“why are we bringing the fish?” matching methods and culture martha ann carey, phd, rn kells...
TRANSCRIPT
“Why Are We Bringing The Fish?” Matching Methods and Culture
Martha Ann Carey, PhD, RN
Kells ConsultingMedia, PA, USA
72nd ICP Conference, Paris, FranceJuly 2014
2
Hawaiian Research Project
• Odell’s dissertation – concept of wellness
• Her entree to population
• Adaptation of focus group methods
© Carey 2014
4
Merriam-Webster Definition of Culture
• The beliefs, customs, arts, etc., of a particular society, group, place, or time
• A particular society that has its own beliefs, ways of life, art, etc.
• A way of thinking, behaving, or working that exists in a place or organization (such as a business)
© Carey 2014
5
Complexity of Culture
• Broad, individual, both
• Context, environment, dynamic
• Limited guidance – can seem alone
© Carey 2014
7
Bridging & Merging
• Boundary spanner
• Common ‘language’– EBP, CBPR, validity & reliability, cost-benefit
analysis
• Shared goals– Fidelity vs salience, rigor vs revelance
© Carey 2014
10
Feasibility & Potential
• 2 way model for joint planning
• Researchers get community input on acceptability & feasibility
• Community gets information on the goals & limits of the project
© Carey 2014
11
Two Components of Research
• Doing research to develop knowledge– Quantitative– Qualitative– Mixed methods
• Using research results– Efficacy and effectiveness– Adopting vs adapting• Fidelity balanced with salience; rigor AND relevance
© Carey 2014
12
Translational Research
• Application of sharing knowledge to inform policy & practice
• Links ‘scientific findings’ with policies & programs
• Contributes to interventions (effectiveness)– Education– Health services delivery
© Carey 2014
13
Challenge
• How to best ‘translate’?
• What are the roles of the players?
• How are these developed?
© Carey 2014
14
Professional Collaboration
• Inter-/multi-/cross-disciplinary
• Need a common language, as well as mutual understanding & respect
• “System” needs to reward collaboration
© Carey 2014
15
National Center for Advancing Translational Science, NIH, USA
• Accelerate the use of scientific discovery – Basic science patient studies clinical practice– Using an integrated approach – Common goals
• Sharing information at each stage ensures – Researchers are meeting community health needs – Problems in the clinic inform work in the
laboratory
16
“Convergence Model” US National Academy of Science
• Expanded form of interdisciplinary research
• Paradigm capable of generating new ideas, discoveries, methodologies
• Conceptual approaches and tools that stimulate advances in basic research and application
• Leads to new inventions, innovations, treatment protocols, and strategies for education & training
18
Very General Suggestions
• Applicable to most settings
• Involve as many stakeholders as practical
• Jointly develop goals & tasks to be done
• Maintain clear & regular communications
• Use as “rigorous” approach as possible© Carey 2014
19
More Tailored Suggestions
• Plan for extra time
• Consider logic models, theoretical framework
• Attend to management concerns– Agreement on use of data & publications– Regular communication procedures
© Carey 2014