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年增加58%。这对卫生和社会护理服务以及向亲友提供护理的个人来说是一个重大挑战。该项目的前提是，为了解决这一问题，需要一个与老年人有关的更强有力的证据基础，以供那些设计、提供或接受护理的人参考。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使用这一证据，以改善老年人的生活。该项目汇集了一个由学者、政策制定者、从业人员、获得保健和社会护理服务的老年人以及在实践和知识媒体中使用证据的专家组成的团队。我们将共同收集现有证据，并就改善老年人的健康和社会护理产生新的知识和理解，并嵌入这些证据的使用，从而改善苏格兰各地老年人的生活。该项目包括4个核心部分：1)综合关于改善接受或提供护理的人对研究的利用和研究的有用性的证据，特别是检查从业者研究可以发挥的作用，并借鉴早期项目的经验教训，这项工作将以此为基础2)探索项目合作伙伴在开发和分享关于老年人健康和社会护理的研究证据方面的研究优先事项；这将帮助从业者研究人员制定他们的小规模研究项目框架，项目合作伙伴将是苏格兰NHS Lothian，苏格兰护理，阿尔茨海默。格拉斯哥市议会和西洛锡安地方当局。这些组织将每个组织释放最多3名工作人员，以便参与从业者研究计划(PRP)。他们还将在项目指导小组中派一名代表。苏格兰政府和联合改进小组也将参加指导小组，以反映他们对该项目的承诺。3)交付从业者研究计划(PRP)，以支持由护理老年人的人领导并让接受护理的老年人、学术研究人员和知识经纪人参与这项研究的联合制作和翻译的小规模研究项目的发展。交付将包括支持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宣传和传播这项研究。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，以及改善研究人员和那些参与为那些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 Lothian、苏格兰关怀、West Lothian Council、格拉斯哥市议会和阿尔茨海默苏格兰)，他们将释放工作人员作为从业者研究人员参加从业者研究计划(PRP)。合作伙伴和实践者将受益于他们对老年人健康和社会护理的理解的改善，以及在这种理解的基础上潜在地改善他们提供的护理。通过广泛传播从研究项目中学习的经验，以及从举行PRP的过程的影响评估以及知识的转化、交流和利用，预计将产生进一步的影响。这些好处将面向学术界、实践者、政策制定者和服务用户受众。

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.