Building a Knowledge to Action Program in Stroke Rehabilitation

Precisely what I've been railing about for years. We'll see if our fucking failures of stroke associations pick up on this and actually do something. My quibble with this is they talk about guidelines not protocols. Guidelines are suggestions, protocols are exact ways of doing things.
http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=10426874&fileId=S0317167116002584

• Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques / FirstView Article
• Copyright © The Canadian Journal of Neurological Sciences Inc. 2016 
• DOI: http://dx.doi.org/10.1017/cjn.2016.258 (About DOI), 7 pages. Published online: 26 July 2016

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Review Article

Building a Knowledge to Action Program in Stroke Rehabilitation

Shannon Janzen^a1 c1, Amanda McIntyre^a1a2, Marina Richardson^a3, Eileen Britt^a4 and Robert Teasell^a1a4a5

^a1 Lawson Health Research Institute, Parkwood Institute, London, Ontario, Canada
^a2 University Hospital, London Health Sciences Centre, London, Ontario, Canada
^a3 Canadian Agency for Drugs and Technologies in Health, Ottawa, Ontario, Canada
^a4 Parkwood Institute, St. Josephs Health Care London, London, Ontario, Canada
^a5 Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Abstract

The knowledge to action (KTA) process proposed by Graham et al (2006) is a framework to facilitate the development and application of research evidence into clinical practice.(otherwise known as translational science) The KTA process consists of the knowledge creation cycle and the action cycle. The Evidence Based Review of Stroke Rehabilitation is a foundational part of the knowledge creation cycle and has helped guide the development of best practice recommendations in stroke. The Rehabilitation Knowledge to Action Project is an audit-feedback process for the clinical implementation of best practice guidelines, which follows the action cycle. The objective of this review was to: (1) contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led to improved evidence-based practice in stroke rehabilitation. Through this process, a single centre was able to change clinical practice and promote a culture that supports the use of evidence-based practices in stroke rehabilitation.