For me, this work adds depth to my role as a research librarian. Although the process of changing practice can be slow and challenging, 2, 5 the knowledgetoaction cycle provides a framework that can help to effectively communicate new information and facilitate its application into practice. Michaels hospital and department of medicine university of toronto toronto, ontario, canada jacqueline tetroe knowledge translation portfolio canadian institutes of health research ottawa, ontario, canada ian. Moving from evidence to practice this chapter provides an overview and guidance on methods to select knowledge translation kt interventions. Ian graham, sharon straus and jacqueline tetroe have produced a primer on knowledge translation kt titled knowledge translation in health care. It involves purposeful interactions among people who produce knowledge and those who use. This book is a compilation of chapters, written by experts in a wide range of kt topics. Moving from evidence to practice this chapter outlines a systematic, participatory integrated kt.
A kt intervention is one which facilitates the uptake of research. Introduction nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. We present the results of an international consensus process prioritizing what research evidence to implement into stroke rehabilitation practice to have maximal impact. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation kt, the scientific study of methods for closing the knowledgetoaction gap and of the barriers and facilitators inherent in the process, is. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation kt, the scientific study of methods for closing the knowledgetoaction gap and of the barriers and facilitators inherent in the process. Our vision is to ensure high quality evidence reaches patients, health care providers and decisionmakers by making sure effective strategies are used to improve quality of care. R2r aims to infuse evidencebased strategies into communities by engaging researchers and practitioners in a joint approach to research.
Translation of evidence into nursing and health care practice. This new second edition defines the principles and practice of knowledge. Knowledge translation knowledge translation kt is an active process that includes the synthesis, dissemination, exchange and implementation application of knowledge to improve the health of canadians canadian institutes of health research, 2016. This study sought to inform future ikt practice and research by synthesizing studies that empirically evaluated ikt and identifying knowledge gaps. Moving from evidence to practice translating health research findings into action requires a complex system of linkage and exchange between. The most widely used definition of knowledge translation was published in 2000 by the canadian institutes of health research cihr. Knowledge translation is a process that, fundamentally, attempts to bridge the gap between what is known from scientific research and how that knowledge is used by various stakeholders in the delivery of health care services to further the health of canadians. Development or synthesis of the best clinical research is in itself insufficient to change practice. Knowledge translation may best be viewed as the bridge that brings together continuing medical education, continuing professional development, and quality improvement in the hope of closing the researchtopractice gap. Knowledge translation kt is defined as a dynamic and iterative process that includes synthesis, dissemination, exchange and ethicallysound application of knowledge to improve the health of canadians, provide more effective health services and.
Knowledge translation a dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of populations, provide more effective health services and. Dissemination strategies for evidence based interventions aim to spread knowledge and interventions on a wide scale in or across geographic locations, practice settings, or social or other networks of end users such as patients and health care providers 1. Knowledge translation is the use of knowledge in health care decision making. Knowledge translation kt is a term increasingly used in health care fields to represent a process of moving what we learned through research to the actual applications of such knowledge in a variety of practice settings and circumstances. A growing body of work on knowledge translation kt reveals significant gaps between what is known to improve health, and what is done to improve health. In response, canadian health research funders and agencies have made. This study sought to inform future ikt practice and research by synthesizing studies that empirically evaluated ikt and identifying. Additionally, there is a lack of effective leadership. Moving stroke rehabilitation research evidence into clinical. Implementation science has been defined as the scientific study of methods to promote the systematic uptake of research findings and other evidencebased practices into routine practice, and, hence, to improve the quality and effectiveness of health services and care. This new second edition defines the principles and. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The first text of its kind, translation of evidence into nursing and health care practice helps graduate students in doctor of nursing practice dnp courses meet the core competency requirements, content, and knowledge of the dnp curriculum.
We develop a wide variety of practice based kt tools to aid in the synthesis, dissemination and implementation of research. Moving from evidence to practice in clinical settings, the implementation of knowledge depends on the exchange of information between health. While much of the medical literature assumes the knowledge transfer paradigm, the growing body of evidence on the importance of partnership between researchers and knowledge users is reflected by the recognition of cihr of 2 forms of kt. Moving research evidence to practice can take years, if not decades, which denies stroke patients and families from receiving the best care. Ian graham, sharon straus and jacqueline tetroe have produced a.
It is a multidimensional concept that looks at the mechanisms, methods and factors that influence how evidence specifically, and knowledge more generally, is moved into use in the health system. Knowledge translation and evidence based practice progress. Health care systems worldwide are faced with the challenge of improving the quality of care. This paper describes the impact of an organizationwide knowledge translation intervention delivered by knowledge brokers on evidence informed decision making knowledge. Knowledge translation is known by a number of different terms such as research utilisation, implementation science or evidence uptake.
Aug 09, 20 knowledge translation in health care is a practical introduction to knowledge translation for everyone working and learning within health policy and funding agencies, and as researchers, clinicians and trainees. This new second edition defines the principles and practice of knowledge translation and outlines strategies for successful. Knowledge translation planner canadian knowledge transfer. Knowledge translation in health care is a practical introduction to knowledge translation for everyone working and learning within health policy and funding agencies, and as researchers, clinicians and trainees. Knowledge translation is most often used in the health professions, including medicine, nursing, pharmaceuticals, rehabilitation, physical therapy, and public health. Knowledge translation kt is the activities involved in moving research from the laboratory, the research journal, and the academic conference into the hands of people and organizations who can put it to practical use.
In 2011, the national cancer institute nci launched an online community of practice, research to reality r2r. This revolutionary guide focuses particularly on the challenges of translating evidence into practice. Moving stroke rehabilitation research evidence into. Knowledge translation kt is an emerging field focused on moving knowledge into practice, which is a nonlinear, dynamic process that involves knowledge synthesis, transfer, adoption, implementation, and sustained use.
Moving from evidence to practice this chapter outlines a systematic, participatory integrated kt approach for evaluating and adapting. Although the process of changing practice can be slow and challenging, 2, 5 the knowledge to action cycle provides a framework that can help to effectively communicate new information and facilitate its application into practice. The public health sector is moving toward adopting evidenceinformed decision making into practice, but effort is still required to effectively develop capacity and promote contextual factors that advance and sustain it. We develop a wide variety of practicebased kt tools to aid in the synthesis, dissemination and implementation of research. Knowledge translation in health care explains how to use research findings to improve health care in real life, everyday situations.
Knowledge translation kt is a concept first used in 2000 by the canadian institute of health research cihr 17 to address the gap between research knowledge and its application in clinical practice in health 1, 2, 4, 5. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation kt, the scientific study of methods for closing the knowledge toaction gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge translation kt, also known as research utilization, and sometimes referring to implementation science is a dynamic and iterative process that includes the synthesis, dissemination, exchange, and ethically sound application of knowledge to improve health.
Additionally, there is a lack of effective leadership tools for quality and safety. Knowledge translation kt aims to close the research practice gap in order to realize and maximize the benefits of research within the practice setting. Dec 29, 2018 the public health sector is moving toward adopting evidence informed decision making into practice, but effort is still required to effectively develop capacity and promote contextual factors that advance and sustain it. Get your kindle here, or download a free kindle reading app. Knowledge translation kt is an iterative process that involves knowledge development, synthesis, contextualization, and adaptation, with the expressed purpose of moving the best evidence into practice that results in better health processes and outcomes for patients. Knowledge translation is a related field that aims to enhance the use. Impact of an organizationwide knowledge translation. Moving from evidence to practice, edited by sharon straus, jacqueline tetroe and ian d.
Apr 01, 2009 health care systems worldwide are faced with the challenge of improving the quality of care. Moving from evidence to practice this chapter provides an overview and guidance on methods to. Knowledge translation a dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of populations, provide more effective health services and products and strengthen the health care system. Often this last step means presentations at academic conferences or publication in academic. Apr 21, 2016 knowledge translation kt, also known as research utilization, and sometimes referring to implementation science is a dynamic and iterative process that includes the synthesis, dissemination, exchange, and ethically sound application of knowledge to improve health. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation kt, the scientific study of methods for closing the knowledge to action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge translation, evidencebased practice, and you. Sustainability of knowledge translation interventions in. Using everyday examples, it explains how to use research findings to improve health care in real life. Integrated knowledge translation ikt in health care. Moving from evidence to practice edited by sharon e. This new second edition defines the principles and practice of. Strategies to close the gap between research and practice, in the context of the knowledge user, have been identified as a means to realize and maximize the benefits of research through improved health outcomes, better health services and products, strengthened healthcare systems, and more effective health service delivery. The literature and practice also suggest that kt has the potential to narrow those gaps, leading to more evidenceinformed healthcare.
Pubmed, the ea sy to use, free medline searching system is lo cated at. Knowledge translation in health care wiley online books. A given tool can take on a wide variety of formats, ranging from clinicallycentered e. How can a community of practice help further the practical application of cancer control research.
Many proposed theories and frameworks exist for the practice of knowledge translation, which can be confusing in practice. The longterm sustainability of kt interventions is unclear. Impact of an organizationwide knowledge translation strategy. The difference between knowledge and action the relationship between health researcherscientist and endusers has historically been primarily linear. The process of moving research into practice falls under the broader umbrella of knowledge translation kt. Oct 18, 2010 knowledge translation is a process that, fundamentally, attempts to bridge the gap between what is known from scientific research and how that knowledge is used by various stakeholders in the delivery of health care services to further the health of canadians. While advocated as an approach for enhancing the relevance and use of research, ikt is challenging and inconsistently applied. Since that time, use of the term has grown dramatically, with a tenfold increase revealed by a search of medline from 19902006. The knowledge translation program ktp works with researchers to develop a strategy to put knowledge into practice at both the clinical and policy level. Knowledge translation in health care canadian institutes of. May 31, 20 knowledge translation in health care is a practical introduction to knowledge translation for everyone working and learning within health policy and funding agencies, and as researchers, clinicians and trainees. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation kt, the scientific study of methods for closing the knowledgetoaction gap and of the barriers and facilitators inherent in the process, is gaining.
Since that time, use of the term has grown dramatically, with a tenfold increase revealed by a search of medline from. Improving quality and safety in nursing homes and home care. Branch refers to knowledge translation as moving knowledge to. This paper describes the impact of an organizationwide knowledge translation intervention delivered by knowledge brokers on. Previous studies have investigated kt strategies in nursing and medicine. We present the results of an international consensus pro. Integrated knowledge translation ikt refers to collaboration between researchers and decisionmakers. Knowledge translation caresearch, palliative care knowledge. Sharon straus md frcpc msc, jacqueline tetroe ma, ian d graham phd, editors. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation kt, the scientific study of methods for closing the knowledge to action gap and of the barriers and facilitators inherent in the process, is. I encourage you to work through the module, try the included online quiz, and send us any feedback.
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