Improving Evidence Sharing in the Health and Social Care for Older People through an Evaluated Practitioner Research Programme

随着西方社会经历人口老龄化，改善甚至维持老年人的健康和社会护理质量是一个重大问题。反映出更广泛的趋势，到2031年，苏格兰65岁及以上人口的数量预计将比2004年高出58%。这对保健和社会护理服务以及向亲戚或朋友提供护理的个人构成了重大挑战。这个项目的前提是，为了解决这个问题，需要一个与老年人有关的更强有力的证据基础，让那些设计、提供或接受护理的人可以借鉴。还需要更好地分享这一证据基础，并在政策、实践、提供者和研究小组中更多地利用这一证据，以改善老年人的生活。该项目汇集了一个由学者、决策者、从业人员、获得卫生和社会保健服务的老年人以及实践中循证专家和知识媒体组成的团队。我们将一起收集现有的证据，产生关于改善老年人的健康和社会护理的新知识和理解，并利用这些证据改善苏格兰各地老年人的生活。该项目包括4个核心组成部分：1)综合有关改善接受或提供护理的人的研究使用和研究有用性的证据，特别是检查从业者研究可以发挥的作用，并从本工作将建立的早期项目中吸取经验教训；2)探索项目合作伙伴在开发和分享老年人健康和社会护理研究证据方面的研究重点；这将有助于从业者研究人员构建他们的小规模研究项目。项目合作伙伴将是NHS洛锡安，苏格兰护理，阿尔茨海默苏格兰。格拉斯哥市议会和西洛锡安地方政府。这些机构各将派出最多3名工作人员参加执业人员研究计划。他们还将在项目指导小组中有一名代表。苏格兰政府和联合改进小组也将派代表参加指导小组，以反映他们对这个项目的承诺。3)实施从业者研究计划（PRP），以支持小规模研究项目的发展，这些项目由老年人护理人员领导，并涉及接受护理的老年人，学术研究人员和知识经纪人共同制作和翻译这项研究。交付工作将包括支助开展研究项目的人之间的联网、知识交流和分享，以及向国内和国际受众促进和传播这项研究。4)分享关于如何支持和嵌入从业者研究活动的现有和新出现的证据，以及改善研究人员与那些参与为需要支持的人提供服务的人之间的参与和合作的方法。该项目有5个合作伙伴（NHS洛锡安，苏格兰护理，西洛锡安议会，格拉斯哥市议会和阿尔茨海默苏格兰），他们将释放员工参加从业者研究计划（PRP）作为从业者研究人员。合作伙伴和从业人员将受益于他们对老年人保健和社会护理理解的提高，并可能在这种理解的基础上改善他们提供的护理。通过广泛传播从研究项目中获得的知识和对举行PRP过程的影响评价以及知识的翻译、交流和利用，预期将产生进一步的影响。这些好处将惠及学术界、实践者、政策制定者和服务用户。

As western societies experience an aging population, improving, or even maintaining, the quality of health and social care of older people is a significant issue. Reflecting wider trends, in Scotland by 2031 the number of people aged 65 and over is projected to be 58% higher than in 2004. This represents a significant challenge to health and social care services, as well as to individuals providing care to relatives or friends. This project is based on the premise that in order to tackle this issue there is a need for a stronger evidence base related to older people that those designing, providing or receiving care can draw on. There is also a need for better sharing of this evidence base and greater use of this evidence across policy, practice, provider and research groups to improve the lives of older people. This project brings together a team of academics, policy-makers, practitioners, older people accessing health and social care provision, and specialists in evidence-use in practice and knowledge media. Together we will draw together existing evidence and generate new knowledge and understanding about improving health and social care for older people, and embed the use of this evidence to then improve the lives of older people across Scotland. The project involves 4 core components:1) Synthesising the evidence about improving research use by and usefulness of research for those involved in receiving or delivering care, specifically examining the role practitioner research can play and building on lessons from earlier projects on which this work will build2) Exploring the research priorities of the project partners in developing and sharing research evidence on the health and social care of older people; this will help the practitioner researchers to frame their small scale research projectsProject partners will be NHS Lothian, Scottish Care, Alzheimer Scotland. Glasgow City Council, and West Lothian Local Authority. These organisations will release up to 3 members of staff each in order to participate in the Practitioner Research Programme (PRP). They will also have a representative on the Project Steering group.The Scottish Government and the Joint Improvement team will also be represented on the Steering Group as a reflection of their committment to this project.3) Delivery of a Practitioner Research Programme (PRP) to support the development of small-scale research projects led by those delivering care for older people and involving older people receiving care, academic researchers and knowledge brokers in the co-production and translation of this research. Delivery will include supporting networking, knowledge exchange and sharing between those undertaking the research projects, and the promotion and dissemination of this research to national and international audiences. 4) Sharing existing and emerging evidence about how to support and embed practitioner research activities, and methods of improving engagement and collaboration between researchers and those involved in delivering services for those who require supportThe project has 5 partners (NHS Lothian, Scottish Care, West Lothian Council, Glasgow City Council and Alzheimer Scotland) who will release staff to take part in the practitioner research programme (PRP) as practitioner researchers. The partners and the practitioners will benefit from improvements in their understanding of the health and social care for older people, and potentially improvements to the care they provide based on this improved understanding.Further impact is expected through the widespread dissemination of learning from the research projects and from the impact evaluation of the process of holding a PRP and the knowledge translation, exchange and utilisation. These benefits will be for academic, practitioner, policymaker and service user audiences.