TY - JOUR
T1 - Development and implementation of a nurse-led walk-in centre
T2 - Evidence lost in translation?
AU - Desborough, Jane
AU - Parker, Rhian
AU - Forrest, Laura
PY - 2013/7
Y1 - 2013/7
N2 - Objectives: The design of the first Australian public nurse-led primary care walk-in centre was modelled on those established in the English National Health Service (NHS). An independent evaluation of the first 12 months of operation of the Australian Capital Territory (ACT) Health walk-in centre, in 2011, analysed the translation of evidence from the national evaluation of the NHS walk-in centres to the policy development and implementation of the ACTwalk-in centre. Whilst in a number of ways the evidence was used well, our interest for this paper was to examine three areas identified as problematic and to identify the points at which the evidence was lost or diluted. Methods: In addition to data obtained through nurse and key stakeholder interviews for the evaluation, an analysis was undertaken of documents on the planning and establishment of the ACTwalk-in centre, either provided to the evaluation team or made publicly available. Results: Three areas were identified as problematic in the way that evidence from the NHS evaluation was translated: the use of clinical decision support software (CDSS); the marketing of the walk-in centre; and its location. Conclusions: Our examination indicates that despite seeking evidence to inform the development of the ACTwalk-in centre, the evidence was not fully used and some clear lessons ignored, resulting in much of the evidence being lost in translation.
AB - Objectives: The design of the first Australian public nurse-led primary care walk-in centre was modelled on those established in the English National Health Service (NHS). An independent evaluation of the first 12 months of operation of the Australian Capital Territory (ACT) Health walk-in centre, in 2011, analysed the translation of evidence from the national evaluation of the NHS walk-in centres to the policy development and implementation of the ACTwalk-in centre. Whilst in a number of ways the evidence was used well, our interest for this paper was to examine three areas identified as problematic and to identify the points at which the evidence was lost or diluted. Methods: In addition to data obtained through nurse and key stakeholder interviews for the evaluation, an analysis was undertaken of documents on the planning and establishment of the ACTwalk-in centre, either provided to the evaluation team or made publicly available. Results: Three areas were identified as problematic in the way that evidence from the NHS evaluation was translated: the use of clinical decision support software (CDSS); the marketing of the walk-in centre; and its location. Conclusions: Our examination indicates that despite seeking evidence to inform the development of the ACTwalk-in centre, the evidence was not fully used and some clear lessons ignored, resulting in much of the evidence being lost in translation.
KW - Clinical decision support software
KW - Evidence-based medicine
KW - Health policy
KW - Knowledge translation
KW - Nurse-led
KW - Nursing
KW - Walk-in centre
UR - http://www.scopus.com/inward/record.url?scp=84890173140&partnerID=8YFLogxK
U2 - 10.1177/1355819613488574
DO - 10.1177/1355819613488574
M3 - Article
SN - 1355-8196
VL - 18
SP - 174
EP - 178
JO - Journal of Health Services Research and Policy
JF - Journal of Health Services Research and Policy
IS - 3
ER -