
      Syst Rev. 2012 Nov 20;1:56. (PMID: 23168134)
      Int J Public Health. 2014 Jun;59(3):457-64. (PMID: 24154865)
      Public Health. 2014 Jun;128(6):552-60. (PMID: 24854761)
      Implement Sci. 2014 Jun 17;9:76. (PMID: 24938443)
      BMJ Open. 2014 Jul 31;4(7):e005650. (PMID: 25082421)
      Oncol Nurs Forum. 2014 Sep;41(5):545-7. (PMID: 25158659)
      Eval Program Plann. 2015 Feb;48:1-9. (PMID: 25265163)
      Res Synth Methods. 2014 Jun;5(2):131-41. (PMID: 26052652)
      BMC Health Serv Res. 2015 Jun 09;15:228. (PMID: 26054758)
      BMC Public Health. 2017 Oct 11;17(1):803. (PMID: 29020953)
      Health Res Policy Syst. 2018 Apr 10;16(1):31. (PMID: 29631606)
    • Contributed Indexing:
      Keywords: Equity engagement; Evidence use; Health inequity; Knowledge translation; Public health practice; Realist evaluation
    • الموضوع:
      Date Created: 20190228 Date Completed: 20190410 Latest Revision: 20211204
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC6390302
    • الرقم المعرف:
      10.1186/s12889-019-6534-6
    • الرقم المعرف:
      30808317