D 08 Implementation Research and Methods, From Concept to Translation: Lessons From a Programme of Stroke Research

Friday, 20 July 2018: 10:45 AM-12:00 PM
Summary: This symposium will focus on the concepts, methods and results from a ten-year program of implementation and health services research aimed at improving stroke care in busy clinical settings. Our expertise and the methods used are applicable to implementation research generally, beyond the clinical focus of stroke.
Moderators:  Rachel Choudhury, MSN, RN, CNE, Musco School of Nursing & Health Professions, Brandman University, Irvine, CA
Symposium Organizers:  Sandy Middleton, PhD, RN, Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
Quality in Acute Stroke Care (QASC): Translation of Trial Evidence to State-Wide and European Practice

Simeon Dale, BA (Hons)1
Dominique Cadilhac, PhD2
Elizabeth McInnes, PhD3
Jeremy Grimshaw, MD, PhD4
Clare Quinn, MSc5
N. Wah Cheung, PhD6
Cate D’Este, PhD7
Sandy Middleton, PhD, RN3
Christopher Levi, PhD, FRACP8
Kelly Coughlan, GDipN3
Marieke Rijksen, MSC1
(1)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(2)Stroke and Ageing Research, School of Clinical Sciences & the Florey Institute of Neuroscience and Mental Health, Monash Health, Monash University and University of Melbourne, Melbourne, Australia
(3)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(4)Clinical Epidemiology Program & Department of Medicine, Ottawa Health Research Institute & University of Ottawa, Ottawa, ON, Canada
(5)Speech Pathology Department, Prince of Wales Hospital, Sydney, Australia
(6)Centre for Diabetes and Endocrinology Research, Westmead Hospital and University of Sydney, Sydney, Australia
(7)Biostatistics, National Centre for Epidemiology and Population Health (NCEPH), The Australian National University, Canberra, Australia
(8)The Sydney Partnership for Health Education Research & Enterprise (SPHERE), Liverpool NSW, Australia



Triage, Treatment, and Transfer of Patients With Stroke in Emergency Departments:The T3 Cluster Randomised Trial

Sandy Middleton, PhD, RN1
Simeon Dale, BA (Hons)2
N. Wah Cheung, PhD3
Elizabeth McInnes, PhD1
Cate D’Este, PhD4
Dominique Cadilhac, PhD5
Jeremy Grimshaw, MD, PhD6
Richard Gerraty, FRACP7
Louise Craig, PhD1
Verena Schadewaldt, PhD8
Patrick McElduff, PhD9
Clare Quinn, MSc10
Greg Cadigan, BN11
Sonia Denisenko, MPA12
Mark Longworth, BNA13
Christopher Levi, PhD, FRACP14
Mark Fitzgerald, MD15
Jeanette Ward, PhD16
Julie Considine, PhD, RN, BN, GDipNurs, MNurs, FNRCA17
(1)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(2)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(3)Centre for Diabetes and Endocrinology Research, Westmead Hospital and University of Sydney, Sydney, Australia
(4)Biostatistics, National Centre for Epidemiology and Population Health (NCEPH), The Australian National University, Canberra, Australia
(5)Stroke and Ageing Research, School of Clinical Sciences & the Florey Institute of Neuroscience and Mental Health, Monash Health, Monash University and University of Melbourne, Melbourne, Australia
(6)Clinical Epidemiology Program & Department of Medicine, Ottawa Health Research Institute & University of Ottawa, Ottawa, ON, Canada
(7)Department of Medicine & Neurosciences Clinical Institute, Monash University & Epworth Hospital, Melbourne, Australia
(8)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Melbourne, Australia
(9)School of Medicine and Public Health, University of Newcastle & Health Policy Analysis Pty Ltd, Sydney, Australia
(10)Speech Pathology Department, Prince of Wales Hospital, Sydney, Australia
(11)Statewide Stroke Clinical Network, Queensland Health, Brisbane, Australia
(12)Victorian Stroke Clinical Network (VSCN), Victoria State Government, Melbourne, Australia
(13)Stroke Services NSW, NSW Agency for Clinical Innovation, Sydney, Australia
(14)The Sydney Partnership for Health Education Research & Enterprise (SPHERE), Liverpool NSW, Australia
(15)Department of Surgery, The Alfred, Melbourne, Australia
(16)Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada
(17)Centre for Quality and Patient Safety Research, Eastern Health Partnership, Eastern Health School of Nursing and Midwifery & Deakin University, Melbourne, Australia



A Qualitative Study of Barriers and Facilitators to Implementing Stroke Care Protocols in Emergency Departments

Elizabeth McInnes, PhD1
Simeon Dale, BA (Hons)2
Louise Craig, PhD1
Verena Schadewaldt, PhD3
Dominique Cadilhac, PhD4
Jeremy Grimshaw, MD, PhD5
Julie Considine, PhD, RN, BN, GDipNurs, MNurs, FNRCA6
Sandy Middleton, PhD, RN1
(1)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(2)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(3)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Melbourne, Australia
(4)Stroke and Ageing Research, School of Clinical Sciences & the Florey Institute of Neuroscience and Mental Health, Monash Health, Monash University and University of Melbourne, Melbourne, Australia
(5)Clinical Epidemiology Program & Department of Medicine, Ottawa Health Research Institute & University of Ottawa, Ottawa, ON, Canada
(6)Centre for Quality and Patient Safety Research, Eastern Health Partnership, Eastern Health School of Nursing and Midwifery & Deakin University, Melbourne, Australia



Assessing Organisational Context Prior to Implementing Evidence-Based Nursing Protocols: A Cross-Sectional Study

Verena Schadewaldt, PhD1
Benjamin Mcelduff, SN2
Sandy Middleton, PhD, RN2
Cate D’Este, PhD3
Elizabeth McInnes, PhD2
Simeon Dale, BA (Hons)4
(1)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Melbourne, Australia
(2)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia
(3)Biostatistics, National Centre for Epidemiology and Population Health (NCEPH), The Australian National University, Canberra, Australia
(4)Nursing Research Institute, St. Vincent's Health Australia (Sydney) & Australian Catholic University, Darlinghurst, Australia