Table 4.
Views about priorities to bridge the gaps in the current mix of supports for EIDM
| Support for evidence-informed decision-making | Number of interview participants ( n ) a | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Total ( n = 57) | Organization b | Province | Occupation | ||||||
| PCP ( n = 9) | Hospital ( n = 32) | RHA ( n = 16) | Ontario ( n = 29) | Quebec ( n = 28) | Senior manager ( n = 33) | Knowledge broker ( n = 11) | Library manager ( n = 13) | ||
| Facilitating pull efforts | 29 | 4 | 16 | 9 | 15 | 14 | 14 | 8 | 7 |
| -Implement technical infrastructure to support research use and to ensure no restrictions are placed on staff’s access to online resources that contain relevant research evidencec | 17 | 3 | 9 | 5 | 6 | 11 | 8 | 4 | 5 |
| -Provide easy access to journals and scientific literature either through bulk purchasing of subscriptions or promoting open-access resourcesd | 11 | 2 | 7 | 2 | 2 | 9 | 4 | 4 | 3 |
| -Implement accessible and efficient systems to support the use of research in decision-makinge | 10 | 2 | 5 | 3 | 7 | 3 | 7 | 1 | 2 |
| Linkage and exchange efforts | 18 | 4 | 8 | 6 | 10 | 8 | 12 | 4 | 2 |
| -Establish formal and informal ties to researchers and knowledge brokers outside the organization who can assist in integrating evidence into decision-makingf | 17 | 4 | 7 | 6 | 9 | 8 | 12 | 4 | 1 |
| Pull efforts | 18 | 3 | 10 | 5 | 12 | 6 | 10 | 5 | 3 |
| -Enable training and continuing education that focus on finding and using research evidence in decision-making | 8 | 1 | 7 | 0 | 5 | 3 | 4 | 1 | 3 |
| -Ensure decision-making processes promote the use of research in decision-making | 6 | 1 | 5 | 0 | 4 | 2 | 4 | 1 | 1 |
| Climate for research use | 16 | 1 | 12 | 3 | 8 | 8 | 11 | 3 | 2 |
| -Develop and implement an infrastructure or positions where the accountability for encouraging knowledge use lies | 11 | 1 | 8 | 2 | 4 | 7 | 7 | 2 | 2 |
| Evaluation efforts to link research to action | 13 | 3 | 7 | 3 | 6 | 7 | 7 | 2 | 4 |
| Push efforts | 12 | 2 | 9 | 1 | 2 | 10 | 8 | 2 | 2 |
| -Use a knowledge intelligence service that scans the literature and distributes research evidence throughout the organizationg | 8 | 0 | 7 | 1 | 2 | 6 | 5 | 2 | 1 |
| Research production efforts | 10 | 4 | 4 | 2 | 4 | 6 | 7 | 3 | 0 |
aPercentage of total number of participants (font style used): 0% of participants (bold); 1% to 32% of participants (italic); 33% to 66% of participants (regular i.e. not bold and not italic); 67% to 99% of participants (bold and italic); 100% of participants (regular and underlined).
b PCP primary care practice, RHA regional health authority.
cThe main two sub-elements that were mentioned within the category of ‘Implement technical infrastructure’ were: access inequalities (n = 6) and restrictions (n = 5).
dThe main two sub-elements that were mentioned within the category of ‘Provide easy access to journals and scientific literature’ were: electronic-based resources i.e. bibliographic databases (n = 8) and access through a network i.e. library consortium (n = 6).
eThe main sub-element that was mentioned within the category of ‘Implement accessible and efficient systems’ was: decision support tools (n = 7).
fThe main two sub-elements that were mentioned within the category of ‘Establish formal and informal ties to researchers and knowledge brokers’ were: links to individual researchers, experts or opinion leaders (n = 10) and being part of groups outside the institution (n = 6).
gThe main sub-element that was mentioned within the category of ‘Use a knowledge intelligence service’ was: information monitoring services (n = 6).