10 Knowledge translation

Question 1

Knowledge translation is aka

Answer 1

Research utilisation
Diffusion of innovation
Knowledge exchange
Translational research
Dissemination
Knowledge mobilisation
There are over 90 terms worldwide

Question 2

What does knowledge translation mean?

Answer 2

Implementing evidence into practice
“Benchtop to bedside”
Range of activities that improve the use of evidence in practice, policy and further research

The World Health Organisation defines knowledge translation as…..“The synthesis, exchange, and application of knowledge by relevant stakeholders to accelerate the benefits of global and local innovation in strengthening health systems and improving people’s health.”

“Getting the right information, to the right people, at the right time, and in the right format, so as to influence decision making” (KT Australia, 2018)

Question 3

What is the purpose of knowledge translation?

Answer 3

Take the findings from the research and …
embed them in the realities of the social world …
via wide scale dissemination (to research users and other researchers)…
and implementation in practice, policy and / or programs

Question 4

At present the average time for findings to get into practice is X years, and even then only Y % of research gets used.

Answer 4

X= 17 years
Y= 14%

Transfer of research findings into practice and policy is slow and haphazard

Question 5

What research should be implemented? (Refer to hierarchy)

Answer 5

Systematic reviews (of RCTs) - highest level of information, have been critically appraised
Filtered information = studies have been critically appraised

Question 6

When do we aim to transfer knowledge?

Answer 6

Integrated KT
End of Grant/Project KT
Implementation/KT Science
Always with stakeholder engagement to improve likelihood of uptake and implementation

Question 7

What is integrated knowledge transfer?

Answer 7

Where research users are engaged as equal partners alongside researchers

Question 8

What is end of grant / project knowledge transfer?

Answer 8

The researcher develops and implements a plan for making potential research-user audiences aware of the knowledge that is gained during a project/

Question 9

What is implementation / knowledge transfer science?

Answer 9

Implementation science (IS) is “the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of health services” (Eccles & Mittman, 2006). IS examines the factors, processes and strategies that influence successful integration of evidence-based interventions into practice

Question 10

What does cyclical KT mean?

Answer 10

Steps, continuous.

Question 11

What does linear KT mean?

Answer 11

There are steps, clear start and end.

Question 12

The process of knowledge transfer can be:
Linear or
Cyclical or
Dynamic, multidirectional
All of the above

Triad of research, practice and education

Answer 12

All of the above

Question 13

Implementing the evidence

Answer 13

Addresses contextual factors eg behaviour, social, economics, management

Uses a framework eg Consolidated Framework for Implementation Research (CFIR) or Promoting Action on Research Implementation in Health Services Framework (PARIHS) or Conduct and Utilization of Research in Nursing (CURN) Framework

Planning change involves a series of steps (next slide)

Practice change must be evaluated

Question 14

JBI recommend 5 steps to get evidence into practice

Answer 14

Searching
Appraising
Embedding
Utilising
Evaluating

Question 15

What prevents KT?

Answer 15

Not all research is translatable
Knowing how to appraise the evidence
Authority to make change
Time – to conduct research and implement findings
Attitudes and beliefs towards research
Competing health priorities
Unsupportive organisational culture
Lack of CPD opportunities
Difficulties developing policies and practice guidelines