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Helping you to improve health outcomes

Court, Anthea

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doi: 10.1097/01.JBI.0000393813.74154.d0
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nthea Court, Associate Director, Evidence Transfer and Utilisation

Over the past two years PACEsetterS has profiled personalities involved in the evidence-based practice movement and spoken to health professionals about how evidence impacts on their practice and how they use it. Our aim with this magazine is to support and assist health professionals who want to implement evidence into their practice.

In this issue, along with the usual information, profiles and interviews, you will also find a PACEsetterS reader survey on page 51. We would love you to take the time to complete this survey and fax (+61 8 8303 4881) or post it back to us so that we can continue to develop this magazine to help you - the users of the best available evidence. If you prefer, you can also access this survey on the PACEsetterS page of our web site -

The Institute will celebrate its tenth year in November 2006. During the past decade we have been producing (translating) and disseminating (transferring) the best available evidence to inform practice and improve global health outcomes. Producing and putting the information ‘out there’ does not in itself improve practice - implementation (or utilisation) is the key. This is the part of the process that must be undertaken at the facility and practice level. This, we cannot ‘do’. What we can do is develop and provide the tools to make this key element as easy as possible to undertake.

Implementation has always been the difficult area in evidence-based practice. There is no foolproof way of making it happen, although audit and feedback is recognised as effective in many circumstances.

To meet this need the Joanna Briggs Institute developed the Practical Application of Clinical Evidence System (JBI PACES). This is a tool that health care facility members of the Institute are able to access. It provides a framework to audit a specific area of practice, facilitate a change process and then encourages re-audit to assess the impact of the change process. The Joanna Briggs Institute Patient Outcomes On Line program (JBI POOL) compliments JBI PACES. Member facilities may use JBI POOL to track patient outcomes - another way of evidencing the impact of change.

At the end of April the Institute, with the support of the Australian Government Department of Health and Ageing, hosted a seminar at which the first eight Aged Care Clinical Fellows spoke of their experience with evidence implementation. Each of the fellowship recipients undertook, within the JBI PACES framework, an implementation project on one area of practice in their facility. It was inspiring to hear about their journey of examining their practice and how other health professionals were involved in the process of change and were enthused about different aspects of the project. The fellowship topics included dental hygiene, constipation, falls, restraint minimisation and hydration to name just a few. There are currently 28 evidence-based audits (not just aged care topics) built into the system ready for use.

If you would like to know more about JBI PACES or JBI POOL and how you can use them in your facility, please contact me or the JBI team either by telephone +61 8 8303 4880 or email: [email protected]

© 2006 Lippincott Williams & Wilkins, Inc.