supplementary_Material – Supplemental material for Effectiveness of a weekend physiotherapy service on short-term outcomes following hip and knee joint replacement surgery: a quasi-experimental study

<p>Supplemental material, supplementary_Material for Effectiveness of a weekend physiotherapy service on short-term outcomes following hip and knee joint replacement surgery: a quasi-experimental study by Romi Haas, Lisa O’Brien, Kelly-Ann Bowles and Terry Haines in Clinical Rehabilitation</p

Additional file 1: of Exploring musculoskeletal injuries in the podiatry profession: an international cross sectional study

FLEXAR survey consent and questions. (PDF 434 kb

Additional file 3: of The effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare: a systematic review

Data extraction 1 and 2. (XLSX 884 kb

Identifying the essential elements to inform the development of a research agenda for paramedicine in Ireland: a Delphi Study

Background: Paramedicine is a dynamic profession which has evolved from a "treat and transport" service into a complex network of health professionals working in a diverse range of clinical roles. Research is challenging in the paramedicine context, and internationally, research capacity and culture has developed slowly. International examples of research agendas and strategies in paramedicine exist, however, research priorities have not previously been identified in Ireland. Methods: This study was a three round electronic modified Delphi design which aimed to establish the key aspects of the research priorities via end-user consensus. Participants included interested stakeholders involved in prehospital care or research in Ireland. The first round questionnaire consisted of open-ended questions with results coded and developed into themes for the closed-ended questions used in the second and third round questionnaires. A consensus level of 70% was set a priori for second and third rounds. Results: Research Priorities that reached consensus included Staff Wellbeing, Education and Professionalism and Acute Medical Conditions. Respondents indicated that these three areas should be a priority in the next 2 years. Education, Staffing and Leadership were imperative Key Resources that required change. Education was a Key Processes change deemed imperative to allow the future research to occur. Outcomes that should be included in the future research strategy were Patient Outcomes, Practitioner Development, Practitioner Wellbeing, Alternate Pathways, Evidence-based Practice and Staff Satisfaction. Conclusion: The results of this study are similar to previously published international studies, with some key differences. There was a greater emphasis on Education and Practitioner Wellbeing with the latter possibly attributed to the timing of the research in relation to the COVID-19 pandemic. The disseminated findings of this study should inform sustainable funding models to aid the development of paramedicine research in Ireland.</p

Identifying the essential elements to inform the development of a research agenda for paramedicine in Ireland: a Delphi study

Background Paramedicine is a dynamic profession which has evolved from a “treat and transport” service into a complex network of health professionals working in a diverse range of clinical roles. Research is challenging in the paramedicine context, and internationally, research capacity and culture has developed slowly. International examples of research agendas and strategies in paramedicine exist, however, research priorities have not previously been identified in Ireland. Methods This study was a three round electronic modified Delphi design which aimed to establish the key aspects of the research priorities via end-user consensus. Participants included interested stakeholders involved in prehospital care or research in Ireland. The first round questionnaire consisted of open-ended questions with results coded and developed into themes for the closed-ended questions used in the second and third round questionnaires. A consensus level of 70% was set a priori for second and third rounds. Results Research Priorities that reached consensus included Staf Wellbeing, Education and Professionalism and Acute Medical Conditions. Respondents indicated that these three areas should be a priority in the next 2 years. Education, Stafng and Leadership were imperative Key Resources that required change. Education was a Key Processes change deemed imperative to allow the future research to occur. Outcomes that should be included in the future research strategy were Patient Outcomes, Practitioner Development, Practitioner Wellbeing, Alternate Pathways, Evidence-based Practice and Staf Satisfaction. Conclusion The results of this study are similar to previously published international studies, with some key dif‑ ferences. There was a greater emphasis on Education and Practitioner Wellbeing with the latter possibly attributed to the timing of the research in relation to the COVID-19 pandemic. The disseminated fndings of this study should inform sustainable funding models to aid the development of paramedicine research in Ireland.</p

Barriers and facilitators to the implementation of a national research strategy for paramedicine in Ireland: findings from a focus group study [version 1; peer review: awaiting peer review]

Background: Paramedicine research and education has progressed significantly over the past two decades in Ireland. The Pre-Hospital Emergency Care Council recently commissioned a research team to develop a new National Research Strategy for Irish paramedicine. The strategy will serve to build research capacity and establish research priorities into the future. This study aims to explore the perspectives of diverse stakeholders to identify barriers and facilitators to the implementation of a national research strategy for paramedicine in Ireland.  Methods: The research employed an action research approach. Purposeful and snowball sampling was used to identify and recruit participants (n=37) from diverse stakeholders and knowledge users working in the out-of-hospital setting. Data collection took the form of focus groups (n=6) facilitated by experienced researchers. Audio recordings were transcribed verbatim using Otter AI and thematic analysis was performed in NVivo.  Results: Barriers and facilitators to the implementation of the research strategy exist at individual and system levels. The themes developed from the Focus Groups included; Challenges in the Research Landscape and Opportunities to Build a Research Ecosystem. Individual barriers included Experience and Skills, Time and Wellbeing. At system level, Operational, Educational, and Professional barriers were identified in addition to an undeveloped Research Infrastructure (Leadership, Support, Funding and Data Access). Individual facilitators included; Professional Identity, Evolving Roles and Protected Time. At system level, Collaboration, Knowledge Translation, Educational facilitators and Professional facilitators, in combination with a strong Research Infrastructure were considered important for successful implementation of the Research Strategy.  Conclusions: The findings are congruent with international studies and highlight the complexity of implementing a national research strategy aligned with the needs of diverse stakeholders in the out-of-hospital setting. Collaboration will be essential for successful strategy implementation. To ensure optimal effectiveness of the research strategy the development of an implementation plan is recommended.</p

A scoping review of out-of-hospital research in Ireland from 2000 to 2022

A key component to the continued development of any profession is a strong research culture. For paramedicine, a research culture that acknowledges the uniqueness of the out-of-hospital setting allows clinical practice to develop. Recent international publications investigating paramedicine research outputs demonstrated that Ireland was not strongly represented in the production of paramedicine-based research. The aim of this scoping review was to identify and evaluate the quantity and quality of the research published to date in the Irish out-of-hospital literature, and to identify research gaps that may need to be addressed. A scoping review was conducted using the Joanna Briggs Institute guidance. All studies that reported on out-of-hospital care in the Republic of Ireland were included. MEDLINE, CINAHL, EMBASE, Cochrane Library, and grey literature sources were searched from 2000 until 2022 for relevant articles in March 2023. Key authors were contacted to identify missing articles and data were extracted to present the final publication yield. Scientific quality was assessed using Clarivate Average Journal Impact Factor Percentiles. Over 3200 research outputs were identified from the databases with a final yield of 294 research outputs included in this review. Research outputs were identified for most years included in the review period, with outputs published in a large range of journals. Research heavily focused on areas linked to the Clinical Practice Guidelines, and predominantly used quantitative data collection methods. Most authors identified in this review were named on only one output. However, diversification in research topics and methodologies, a concerted effort to ensure practitioners are leading research and support to ensure that conference presentations are continued to peer-reviewed publication would strengthen this resolve

Additional file 2: of Implementation of evidence-based weekend service recommendations for allied health managers: a cluster randomised controlled trial protocol

Master Participant Information and Consent Form Version 2, 20/09/2017. (DOCX 38 kb

Additional file 1: of Implementation of evidence-based weekend service recommendations for allied health managers: a cluster randomised controlled trial protocol

Definition allied health service event. (DOCX 72 kb

CONSORT flow chart of site, ward, and patient involvement in data collection and analysis.

<p>CONSORT flow chart of site, ward, and patient involvement in data collection and analysis.</p