knowledge to action model
Only studies applying the framework to implementation projects were included. We sought to identify all reported citations of a particular reference irrespective of the context within which that reference had been used. Their findings suggested that the more domains that were targeted, the less effective the intervention was [9]. 10.2340/16501977-0451. Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. Referred to as first generation knowledge and vastly out of scale (considering that the body of new, original knowledge in healthcare is enormous part of the reason we need KT), knowledge inquiry refers to primary studies and represents the majority of research that is conducted. Prevailing wisdom encourages the use of theories, models and conceptual frameworks, yet their application is less evident in practice. Thirty nine (27%) were categorised as informed because the KTA Framework had influenced the project in a non-specified way without citing examples of how it had been applied. The knowledge to action cycle is one framework for knowledge translation that integrates policy makers throughout the research cycle. Step KTA 3.A - Center on Knowledge Translation for Technology Transfer The knowledge to action (KTA) is a process model that helps you select implementation strategies. 1, Lgar F: Assessing barriers and facilitators to knowledge use. A few free articles for further reading Chicago, PDF Knowledge Translation Frameworks: What Are They, How and When to - Hse The KTA Framework [1] was developed in Canada by Graham and colleagues in the 2000s in response to the confusing multiplicity of terms used to describe the process of moving knowledge into action [1]. 10.1002/chp.179. Field, B., Booth, A., Ilott, I. et al. Knowledge translation has been defined as a process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to improvehealthprovide more effective health services and products and strengthen the health care system [2]. Musk threatens to sue Microsoft over Twitter data being used in A.I. - CNBC (Dignan, M.B & Carr, P.A. Knowledge Translation: Introduction to Models, Strategies, and - KTDRR The KTA process has two components: (1) knowledge creation and (2) action. Developed by Ian Graham and colleagues [1], the KTA Framework is based on the commonalities of over 30 planned-action theories (which make up the action cycle) with the addition of a knowledge creation component. The KTA Framework consists of two components: (1) Knowledge Creation Knowledge creation is represented by the funnel in the centre of the image above. The MCHRI framework includes 6 Key Steps summarised below: Steps 1 & 2 - Formative Research: engage stakeholders to identify problem from all perspectives, to scope and prioritise . The databases were Scopus, Web of Science and Google Scholar. Google Scholar. Molfenter S, Ammoury A, Yeates E, Steele C: Decreasing the knowledge to action gap through research-clinical partnerships in speech-language pathology. Conventional views support the use of theories, models and conceptual frameworks to underpin the process of change, yet in practice, their application seems more limited [40],[43]-[45]. This presents an interpretation challenge both for those seeking to learn from such projects and systematic reviewers. Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A: Getting evidence into practice: ingredients for change. Med Care Res Rev. Using the Knowledge to Action Process Model to Incite - ResearchGate It focuses on two main areas of activity: knowledge creation and knowledge tailoring . This flexibility was intended, as Graham and colleagues [1] state the framework can also accommodate different phases being accomplished by different stakeholders and groups (working independently of each other) at different points in time (p. 18). The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY) used the KTA Framework to underpin a programme of knowledge translation work undertaken between 2008 and 2013 [12]. School of Nursing, University of Ottawa, Ottawa, ON, Canada. 2009, 33: 82-88. Methods Using the Knowledge to Action Framework in practice: a citation Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. (2010). On this basis, all ten studies were judged as having described their projects clearly. 2010, Dissertation for Masters of Science, School of Nursing, Queens University, Ontario, Canada. For an overview of other determinant frameworks that are useful in this phase, see the determinant frameworks section of Nilsens paper [7]. questionnaires). As such, the process of moving evidence to action is iterative, dynamic, and complex. 10.1016/j.amepre.2012.05.024. Damschroder LJ, Aron DC, Keith , Rosalind E, Kirsh SR, Alexander JA, Lowery JC: Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. In contrast, they wanted to evaluate the impact of their intervention on peoples ability to understand their choices and make informed decisions about treatment. BMJ. Authors identified many barriers relating to environmental factors [32] such as lack of time and/or resources. There are a number of factors that can hinder or enhance the uptake of knowledge, including issues relating to the knowledge itself, factors relating to those who will be using the knowledge, and the context where the knowledge is to be used. Program planning for health education and promotion. Knowledge-related barriers [32] were the most common, indicating the appropriateness of using educational strategies to address such barriers. 2012, 43: 337-50. Nurs Stand. Cite this article, Conceptual frameworks are recommended as a way of applying theory to enhance implementation efforts. Most studies illustrate how knowledge was adapted to the local context. This produced a subset of studies that contained examples of using the KTA Framework in an integral way. A total of 146 papers were identified as attributing use of the KTA Framework. Data extraction and presenting results according to the phases were also challenging, given that the framework is dynamic, and can be non-sequential with overlap between phases [1]. Consequently, we recommend that the phase select, tailor, implement intervention be amended to include define and select outcomes and knowledge use measures, as a prompt to those using the KTA Framework to specify such outcomes when selecting which knowledge translation strategies to use. BMJ Qual Saf. We recognise that assimilation and utilisation of an influential framework is a continuous process and that we have employed essentially a cross-sectional method to survey the literature. Bartholomew LK, Mullen PD: Five roles for using theory and evidence in the design and testing of behaviour change interventions. Quality assessment of the integrated studies proved problematic given that many papers did not report research questions, traditional research designs or recruitment and selection of participants as required by the criteria [16]. Use at a lighter level through adapting or combining with other conceptual frameworks could be considered a strength, in that the KTA Framework offers the flexibility to be combined with other frameworks, being responsive to facilitating practitioner preferences and context-specific needs. Knowledge-to-Action Model (Adapted from I.D. Graham, J. Logan, M.B Monitoring the use of knowledge is critical in understanding how and to what extent the KT strategy has had an impact on outcomes (the next phase in the action cycle). Evidence-Based Decision Making 5: Knowledge Translation and the Further, the time frame of the citation searches only captures work up to a certain point (from the date of publication of the source paper to July 2013). Assessing the public health impact of health promotion initiatives. Implement Sci. When using the Knowledge to Action Process model to effect an evidence-based change (e.g., in a clinical practice), one of the factors that knowledge users (e.g., clinicians) may site as an impediment is an absence of the evidence appraisal and statistical analysis skills that are required in the knowledge inquiry phase. All citations identified were screened by title and available information according to agreed criteria. 2013, Wiley-Blackwell BMJ Books, Oxford, 2, Book They and we resorted to a simple taxonomy to describe the level and type of usage based on explicit reporting. Davies P, Walker AE, Grimshaw JM: A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. Papers were excluded if they were not empirical real-life applications of the KTA Framework; if they were literature reviews; if they were only conceptual or descriptive papers (including discussion, commentaries or protocols); if they described a single knowledge translation strategy, such as a clinical practice guideline; or if they were not topically relevant. Implementing research findings into practice - LWW Regardless of the approach, its critical to ensure that interventions are tailored to address the specific issue, audience and context to enhance uptake. 2009, 338: a3152-10.1136/bmj.a3152. Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review, https://doi.org/10.1186/s13012-014-0172-2, http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf, https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf, http://www.cihr-irsc.gc.ca/e/47332.html#a2.1, http://creativecommons.org/licenses/by/4.0, http://creativecommons.org/publicdomain/zero/1.0/. Disconnect between Knowledge and Action Gap between what we know and what we do Under-use of effective treatments -5-50 years to change practice . The index citation for the original paper was identified on three databasesWeb of Science, Scopus and Google Scholarwith the facility for citation searching. Rycroft-Malone J: The PARIHS framework: a framework for guiding the implementation of evidence based practice. This is a limitation of using Google Scholar for citation searches. References to non-English language articles were removed. It is important that KT is maximized in health care to improve patient outcomes. KG is a professor of nursing research at the University of Sheffield and Sheffield Teaching Hospitals NHS Foundation Trust where she leads the Translating Knowledge into Action theme of NIHR CLAHRC for Yorkshire and Humber. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. However, we were interested in the real-world application of the KTA Framework as a guide to implementation activities in health care and whether it was used in a way that was true to the framework. A secondary concern was theory fidelity [13], which relates to how this conceptual framework was being used in practice, specifically whether the KTA Framework was articulated in a way that was true to the source paper [1]. 2010, 5: 14-10.1186/1748-5908-5-14. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. The citation search for the original source paper [1] yielded 1,787 records. The Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. Further information about how the different studies applied the phases within the Action Cycle are shown in Table 6. 2011, 71 (Suppl 1): S20-S33. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few.
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