Grant: Knowledge Translation Supplement

Following publication of the Clinic vs. Home RCT we have been challenged to increase the usability of results. This was a pragmatic trial designed to determine the effectiveness and efficiency of delivering evidence-informed care by comparing usual care provided within the home by a community nurse vs. within a nurse-led clinic. The trial was developed with regional home care authorities and nursing agencies with wound care teams in Ontario, as they strove to deliver best practice in a time of financial restraint and nurse shortages. Since these findings were published, we have received feedback from both researchers and individuals involved in planning and policy related to wound care. Key issues related to the unintended preference group of the study, and development of more meaningful information on halting outcomes for community care. Analysis will be conducted to complete a tailored policy/practice relevant analysis from the Clinic vs. Home trial data by a small Interim Panel (2 practice partners and 2 policy partners, and an in-depth analysis of ALL healing outcomes (not only the primary outcome) will be conducted at key time points relevant to community practice. In January 2011 an 1.5 day KT Practice and Policy Wound Panel will be held to explore implications and develop a dissemination plan including a 3-month action plan for the Knowledge Broker. The plan will itemize steps for an intense fan-out over 3 months with active linkage and exchange tailored to specific practice or policy audiences. Practitioners and home care managers will be actively recruited to present this information at wound care conferences and meetings they will attend in 2011-2012.