June 2020: Luconi et al (2020). A multifaceted continuing professional development intervention to move stroke rehabilitation guidelines into professional practice: A feasibility study, Topics in Stroke Rehabilitation, DOI: 10.1080/10749357.2019.1711339
Humble Opinion: As has been the case since the introduction of evidence-based practice back in the late 1990’s, research continues to demonstrate the significant challenges facing the bridging of the evidence-practice or know-do gap. As Luconi et al state:
“Continuing professional development (CPD) is a promising knowledge translation strategy that can address research-practice gaps in stroke rehabilitation. The goal of CPD is to offer opportunities for lifelong learning that can sustain clinical competence and the use of best practices….”
This statement also applies to nationally-agreed clinical guidelines and incentivised funding algorithms. Both have been introduced as a means of increasing the likelihood that clinicians will more readily apply evidence into practice, and in turn, more readily do the right thing, in the right person, at the right time and in the right way.
Also, the challenges to bridging the know-do gap have resulted in the introduction of new science specialities such as knowledge translation and implementation science. Yet, despite strategies, initiatives and funding “levers”, the challenges persist, which is why it’s encouraging to see researchers undertaking investigations, such as this study, undertaken by Luconi et al.
Participants in this study were sent “12 stroke best-practice recommendations…via email over 12 weeks”. Selected by a team of stroke rehab experts, the recommendations were from Canada’s nationally-agreed clinical guidelines, pertinent to more than one profession, based on high-level evidence, and targeted known research-practice gaps. These researchers concluded their push-CPD intervention can be implemented and evaluated and positively impacted on therapists’ acquisition and confirmation of knowledge.
This issue needs more investigations before we’re to more fully understand, and in turn, problem-solve the challenges of doing the right thing, in the right person, at the right time and in the right way, in healthcare. As always, this is just my humble opinion. Its up to you to read the article to generate your own opinion. This article is not publicly available, but I’ve posted the abstract under Journal Club 2020 and the same heading.