Additional file 1: of Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review

Literature search strategy (MEDLINE). (DOCX 13 kb

Mapping of pain curricula across health professions programs at the University of Toronto

<p><b>Background</b>: There is a growing societal need for health professional competency in pain care. The University of Toronto Centre for the Study of Pain–Interfaculty Pain Curriculum (UTCSP-IPC) has been offered since 2002. Content and process have been updated annually. In addition, participating health professions programs have advanced their pain teaching. A curricular scan was needed to creatively and constructively advance the UTCSP-IPC.</p> <p><b>Aim</b>: The aim of this study was to map curricular pain content in participating health professions programs onto the UTCSP-IPC content as a first step to further curriculum design.</p> <p><b>Methods</b>: UTCSP-IPC committee members and faculty representatives from six health profession programs completed a 27-item online survey in this collaborative action study. Descriptive statistics were completed in Microsoft Excel.</p> <p><b>Results</b>: The UTCSP-IPC provided an average of 43.3% (range 32%–62%) of total pain content teaching hours to participating health professions students and a range of 8% to 100% of total opioid-related teaching hours. Curricular overlaps and gaps in pain content were identified and will be used to update and inform the iterative design of the UTCSP-IPC. Ninety-three percent of participating health professions faculty indicated that the interprofessional focus on pain care in the UTCSP-IPC was important.</p> <p><b>Conclusion</b>: This study highlighted the value of the UTCSP and areas of curricular refinement to ensure continued relevance in relationship to pain content within the six participating health professions programs. Mapping a coordinated approach between uniprofessional and interprofessional teaching will both meet the demands of professional competence and create greater applicability to future practice settings.</p

Overall correspondence analysis map illustrating unit clustering with contextual factors

<p><b>Copyright information:</b></p><p>Taken from "Patterns of research utilization on patient care units"</p><p>http://www.implementationscience.com/content/3/1/31</p><p>Implementation Science : IS 2008;3():31-31.</p><p>Published online 2 Jun 2008</p><p>PMCID:PMC2490687.</p><p></p

Researching what matters to improve chronic pain care in Canada: A priority-setting partnership process to support patient-oriented research

<p><b>Background</b>: Chronic pain affects more than 6 million Canadians. Patients need to be involved in setting research priorities to ensure a focus on areas important to those who will be most impacted by the results.</p> <p><b>Aims</b>: The aim of this study was to leverage patient experiences to identify chronic pain research priorities in Canada.</p> <p><b>Method</b>: The process was informed by the James Lind Alliance. After gathering an exhaustive list of questions using surveys, town hall meetings, interviews, and social media consultations, we used a computerized Delphi with four successive iterations to select the final list of research priorities. The final Delphi round was conducted by a panel of ten patients living with chronic pain and ten clinicians from different disciplines.</p> <p><b>Results</b>: We received more than 5000 suggestions from 1500 people. The Delphi process led to the identification of 14 questions fitting under the following 4 themes: (1) improving knowledge and competencies in chronic pain; (2) improving patient-centered chronic pain care; (3) preventing chronic pain and reducing associated symptoms; and (4) improving access to and coordination of patient-centered chronic pain care. Challenges included the issue of chronic pain being ubiquitous to many diseases, leading to many initial suggestions focusing on these diseases. We also identified the need for further engagement efforts with marginalized groups in order to validate the priorities identified or identify different sets of priorities specific to these groups.</p> <p><b>Conclusion</b>: The priorities identified can guide patient-oriented chronic pain research to ultimately improve the care offered to people living with chronic pain.</p