Category Archives: Mobilising Evidence and Knowledge

The Sustainability and Evidence Mobilisation (STEM)Club

Background:

The STEMClub is an informal group of NHS and public health colleagues working cooperatively to support the mobilisation of evidence at the system-wide level in the north east of England.

We are trying to achieve this aim in two ways:

    • By making links to system-level work streams within the North East and Cumbria Partnership, and potentially beyond.
    • By providing both virtual and real, in person, opportunities to connect as a group and understand who is working on what, making effective use of our collective knowledge and insights.

The founding members of STEMClub have been enthused by the level of interest and commitment among colleagues from commissioning, public health and library and knowledge services (LKS) to a collaborative, system-wide approach.

Work to date:

The working model so far has been to identify work streams within the Sustainability and Transformation Partnership (STP) with an evidence need and match these to NHS library and knowledge services (LKS) staff who have volunteered to support with evidence searches. LKS staff are currently supporting work in the following areas:

    • Development of a frailty framework
    • Maternal choice in perinatal care
    • Mental health

There have also been two community-of-practice events attended by colleagues from across the NHS. The main themes emerging from these events are:

    • This is a bottom up “movement” which needs to be led by its members.
    • It needs input from policy-makers, decision-makers to help members to understand the priorities and shape the offer.
    • The Club offer needs to be defined and articulated
    • The question of “how to sustain momentum and keep moving forward?” is a recurring theme.

What will success look like?

There is evidence to show that commissioners are currently ad hoc users of research evidence and that interventions tried so far to improve uptake and use of research have had little or no impact. The ambition of STEMClub is to change the NHS decision-making culture:

At every decision-making table, there will be someone with the skills, experience and knowledge to ensure that decisions are informed by relevant evidence.

What are the next steps?

    • Club members need to broaden the network and work more closely with colleagues from the AHSN and other academic partners.
    • Most of the resource and expertise required to achieve the aims of STEMClub will be in kind. In order to reach out to more work-streams, we need to scale up the activity and make it sustainable. This may require funding.
    • There will be a need for coordination of activity and some infrastructure to support the sharing of evidence and searches. This is being explored currently.
    • NHS LKS staff are going through additional skills development to support this work and ongoing development will be required. Opportunities for mentoring support will also be explored.

 

Shona Haining Head of Research & Evidence North of England Commissioning Support s.haining@nhs.net

Tom Hall Director of Public Health, South Tyneside tom.hall@southtyneside.gov.uk

Mark Lambert Consultant in Specialised Services Public Health (North East and Cumbria) mark.lambert2@nhs.net

Joanne Naughton Library and Knowledge Services Development Manager, HEE joanne.naughton@hee.nhs.uk

David Stewart Director of Health Library and Knowledge Services, North, HEE david.stewart@hee.nhs.uk

Paul Wilson Senior Research Fellow, Manchester University paul.wilson@manchester.ac.uk

Knowledge Mobilisation Framework E-Learning is now LIVE

Following an official launch on Wednesday, the Knowledge Mobilisation Framework E-Learning is now live on the E-learning for Healthcare Platform.

Participants at the #Knowvember18 Training Event  in Exeter on the 5th September celebrating the launch of the updated Knowledge Mobilisation Framework E-Learning Modules and associated quick reference cards.

The modules introduce eleven knowledge mobilisation techniques that can be used by the wider health workforce  to learn before, during and after a piece of work to help to replicate good practice and avoid pitfalls.

Enrolling on the programme is quick and easy  and enables you to record your progress or alternatively you can choose to access freely as a guest.

A choosing tool has been developed to help you to select the right technique for a given situation or you can browse, working through all eleven modules or dipping in and out to suit your own circumstances.

Further publicity will take place throughout the autumn but for now we are calling on all Library and Knowledge Service Staff to promote the modules and use of the techniques locally within their organisations.

Feel free to use the flyer, which also features the How to Search the Literature Effectively: a Step by Step Guide to Success E-Learning modules, and share the link widely:

https://www.e-lfh.org.uk/programmes/knowledge-mobilisation-framework/

For further information about the modules, the quick reference cards, the techniques featured or #Knowvember18 please contact a member of the Knowledge for Healthcare Mobilising Evidence and Knowledge Workstream Group:

louise.goswami@hee.nhs.uk

sue.lacey-bryant@hee.nhs.uk

alison.day12@nhs.net

The Seven Deadly Sins of Knowledge Sharing in Networks

On 16th July, I was fortunate enough to take part in this webinar organised by NHS England’s Sustainable Improvement Team and Source4Networks, which posed the  following questions:

  • What are the barriers to sharing knowledge across your networks?
  • How can we learn from others to apply this knowledge to the NHS?

Chris Collison, author and expert in networks and knowledge management, was on hand to guide us through some of these critical barriers, namely the seven deadly sins – or syndromes – that can affect networks and stifle the supply or demand for knowledge sharing.

1) Tall Poppy Syndrome – Based on the idea that the tallest poppy in a field is the first to get cut down to size, this syndrome illustrates a reluctance to put your head above the parapet and a tendency to keep a low profile and not get involved.

2) Shrinking Violet Syndrome – Another “sin” that stifles the supply of shared knowledge in a network, based on a feeling of false humility, and that you have nothing useful to share.

3) Not-Invented-Here Syndrome – This syndrome impacts the demand for knowledge
sharing; the view that your organisation or team has a unique set of problems that can’t be
fixed by adopting other people’s solutions. Besides (the thinking goes) why use someone
else’s solutions when you can gain kudos for inventing your own?

4) Tom Tom Syndrome – Also known as Real-Men-Don’t-Ask-For-Directions Syndrome. A
reluctance to ask for help when you’re lost, due to a fear of being seen to be incompetent.
This “muddling along” approach is another barrier that stifles knowledge sharing by reducing demand.

5) Lacknowledgement Syndrome – The perception that by sharing good practice there is
somehow a “lack of acknowledgement”, and a suspicion that someone else will take the
credit for your hard work.

6) Lock-it-Away Syndrome – Here, a potential solution, idea or example of good practice is
not shared, either because it is never quite finished, or because everything produced by the organisation or team is locked down by default due to security policies.

7) Hamster-on-the-Wheel Syndrome – This “sin” comes down to time – or lack of it. A feeling that you’re just too busy going round in circles to stop and share what you’re doing.

A quick webinar poll indicated that this last “sin” was particularly prevalent, and something that most of the attendees were familiar with, but we all recognised the various other syndromes as well. Chris went on to suggest some antidotes, such as:

  • Make it safe to share
  • Think about use of language – e.g. looking for “answers” can place an unintended
    burden on people
  • Establish what “good” looks like, so the network has a frame of reference – e.g. using
    a maturity model for an agreed scale of good practice
  • Make it easier for people to ask for help – e.g. awards for things like:
    o Transferring good practice
    o Re-using a solution
    o Embedding a good practice
  • Share failures as well as successes
  • Acknowledge everything – where it came from etc.
  • Check what security policies actually say about sharing information outside the
    organisation
  • Legitimise the time spent sharing knowledge, e.g.
    o Establish a network sponsor
    o Find and share stories of things that worked

From my experience, we already have many of these antidotes in place in our LKS network in the South, but we all interact with networks at an organisational or directorate level, and personally I recognised quite a few of these deadly syndromes. I found the webinar
extremely illuminating,engaging and motivating.

For anyone interested in viewing the recorded webinar, you can find it here. For those of you who would like to dig a bit deeper, both Chris Collison’s and Source4Networks’ websites and twitter details are below:

Chris Collison: www.chriscollison.com / @chris_collison
Source4Networks: https://www.source4networks.org.uk/ / @source4networks

Andrew Brown
Library Services Manager
Wexham Park Hospital (WXM)

This article was first published in Swimming Pool, Issue 109, August 2018, p.7-10