#ResNetSLT Transcript

Healthcare social media transcript of the #ResNetSLT hashtag.
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ReSNetSLT @ReSNetSLT
Well HELLO to all. This is the first #ReSNetSLT #JournalClub of 2019 and we're looking forward to chatting with you. Your hosts tonight are @HazelRoddam1 @sallymorganslt and @bangerasai Here's the paper link https://t.co/i8MRkJupfp Please say hi & where you're joining from ... https://t.co/eIU9q7aaUS
Sai Bangera @bangerasai
Hello 👋😀 #ReSNetSLT
Sally Morgan @sallymorganslt
Hello from a cold but not snowy north London #ResNetSLT
Katherine Broomfield @KathBroomfield
No snow yet, but it's getting chilly in Gloucestershire #resnetslt
RCSLTResearch @RCSLTResearch
@ReSNetSLT @HazelRoddam1 @sallymorganslt @bangerasai Hello @ReSNetSLT #ReSNetSLT! It's nice to be back :) tuning in from north London :)
Ellie Jones @EllieJSLT
@bangerasai Hello from Bury! #ReSNetSLT
Sai Bangera @bangerasai
RT @avrilnicoll: #ResNetSLT tweetchat 30 Jan 19.30 GMT is on the Consolidated Framework for Implementation Research, which pulls together t…
Sally Morgan @sallymorganslt
@PamelaSLT @WhitHealth @garethmradford @candi_qi Sounds interesting. You might like to join or catch up with today’s #ReSNetSLT chat discussing implementing change in healthcare
Bristol_SLTRU @Bristol_SLTRU
And from just down the road in Bristol #ReSNetSLT
ReSNetSLT @ReSNetSLT
We're looking forward to hearing who is joining our chat tonight at #ReSNetSLT. All the Qus are on our blogsite https://t.co/i8MRkJupfp and we'll post Qu 1 in a moment Looking forward to talking about #ImpSci @NickSevdalis @AnnetteBoaz @RCSLTResearch @HazelRoddam1
Sai Bangera @bangerasai
@SabrinaEltringh @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Sabrina 👋 Glad you’re joining us tonight #ReSNetSLT
RCSLTResearch @RCSLTResearch
@KathBroomfield v chilly here too- tweeting from underneath multiple blankets here! Bbrrrr #ReSNetSLT
Sai Bangera @bangerasai
@EllieJSLT Hi Ellie! Hope you’re well 😀 #ReSNetSLT
ReSNetSLT @ReSNetSLT
So here's Qu 1, let's start to hear what you thought about this paper & might use it in your own work. PLease remember our hashtag #ReSNetSLT https://t.co/9cOZs35HM8
Sai Bangera @bangerasai
@RCSLTResearch @ReSNetSLT @HazelRoddam1 @sallymorganslt Hello 👋😀 Nice to see you again! #ReSNetSLT
Amy @AmySlt
@ReSNetSLT @HazelRoddam1 @sallymorganslt @bangerasai Hello! I'm joining from Wigan, Lancashire :) #ReSNetSLT
Sally Morgan @sallymorganslt
@TheNFER @EducEndowFoundn @educationgovuk @NFERClassroom Interesting. Tonight @ReSNetSLt we’re discussing how implementation science can support getting interventions established in healthcare settings. Sure very similar issues in education #ResNetSLT
Bristol_SLTRU @Bristol_SLTRU
A1: The list of constructs is quite long/ very detailed. How realistic is is that clinical services will use the whole of the CFIR #ReSNetSLT
Sai Bangera @bangerasai
@Hanna_Holl @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Hanna 👋 Thank you for joining us! #ReSNetSLT
Milly Heelan @heelan_phd
@ReSNetSLT @HazelRoddam1 @sallymorganslt @bangerasai Looking forward to this evenings tweet chat #ReSNetSLT ! What a great excuse to stay in on this chilly evening!
Katherine Broomfield @KathBroomfield
I haven't used it but thought is could be a helpful tool to discuss implementing research with clinicians #ReSNetSLT
Sai Bangera @bangerasai
@AmySlt @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Amy! #ReSNetSLT
Sai Bangera @bangerasai
@heelan_phd @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Milly! Great excuse indeed! 😆😀 #ReSNetSLT
RCSLTResearch @RCSLTResearch
@Bristol_SLTRU Thought it looked quite long also, which made me reflect on the need for making the evidence-base for research translation.... translatable to practice! #ReSNetSLT
ReSNetSLT @ReSNetSLT
@Bristol_SLTRU Yes, that's a useful comment, especially from the perspective of busy #practitioners #ReSNetSLT #ImpSci
ReSNetSLT @ReSNetSLT
@AmySlt @HazelRoddam1 @sallymorganslt @bangerasai Welcome ! Great to have you with us ... #ReSNetSLT
Katherine Broomfield @KathBroomfield
@RCSLTResearch @Bristol_SLTRU I agree. Although it could be a useful adjunct to a journal club perhaps? #ReSNetSLT
Sally Morgan @sallymorganslt
Yes do say hello If you’re still learning (aren’t we all) do look up the resources on the website about using Twitter #ReSNetSLT
Sai Bangera @bangerasai
@SChalmersSLT @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Sophie #ReSNetSLT
Sabrina Eltringham @SabrinaEltringh
@ReSNetSLT I thought it could potentially be used for introducing a training intervention or a algorithm to guide clinical practice #ReSNetSLT
RCSLTResearch @RCSLTResearch
@ReSNetSLT I think 'could' is the key word here- it feels like there could be endless opportunities where the #CFIR could be used, and when reading the framework it feels v intuitive. But whether it is feasible for time pressured, busy clinicians to work through is another thing, #ReSNetSLT
Katherine Broomfield @KathBroomfield
@SabrinaEltringh @ReSNetSLT Great practical example of how to use it #ReSNetSLT
ReSNetSLT @ReSNetSLT
Just posting Qu 1 again for #ReSNetSLT ... any examples of the types of service evaluations where you consider this approach may be useful? Full paper here https://t.co/i8MRkJupfp https://t.co/hxRJyA8osf
Sally Morgan @sallymorganslt
@Bristol_SLTRU I agree it was very long but made me realise just how complicated making any effective change in practice can be #ReSNetSLT
Sai Bangera @bangerasai
@anna_westaway @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Anna 😀 #ResNetSLT
Sophie Chalmers @SChalmersSLT
@ReSNetSLT A difficult qu initially as this is the first I've come across/considered structured models for implementation. However, initialy thoughts/projects may include: mouth care matters projects, IDDSI implementation, risk feeding policies, local AAC service development #ReSNetSLT
RCSLTResearch @RCSLTResearch
@KathBroomfield @Bristol_SLTRU Yes great idea. I really liked the idea of identifying 'adaptable peripheries' which would be a really nice activity for a journal club. #ReSNetSLT
Sai Bangera @bangerasai
@SLTLaurenL @ReSNetSLT @HazelRoddam1 @sallymorganslt Hi Lauren! Nice to see you. Hope you’re well 😀 #ResNetSLT
Katherine Broomfield @KathBroomfield
@RCSLTResearch @ReSNetSLT Yes to this. I wonder if it would be a more useful tool for commissioners to consider new or conflicting interventions? #ReSNetSLT
Ellie Jones @EllieJSLT
RT @ReSNetSLT: So here's Qu 1, let's start to hear what you thought about this paper & might use it in your own work. PLease remember our h…
Sai Bangera @bangerasai
RT @SChalmersSLT: @ReSNetSLT A difficult qu initially as this is the first I've come across/considered structured models for implementation…
Sai Bangera @bangerasai
RT @RCSLTResearch: @Bristol_SLTRU Thought it looked quite long also, which made me reflect on the need for making the evidence-base for res…
RCSLTResearch @RCSLTResearch
@SChalmersSLT @ReSNetSLT I think #IDDSI implementation is a great example- what have people been doing to get this into routine practice...? Are there elements from the framework you can identify? #ReSNetSLT
ReSNetSLT @ReSNetSLT
@RCSLTResearch Yes, these are important considerations, but maybe it's similar to using any new model or framework the 1st time, until you get more familiar with it and then it feels faster and smoother? #ReSNetSLT
Milly Heelan @heelan_phd
@sallymorganslt @Bristol_SLTRU Yes I was thinking exactly the same! The places we work are complex with multiple interacting components which makes it difficult to simply make a change #ResNetSLT
Bristol_SLTRU @Bristol_SLTRU
Are there any examples, from the hundreds cited on the website, of SLT papers that have used it? #ResNetSLT
Sai Bangera @bangerasai
RT @ReSNetSLT: @RCSLTResearch Yes, these are important considerations, but maybe it's similar to using any new model or framework the 1st t…
Amit Kulkarni @AmitSaLT
Hi #ResNetSLT - will be dropping in & out again tonight (apologies)
Sabrina Eltringham @SabrinaEltringh
@Bristol_SLTRU I agree @Bristol_SLTRU but I liked how it said you could select constructs that are most relevant to your particular setting which made me think it could be more practical #ReSNetSLT
RCSLTResearch @RCSLTResearch
@KathBroomfield @ReSNetSLT Really interesting point, @kathbroomfield. I think getting #ImpSci on the agenda for key stakeholders in NHS is important. We are trying to highlight this e.g. #NICE - would be great to see routine appraisal by these folks in terms of implementation! #ReSNetSLT
ReSNetSLT @ReSNetSLT
@sallymorganslt @Bristol_SLTRU Yes, the very true adage applies that change always takes time And of course this model has been developed from a strong underpinning research evidence base We'll post some more #ImpSci resources & refs on our blogsite after the chat #ReSNetSLT
Ellie Jones @EllieJSLT
@ReSNetSLT @SChalmersSLT Although long it does provide a ‘pragmatic structure’ to use. Lots of potential projects it could be used on and IDDSI implementation is a great and very relevant one! @SChalmersSLT! #ReSNetSLT
ReSNetSLT @ReSNetSLT
So let's move on to Qu 2 to help structure our thinking #ReSNetSLT https://t.co/pk2GlkPsTa
Katherine Broomfield @KathBroomfield
@RCSLTResearch @ReSNetSLT Exactly. As an aside, it's interesting that there is a push at the mo to promote research in clinical practice but perhaps less so in commissioning? #ReSNetSLT
Sai Bangera @bangerasai
RT @sallymorganslt: @Bristol_SLTRU I agree it was very long but made me realise just how complicated making any effective change in practic…
ReSNetSLT @ReSNetSLT
RT @SChalmersSLT: @ReSNetSLT A difficult qu initially as this is the first I've come across/considered structured models for implementation…
Avril Nicoll @avrilnicoll
@Bristol_SLTRU The collection of ideas is useful to reflect on, but it isn't realistic for a clinical service to use it in detail. Not just because of the size of the list. Many of these things are beyond their control - need to focus on what can be addressed #ResNetSLT
Amit Kulkarni @AmitSaLT
@heelan_phd @sallymorganslt @Bristol_SLTRU Framework def long & detailed, so makes sense that they suggest focusing on domains / subdomains most relevant to indiv project #ResNetSLT @RCSLTResearch
Sally Morgan @sallymorganslt
@ReSNetSLT @Bristol_SLTRU Makes me also realise that when I tried to make changes alone it’s not surprising I didn’t often succeed #ReSNetSLT
Sai Bangera @bangerasai
RT @ReSNetSLT: @sallymorganslt @Bristol_SLTRU Yes, the very true adage applies that change always takes time And of course this model has b…
Anna Westaway @anna_westaway
@ReSNetSLT I’d like to apply it to work I’m doing with a large group of schools implement the SCERTS framework in mainstream settings - at a first glance, the CIFR constructs seem to relate well to the challenges and successes we’re having so far #ReSNetSLT
Katherine Broomfield @KathBroomfield
@anna_westaway @ReSNetSLT Lovely example. Thanks. #ResNetSLT
ReSNetSLT @ReSNetSLT
@RCSLTResearch @KathBroomfield @Bristol_SLTRU OK, we'll save that idea to return to our #ImpSci theme later in the year with #ReSNetSLT ... keep watching our site for upcoming chat topics https://t.co/yoGRtBouS2
Sally Morgan @sallymorganslt
@avrilnicoll @Bristol_SLTRU Yes focus on your own ‘locus of control’ Though May also help to discount some ideas as realise just not achievable in a context without much other aspects/services on board #ReSNetSLT
Sabrina Eltringham @SabrinaEltringh
@ReSNetSLT One facilitator (or maybe two!) that really rang true for me was identifying the key agents of change and fostering relationships #ReSNetSLT
Katherine Broomfield @KathBroomfield
does anyone else keep almost selecting the hash tag for resident evil 2 rather than #resnetslt tonight?!!
Sai Bangera @bangerasai
@sallymorganslt @ReSNetSLT @Bristol_SLTRU Very true! I quite liked this visual that reflects the various domains of the framework #ReSNetSLT https://t.co/GINWAHfNTV
Lauren Longhurst @SLTLaurenL
and as usual I forgot the hashtag... despite being reminded! #ResNetSLT
RCSLTResearch @RCSLTResearch
@SabrinaEltringh @Bristol_SLTRU Agreed- though there's a risk when selecting which to apply and which not to, those that are less convenience/harder will be ruled as 'not relevant/practical' when really they just need more work. Would definitely be nice to systematically collate feedback on it's use #ReSNetSLT
Avril Nicoll @avrilnicoll
@Bristol_SLTRU @Nat_Douglas has used it in SLT- see https://t.co/QJGpsmMYuf #ResNetSLT
Sai Bangera @bangerasai
RT @RCSLTResearch: @KathBroomfield @Bristol_SLTRU Yes great idea. I really liked the idea of identifying 'adaptable peripheries' which woul…
Anna Westaway @anna_westaway
@KathBroomfield @ReSNetSLT I’m also about to start working with a special school on the same framework, & think it would be very useful for the SLTs in this school to consider CIFR - I feel #scerts required organisational culture change so anything so help address barriers to this is helpful! #ReSNetSLT
RCSLTResearch @RCSLTResearch
@anna_westaway @ReSNetSLT Sounds great @anna_westaway - look forward to seeing you present on this one day ;) #ReSNetSLT
ReSNetSLT @ReSNetSLT
Yes, we could add sosme refs & resources relevant to #ComplexityTheory on our blog after the chat. Keep watching https://t.co/yoGRtBouS2 #ReSNetSLT
Sally Morgan @sallymorganslt
@ReSNetSLT for me when thinking about @iddsi_org implementation I spotted Inner Setting aspect of ‘high staff turnover’ often a issue in relation to mealtime assistants as discussed in ALD dysphagia research #ReSNetSLT
Sai Bangera @bangerasai
@anna_westaway @KathBroomfield @ReSNetSLT That’s such a brilliant idea, Anna. #ReSNetSLT
Sally Morgan @sallymorganslt
#ReSNetSLT
Ellie Jones @EllieJSLT
@KathBroomfield On several occasions 😂#ReSNetSLT
Sai Bangera @bangerasai
RT @SabrinaEltringh: @ReSNetSLT One facilitator (or maybe two!) that really rang true for me was identifying the key agents of change and f…
ReSNetSLT @ReSNetSLT
@Bristol_SLTRU Please let us know of any ... We know of some #SLT projects using COM-B and we will add refs for those on our blog later. Thanks for that #ReSNetSLT
Bristol_SLTRU @Bristol_SLTRU
@avrilnicoll @Nat_Douglas This paper looks fascinating. Particularly the 'time spent evaluating cog/comm" correlating with positive thoughts about the SLPs organisation. Must read further... #ResNetSLT
Sai Bangera @bangerasai
RT @AmitSaLT: @heelan_phd @sallymorganslt @Bristol_SLTRU Framework def long & detailed, so makes sense that they suggest focusing on domain…
RCSLTResearch @RCSLTResearch
Thanks for highlighting this @avrilnicoll - really interesting! #ReSNetSLT
Anna Westaway @anna_westaway
@ReSNetSLT Still on Q1! Also very relevant for thinking about #accessibleinformation work we’re going at @SheffChildrens and also the roll out of the #cauk communication access symbol #ReSNetSLT
ReSNetSLT @ReSNetSLT
@AmitSaLT That's fine - everyone's welcome at #ReSNetSLT, for just however long you can stay with us. We'll post the full transcript after the chat
Ellie Jones @EllieJSLT
@sallymorganslt @ReSNetSLT @iddsi_org I agree. I feel this would be an issue in wards not only with assistants but nursing staff too #ReSNetSLT
ReSNetSLT @ReSNetSLT
Well worth looking at the full paper - here's the link again ...https://t.co/i8MRkJupfp #ReSNetSLT
RCSLTResearch @RCSLTResearch
@KathBroomfield @ReSNetSLT It's always a tricky one! @RCSLTpolicy are the people to speak to re. influencing 'higher up the ladder'- that said, local trusts and SLT teams have a responsibility to be highlighting #research and #EBP to commissioners, too! #ResNetSLT
Avril Nicoll @avrilnicoll
@ReSNetSLT A2 OK I'm biased, but I think it must be almost impossible to do implementation research (as opposed to a project) in your own setting without being able to draw on an 'outsider' perspective (although that could be an embedded researcher) #ResNetSLT
RCSLTResearch @RCSLTResearch
Would be great to see :D #ReSNetSLT
ReSNetSLT @ReSNetSLT
Time's moving fast so we'll start thinking about Qu 3 now ... Please remember to use our hashtag #ReSNetSLT so that we can all read the full transcript afterwards - it's exciting to see so much great advice being generously shared - Thanks everyone! https://t.co/TrsX87N8xC
Sai Bangera @bangerasai
RT @RCSLTResearch: @KathBroomfield @ReSNetSLT It's always a tricky one! @RCSLTpolicy are the people to speak to re. influencing 'higher up…
Sally Morgan @sallymorganslt
@anna_westaway @ReSNetSLT @SheffChildrens I agree many national changes need this approach Occassionally finding services not yet using the UK texture descriptions & now have international #ReSNetSLT
Sai Bangera @bangerasai
RT @RCSLTResearch: @anna_westaway @ReSNetSLT Sounds great @anna_westaway - look forward to seeing you present on this one day ;) #ReSNetSLT
Sai Bangera @bangerasai
RT @avrilnicoll: @ReSNetSLT A2 OK I'm biased, but I think it must be almost impossible to do implementation research (as opposed to a proje…
ReSNetSLT @ReSNetSLT
@RCSLTResearch @SabrinaEltringh @Bristol_SLTRU Very wise reflection #ReSNetSLT The principle of #ImpSci #ImplementationScience is to understand better the adaptations made in real-world service delivery, but there needs to be an acknowledgement of these issues too
ReSNetSLT @ReSNetSLT
@avrilnicoll @Bristol_SLTRU @Nat_Douglas Thanks @avrilnicoll You are always a font of relevant & appropriate resources for us in #ReSNetSLT
Sai Bangera @bangerasai
RT @SLTLaurenL: and as usual I forgot the hashtag... despite being reminded! #ResNetSLT https://t.co/O6zce4mARG
Katherine Broomfield @KathBroomfield
@ReSNetSLT Consistency of practice can be a constraint on evaluating interventions. Do clinicians consistently implement new interventions, or consistently record their use for evaluation? #resnetslt
Avril Nicoll @avrilnicoll
@ReSNetSLT A2 Have been speed reading https://t.co/2NzYbFzue1 by @MelanieBarwick @mel_kimber ahead of chat - the extended constructs to CFIR they identified from child behavioural health settings really resonate with my #SLPhD study as they are practice close #ResNetSLT - I'll summarise 1/
Lauren Longhurst @SLTLaurenL
@ReSNetSLT Change can be scary for a lot of people. Need to tread carefully #resnetSLT
ReSNetSLT @ReSNetSLT
RT @Bristol_SLTRU: @avrilnicoll @Nat_Douglas This paper looks fascinating. Particularly the 'time spent evaluating cog/comm" correlating wi…
Sally Morgan @sallymorganslt
@ReSNetSLT Time and expertise for me... I think the comment on ‘Inner setting’ is often relevant for my context. We often evaluate in just one area not clinical, performance, economic & experience.. #ReSNetSLT
Anna Westaway @anna_westaway
@ReSNetSLT A2 - overall the process looks so key to me - particularly getting the engagement right to ensure ‘buy-in’ at organisational and individual levels. Different processes possibly required to target different levels #ReSNetSLT
RCSLTResearch @RCSLTResearch
@sallymorganslt @ReSNetSLT @RCSLT @The_HCPC #Research and #EBP is one of the 5 core capabilities of @RCSLT curriculum framework - graduates expected to 'Develop, implement & evaluate' evidence-based management - would be fab to see educators facilitate meeting this criteria by introducing #ImpSci! #ReSNetSLT
Milly Heelan @heelan_phd
@ReSNetSLT Finding 'champions' to support as part of the process construct could make or break a change and can help with maintenance . But finding and keeping the right people motivated can be difficult #ResNetSLT
ReSNetSLT @ReSNetSLT
RT @avrilnicoll: @ReSNetSLT A2 OK I'm biased, but I think it must be almost impossible to do implementation research (as opposed to a proje…
Sally Morgan @sallymorganslt
@ReSNetSLT Plus sometimes the changes we want to make are very long term outcomes. Do we wait long enough to see the outcome before moving onto the next new change/intervention idea #ReSNetSLT
ReSNetSLT @ReSNetSLT
Precisely !! #ReSNetSLT
ReSNetSLT @ReSNetSLT
RT @avrilnicoll: @ReSNetSLT A2 Have been speed reading https://t.co/2NzYbFzue1 by @MelanieBarwick @mel_kimber ahead of chat - the extended…
Avril Nicoll @avrilnicoll
@ReSNetSLT @MelanieBarwick @mel_kimber Intervention characteristics: Type of evidence based practice (standalone or element); Outer setting: Initiating circumstances for implementation endeavour (who drove it? who is funding it? is there a contract?); Sector context (child health? rehab? acute?); #ResNetSLT 2/
Sabrina Eltringham @SabrinaEltringh
@ReSNetSLT I think the potential for so many confounding factors and trying to tease out how they have influenced the new intervention #ReSNetSLT
Anna Westaway @anna_westaway
@ReSNetSLT A3 - I’d echo time...but within NHS I’m really appreciating discovering teams like our Service Transformation team, who are trust wide and great at thinking of simple ways to measure impact - especially if it ticks boxes that the trust needs to meet anyway #ReSNetSLT
Ellie Jones @EllieJSLT
@ReSNetSLT Confidence- it’s not always easy to try something new and unfamiliar- especially working in a busy acute setting. So I suppose in that sense also time and patience to allow myself to be confident! #ReSNetSLT
Sally Morgan @sallymorganslt
@ReSNetSLT I also should have added it made me think how sometimes I think we can get taken in by ‘Design quality & package’ rather than ‘Quality of evidence’ at times when considering Intervention Characteristics #ReSNetSLT ...
RCSLTResearch @RCSLTResearch
@KathBroomfield @ReSNetSLT Yes, #Slpeeps will often collect a mass of information/data about therapy- but lack of systematic approach to this. @RCSLT Outcomes Programme trying to tackle this with implementation of #ROOT. This has been used to show commissioners impact of different interventions! #ReSNetSLT
ReSNetSLT @ReSNetSLT
@SLTLaurenL Yes of course #ReSNetSLT There are some models for assessing readiness for change in teams and organisations, we'll look for those links to add to our resource list after the chat
Sai Bangera @bangerasai
RT @avrilnicoll: @Bristol_SLTRU @Nat_Douglas has used it in SLT- see https://t.co/QJGpsmMYuf #ResNetSLT
Avril Nicoll @avrilnicoll
@ReSNetSLT @MelanieBarwick @mel_kimber Characteristics of individuals: Clinical paradigm (directive / non-directive?) I suspect these are all highly relevant to SLT, and could be considered internally by a service. #ResNetSLT 3/3
ReSNetSLT @ReSNetSLT
RT @heelan_phd: @ReSNetSLT Finding 'champions' to support as part of the process construct could make or break a change and can help with m…
ReSNetSLT @ReSNetSLT
RT @RCSLTResearch: @sallymorganslt @ReSNetSLT @RCSLT @The_HCPC #Research and #EBP is one of the 5 core capabilities of @RCSLT curriculum fr…
Anna Westaway @anna_westaway
@ReSNetSLT A3: making noise about the wider role of #slpeeps in our trust and demonstrating our value at an organisational level is creating opportunities to implement approaches beyond SLT team alone; in turn meaning that we have better support and resources for evaluation #ReSNetSLT
RCSLTResearch @RCSLTResearch
Perhaps this is a new idea for our #ResearchChampions activity menu... taking the lead on, or facilitating #process of implementation. #ReSNetSLT
RCSLTResearch @RCSLTResearch
@ReSNetSLT @SabrinaEltringh @Bristol_SLTRU a research project right there....! #ResNetSLT
Sai Bangera @bangerasai
RT @sallymorganslt: @ReSNetSLT I also should have added it made me think how sometimes I think we can get taken in by ‘Design quality & pac…
Katherine Broomfield @KathBroomfield
@anna_westaway @ReSNetSLT Yes. But on some level it has to 'fit' with a strategic direction either locally or at an organisational level. As @sallymorganslt said, services can all too quickly more onto the 'next thing' before evaluating the last 'thing' #ReSNetSLT
Anna Westaway @anna_westaway
Yes! I agree - I think it helps reward good practice and spread it further beyond initial implementation leads #ReSNetSLT
Avril Nicoll @avrilnicoll
@anna_westaway @ReSNetSLT Definitely Anna - and liked yourself, it shows the value of having people with dedicated time and a clear role in supporting implementation. It sees it as a 'thing' worthy of investment rather than something to be taken for granted #ResNetSLT
Sai Bangera @bangerasai
RT @anna_westaway: @ReSNetSLT A3: making noise about the wider role of #slpeeps in our trust and demonstrating our value at an organisation…
Sophie Chalmers @SChalmersSLT
@sallymorganslt @ReSNetSLT I agree Sally, often also tricky to definitively select outcomes most relevant to patients, service, and commissioners #ReSNetSLT
Sai Bangera @bangerasai
RT @anna_westaway: Yes! I agree - I think it helps reward good practice and spread it further beyond initial implementation leads #ReSNetSL
ReSNetSLT @ReSNetSLT
Here's our final Qu for tonight #ReSNetSLT Our hour is whizzing by but there's still time to hear about what action plans you may be hatching to try out this #ImpSci framework for yourselves? @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT @EllieJSLT https://t.co/Aw9w0HkZ1U
Sally Morgan @sallymorganslt
@KathBroomfield @anna_westaway @ReSNetSLT Agree and sometimes that quick move is dictated by the organisation or even higher above. Makes me think of Brofenbrenner’s model with child in middle and all the influences externally #ReSNetSLT
Avril Nicoll @avrilnicoll
@heelan_phd @ReSNetSLT I find it helpful that CFIR distinguishes Opinion Leaders from Leaders, Champions and External Change Agents - they're not the same thing #ResNetSLT
Bristol_SLTRU @Bristol_SLTRU
A3: Awareness of tools such as the CFIR may be constraints. I wonder how many SLT teams would be familiar with #impsci and then know where to look for tools to evaluate it? How can we disseminate or 'mobilise' this information better ? #ResNetSLT
ReSNetSLT @ReSNetSLT
@anna_westaway Fab to hear about other support and resources that people can access locally - Thanks for sharing this @anna_westaway #ReSNetSLT
ReSNetSLT @ReSNetSLT
RT @EllieJSLT: @ReSNetSLT Confidence- it’s not always easy to try something new and unfamiliar- especially working in a busy acute setting.…
Anna Westaway @anna_westaway
@KathBroomfield @ReSNetSLT @sallymorganslt Definitely - that’s where we’re having the most impact at the moment - eg promoting SLT as experts in inclusive communication to help implement the accessible implementation standard. It’s long term and essential for NHS so our input is being really valued. #ReSNetSLT
ReSNetSLT @ReSNetSLT
RT @sallymorganslt: @ReSNetSLT I also should have added it made me think how sometimes I think we can get taken in by ‘Design quality & pac…
ReSNetSLT @ReSNetSLT
RT @avrilnicoll: @ReSNetSLT @MelanieBarwick @mel_kimber Characteristics of individuals: Clinical paradigm (directive / non-directive?) I su…
Milly Heelan @heelan_phd
@ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @SChalmersSLT @EllieJSLT Definitely going to introduce this to our IDDSI working party group to help us structure our thoughts! May also be able to sneak into my PhD work - implementing a finger food menu on the stroke ward! #ResNetSLT
Katherine Broomfield @KathBroomfield
@avrilnicoll @anna_westaway @ReSNetSLT Absolutely agree. More sharing of such dedicated roles please #resnetslt
Sai Bangera @bangerasai
Couldn’t agree more! Training and organisational support are key elements! #ReSNetSLT
Sai Bangera @bangerasai
RT @avrilnicoll: @ReSNetSLT A2 Have been speed reading https://t.co/2NzYbFzue1 by @MelanieBarwick @mel_kimber ahead of chat - the extended…
Sophie Chalmers @SChalmersSLT
@ReSNetSLT re. new ways of working - Cross over of different services, particularly in community. Establishing if other nhs/public/private/voluntary services are implementing/have implemented anything similar prior #ReSNetSLT
Helen Moores-Poole @poole_moores
RT @ReSNetSLT: Well HELLO to all. This is the first #ReSNetSLT #JournalClub of 2019 and we're looking forward to chatting with you. Your ho…
Sally Morgan @sallymorganslt
@EllieJSLT @ReSNetSLT Yes, develop ‘self-efficacy’. I also think we often focus on knowledge and forget the other parts about individuals e.g. beliefs (or at least I have done when planning mealtime supporter training often in the past) #ReSNetSLT
Sai Bangera @bangerasai
RT @avrilnicoll: @ReSNetSLT @MelanieBarwick @mel_kimber Intervention characteristics: Type of evidence based practice (standalone or elemen…
Sai Bangera @bangerasai
RT @avrilnicoll: @ReSNetSLT @MelanieBarwick @mel_kimber Characteristics of individuals: Clinical paradigm (directive / non-directive?) I su…
RCSLTResearch @RCSLTResearch
@Bristol_SLTRU Keep an eye out from @RCSLT communications in the upcoming months.... you might find some answers! #ReSNetSLT
ReSNetSLT @ReSNetSLT
We'll look forward to working together with you towards this aim - and link with the NIHR #AHP Research Champions @RCSLTResearch #ReSNetSLT @HazelRoddam1 @AmitSaLT @Katie_Chadd @KatiePwork @AnnMooreEmProf @antheamould @OfficialNIHR @jkfillingham @NaomiMcVey @GillianSouthga1
RCSLTResearch @RCSLTResearch
@heelan_phd @ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @SChalmersSLT @EllieJSLT sounds like a great idea Milly :) #ReSNetSLT
Anna Westaway @anna_westaway
@KathBroomfield @avrilnicoll @ReSNetSLT It’s not dedicated yet... but we’re working on it and hope to have some protected trust wide time agreed very soon!! 🤞🤞 It’s taken a lot of pushing but it’s extremely exciting for @sallytwiggSLT and me 👍 #ReSNetSLT
Sai Bangera @bangerasai
RT @SChalmersSLT: @ReSNetSLT re. new ways of working - Cross over of different services, particularly in community. Establishing if other n…
ReSNetSLT @ReSNetSLT
RT @KathBroomfield: @anna_westaway @ReSNetSLT Yes. But on some level it has to 'fit' with a strategic direction either locally or at an org…
Katherine Broomfield @KathBroomfield
@ReSNetSLT @RCSLTResearch @HazelRoddam1 @AmitSaLT @Katie_Chadd @KatiePwork @AnnMooreEmProf @antheamould @OfficialNIHR @jkfillingham @NaomiMcVey @GillianSouthga1 Great idea. I will take it to our next meeting! #ResNetSLT
Sai Bangera @bangerasai
RT @RCSLTResearch: Perhaps this is a new idea for our #ResearchChampions activity menu... taking the lead on, or facilitating #process of i…
Sai Bangera @bangerasai
RT @ReSNetSLT: We'll look forward to working together with you towards this aim - and link with the NIHR #AHP Research Champions @RCSLTRese
ReSNetSLT @ReSNetSLT
. @antheamould @AnnMooreEmProf @KatiePwork @jkfillingham @OfficialNIHR @NaomiMcVey @GillianSouthga1 @UCLanRehabSci @profpleslie @HazelRoddam1 #ReSNetSLT
Naomi McVey @NaomiMcVey
RT @anna_westaway: @ReSNetSLT A3 - I’d echo time...but within NHS I’m really appreciating discovering teams like our Service Transformation…
ReSNetSLT @ReSNetSLT
RT @ReSNetSLT: Here's our final Qu for tonight #ReSNetSLT Our hour is whizzing by but there's still time to hear about what action plans yo…
ReSNetSLT @ReSNetSLT
RT @sallymorganslt: @KathBroomfield @anna_westaway @ReSNetSLT Agree and sometimes that quick move is dictated by the organisation or even h…
Sally Morgan @sallymorganslt
@SChalmersSLT @ReSNetSLT Yes, often they may seem to compete. In clinical education focus can be on student satisfaction but sometimes we could be so satisfied we are not learning. I like to be challenged not satisfied by these chats #ReSNetSLT
Sai Bangera @bangerasai
RT @avrilnicoll: @anna_westaway @ReSNetSLT Definitely Anna - and liked yourself, it shows the value of having people with dedicated time an…
Amit Kulkarni @AmitSaLT
@RCSLTResearch @heelan_phd @ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @SChalmersSLT @EllieJSLT A4. One key for me #ResNetSLT is to take even more time to plan any project, carefully considering range of relevant factors. Am already slow and need to get even slower!
ReSNetSLT @ReSNetSLT
A very good point, thanks. And a good reason to read this paper again, or for the first time - here's the link for the full open access paper https://t.co/i8MRkJupfp #ReSNetSLT
Sai Bangera @bangerasai
RT @sallymorganslt: @SChalmersSLT @ReSNetSLT Yes, often they may seem to compete. In clinical education focus can be on student satisfactio…
Anna Westaway @anna_westaway
@ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT @EllieJSLT I’m going to have a try at using the CFIR to identify barriers and aids to projects that I’m working with - hope it may help me identify some routes forwards #ReSNetSLT
Naomi McVey @NaomiMcVey
@RCSLTResearch @Bristol_SLTRU @RCSLT I still find there can be bit of a disconnect between implementation science & quality improvement - and yet the 2 can work so well together? #ReSNetSLT @jkfillingham
Katherine Broomfield @KathBroomfield
A4: Every time we've discussed #impsci here, I've promised I would find out more about it and work out how to introduce it in my dept. Definitely this time though... #ReSNetSLT
ReSNetSLT @ReSNetSLT
@Bristol_SLTRU Ha! Excellent question! Who would like to respond? Any offers for a short opinion piece for our blogsite ?? #ReSNetSLT
ReSNetSLT @ReSNetSLT
RT @heelan_phd: @ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @SChalmersSLT @EllieJSLT Definitely going to introduce this to our IDD…
Sally Morgan @sallymorganslt
RT @ReSNetSLT: A very good point, thanks. And a good reason to read this paper again, or for the first time - here's the link for the full…
ReSNetSLT @ReSNetSLT
. #ReSNetSLT
Avril Nicoll @avrilnicoll
RT @RCSLTResearch: Perhaps this is a new idea for our #ResearchChampions activity menu... taking the lead on, or facilitating #process of i…
Sally Morgan @sallymorganslt
@heelan_phd @ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @SChalmersSLT @EllieJSLT Definitely #ImpSci suitable there!! #SLPhD #ReSNetSLT
Sai Bangera @bangerasai
RT @ReSNetSLT: . #ReSNetSLT https://t.co/74OdxEpQMD
RCSLTResearch @RCSLTResearch
@NaomiMcVey @Bristol_SLTRU @RCSLT @jkfillingham Yes- and #QI is recognised much more widely it seems, especially in #AHP world. Terminology is such a big part of ... everything! #ReSNetSLT
Anna Westaway @anna_westaway
A4: also agree this would be a good paper for our in house journal club; we so often discuss the challenges of effecting change when implementing interventions - and could use CFIR to help us analyse situations that haven’t worked as we’d have liked #ReSNetSLT
Ellie Jones @EllieJSLT
@ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT We are doing a lot of work around IDDSI too and oral hygiene so definitely something to share with colleagues- and if not now but for future reference, the paper offers ideas and a way to structure thoughts #ReSNetSLT
Sally Morgan @sallymorganslt
@ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT @EllieJSLT Going to think more about how #ImpSci is evident within our curriculum Lots of #EBP there but is #ImpSci evident enough..? Plus keep thinking about not just knowledge of #SLT2b but need to support self-efficacy and beliefs too #ReSNetSLT
RCSLTResearch @RCSLTResearch
Would also like to hear about your plans to try out using other #ImpSci frameworks... realise this paper is from a few years ago, do we know how #CFIR compares to anything developed more recently? #ReSNetSLT
ReSNetSLT @ReSNetSLT
So, thanks everyone - you have all shared your ideas & experiences very generously! We'll post the full transcript very soon on our blog https://t.co/yoGRtBouS2 Let's keep the #ImpSci conversation going #ReSNetSLT https://t.co/SYnNQ9dlA6
Amit Kulkarni @AmitSaLT
@Bristol_SLTRU With help from @CLAHRC_SL we are going to have a focus on #QI, #implementationscience and improvement science in March - May R&D forums of @rcslt_bulletin #ResNetSLT
Sai Bangera @bangerasai
RT @sallymorganslt: @ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT @EllieJSLT Going to think more about how…
ReSNetSLT @ReSNetSLT
RT @ReSNetSLT: So, thanks everyone - you have all shared your ideas & experiences very generously! We'll post the full transcript very soon…
Sally Morgan @sallymorganslt
#ReSNetSLT
ReSNetSLT @ReSNetSLT
. #ReSNetSLT
Ellie Jones @EllieJSLT
@ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT And o make sure you plan properly! Not to rush and allow time for effective change happen! #ReSNetSLT
Bristol_SLTRU @Bristol_SLTRU
A great way to start. Will look forward to reading more. #ReSNetSLT
Naomi McVey @NaomiMcVey
@RCSLTResearch @Bristol_SLTRU @RCSLT @jkfillingham Absolutely! PDSA & model for improvement great way to test, measure, refine implementation #ReSNetSLT
Sai Bangera @bangerasai
Thanks so very much for joining us tonight! #ResNetSLT
RCSLTResearch @RCSLTResearch
@sallymorganslt @ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT @EllieJSLT Think #ImpSci and knowledge translation/ research to practice it def needs to be framed alongside #EBP lectures as part of natural process, not 'add-on' #ReSNetSLT
Ellie Jones @EllieJSLT
@ReSNetSLT @ClinAcSLT @KatieMonnelly @KathBroomfield @heelan_phd @SChalmersSLT Also apologies for all the errors tonight- my phone appears to malfunctioning #ReSNetSLT
Katherine Broomfield @KathBroomfield
@ReSNetSLT Thank you @sallymorganslt @bangerasai @HazelRoddam1 . A thought provoking start to the #ResNetSLT year.
Sally Morgan @sallymorganslt
@ReSNetSLT Review happening in #ImpSci at the moment still using this module as good basis #ReSNetSLT https://t.co/kdKMrCvpmi
ReSNetSLT @ReSNetSLT
What a fab chat - HUGE thanks to everyone for taking part in #ReSNetSLT this evening. We'll post the stats and transcript very soon. Special thanks to @sallymorganslt & @bangerasai for joining @HazelRoddam1 tonight. And thanks of course to the paper authors !! https://t.co/Ze4J3V077y
RCSLTResearch @RCSLTResearch
(the 'secret' upcoming @RCSLT comms focus on #ImpSci has been announced) ;) #ReSNetSLT
Avril Nicoll @avrilnicoll
@ReSNetSLT @Bristol_SLTRU @Nat_Douglas I can never keep up though:) #ResNetSLT
ReSNetSLT @ReSNetSLT
RT @avrilnicoll: @ReSNetSLT @Bristol_SLTRU @Nat_Douglas I can never keep up though:) #ResNetSLT
Sally Morgan @sallymorganslt
Been great to chat to you all. So many thoughts so applicable to all different areas of practice #ReSNetSLT
RCSLTResearch @RCSLTResearch
Thanks everyone at @ReSNetSLT - look forward to seeing the transcripts in due course. Have a lovely evening all! #ResNetSLT
Amit Kulkarni @AmitSaLT
@Bristol_SLTRU Supporting members with #improvement a focus across @RCSLT at the moment so more initiatives to come very soon ... #ResNetSLT
Sally Morgan @sallymorganslt
RT @anna_westaway: A4: also agree this would be a good paper for our in house journal club; we so often discuss the challenges of effecting…
ReSNetSLT @ReSNetSLT
What a busy night on #ReSNetSLT Thanks to all - and we'll post the link for the full transcript tomorrow. Goodnight all .... See you on last Weds of Feb for our next #JournalClub https://t.co/am6xZ5Tui0
Amit Kulkarni @AmitSaLT
@sallymorganslt Yep - always come away with much food for thought. Many thanks #ResNetSLT
ReSNetSLT @ReSNetSLT
RT @AmitSaLT: @sallymorganslt Yep - always come away with much food for thought. Many thanks #ResNetSLT
Sai Bangera @bangerasai
RT @ReSNetSLT: What a busy night on #ReSNetSLT Thanks to all - and we'll post the link for the full transcript tomorrow. Goodnight all ....…
Sally Morgan @sallymorganslt
RT @ReSNetSLT: What a busy night on #ReSNetSLT Thanks to all - and we'll post the link for the full transcript tomorrow. Goodnight all ....…
Sabrina Eltringham @SabrinaEltringh
@RCSLTResearch Hi @RCSLTResearch -this paper maybe of interest - describes the blending of two frameworks - spread and sustainability - using a dysphagia intervention https://t.co/OrXTNczjOD #ReSNetSLT @DysphagiaSY @ReSNetSLT
Avril Nicoll @avrilnicoll
@RCSLTResearch A fair question, but CFIR is a consolidated framework, it takes time to get it into use and refined. Meant to say in chat that the website is very useful - eg additional tools and templates for data collection / analysis https://t.co/sGcf4odnio #ResNetSLT
Sally Morgan @sallymorganslt
RT @SabrinaEltringh: @RCSLTResearch Hi @RCSLTResearch -this paper maybe of interest - describes the blending of two frameworks - spread and…
Sally Morgan @sallymorganslt
RT @AmitSaLT: @Bristol_SLTRU With help from @CLAHRC_SL we are going to have a focus on #QI, #implementationscience and improvement science…
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