Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. 1, EPOC Taxonomy of Professional and OrganisationalInterventions.[https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf]. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. However, adaptation of guidelines also runs the risk of deviating from the original evidence base to address this, a systematic approach to guideline adoption has been developed by a Canadian collaboration called ADAPTE [4]. The Knowledge to Action (KTA) Framework is used for facilitating the use of research knowledge by several stakeholders, such as practitioners, policymakers, patients and the public. The least reported phase, or the phase carried out least often, was sustain knowledge use. Full-text articles were obtained for any article coded for inclusion and for any articles that appeared relevant but where it was unclear whether the KTA Framework had been actually used in practice. 10.1016/j.cjca.2012.03.011. 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]. 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. 2012, 7: 87-10.1186/1748-5908-7-87. The Knowledge to Action (KTA) Framework was developed in Canada by Graham and colleagues in the 2000s, following a review of 31 planned action theories. The findings informed their conceptual framework, which was intended to address the need for conceptual clarity in the KTA field and to offer a framework to help elucidate what we believe to be the key elements of the KTA process [1] (p. 14). 2014, 9: 54-10.1186/1748-5908-9-54. Finding Health Statistics: Going Beyond the Literature, Learning, Leadership, and Professionalism, NExT Online Course for Public Health Nursing, Program planning for health education and promotion, Special Collections & University Archives, Nursing Experts: Translating the Evidence - Public Health Nursing, The Canadian Institute of Health Research, https://pubmed.ncbi.nlm.nih.gov/16557505/, https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8, "Knowledge translation strategies to improve the use of evidence in public health decision making in local government: intervention design and implementation plan" (2013), "Knowledge translation within a population health study: how do you do it?" Molfenter and colleagues [23] describe a strategy to assist clinicians with patient selection which could be interpreted as seeking to influence organisational barriers such as competing priorities, as well as addressing knowledge-related barriers. The KTA Framework is a framework for guiding the process of KT, adopted by the Canadian Institutes of Health Research (CIHR) and other organizations worldwide. Assessment of barriers can be done quantitatively and qualitatively using a variety of conceptual models and instruments. 2009, 6: Paper 10-10.2202/1548-923X.1741. Only one study [26] reported using decision support tools as a knowledge translation strategy, although it is possible others did not report all the details of strategies they used to promote the adoption of their interventions. Knowledge to action framework for home health monitoring Our review, and similar studies [39],[40],[43]-[45], consistently comments on the limited, haphazard use of theory, even though theories can be applied in many different ways [41]. McLean R, Tucker J: Evaluation of CIHRs Knowledge Translation Funding ProgramCIHR.[http://www.cihr-irsc.gc.ca/e/47332.html#a2.1]. Two studies reported using all phases of Knowledge Creation [20],[26] (see Table 4). 2013, 69: 194-204. This inner component of the model is broken down into 3 phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) the creation of knowledge tools and products. An exception was the study by Russell and colleagues [25] who reported using a questionnaire to assess a range of potential barriers and facilitators. A taxonomy categorising the continuum of usage was developed. This was necessary given the limited resources available to support the review process. 10.1002/chp.20077. Education was the most frequently employed strategy albeit in a variety of forms. 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. Although there may be some small variation in the actual sets of references retrieved by different citation searches, we have no reason to believe that we have systematically under- or over-represented particular types of studies in our sample. J Public Health Dent. Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. Several strategies were used to counter this risk. 10.1177/1077558711430690. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 2008, 3: 1-10.1186/1748-5908-3-1. This reflects the spread of the framework across a range of settings, to different health care services and systems and larger scale and smaller projects. Throughout each of these stages, researchers can take an integrated approach, tailoring their activities (be they developing research questions, messages or dissemination strategies) to that of the end-users. We initially included 146 studies that reported using the KTA Framework. Philadelphia: Lea & Febiger. Knowledge-to-action cycle | BMJ Evidence-Based Medicine So in terms of doing theory-informed KT, as the saying goes if you dont have time to do it right, when will you have time to do it over?, *ISLAGIATT: Attributed to Dr. Martin P. Eccles. Ullrich PM, Sahay A, Stetler CB: Use of implementation theory: a focus on PARIHS. Provided by the Springer Nature SharedIt content-sharing initiative. The quality of reporting was assessed using criteria adapted from Carroll and colleagues [16]. 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/. 10.1002/chp.179. From Graham I, Logan J, Harrison M, Strauss S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map? Celebrate the work you have accomplished. 2009, 4: Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N: Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. For Web of Science and Scopus citations, full abstracts were identified. This frequency of use in Canada could be explained by the influence of national Canadian networks and dissemination activities. IL Knowledge to Action Framework - Monash Centre for Health Research and A strategy informed by theory is also much more likely to be effective in changing behaviours and attitudes. Keyser SE: The Implementation of a Delirium Knowledge Translation Project for Families of the Elderly. It is important that KT is maximized in health care to improve patient outcomes. Applying the Knowledge-to-Action Framework to Engage - PubMed Understanding effects in reviews of implementation interventions using the Theoretical Domains Framework. Petzold, A., Korner-Bitensky, N., & Menon, A. Graham, J. Logan, M.B. Tugwell PS, Santesso NA, OConnor AM, Wilson AJ: Knowledge translation for effective consumers. Interest in using systematic literature reviews to investigate theories, models and conceptual frameworks has increased in recent years [7],[39]. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. 2013, 69: 2336-47. What is Knowledge Translation? | School of Physical & Occupational None described applying every phase of the KTA Framework. Each implementation study was very different (see Table 3). Although the terms conceptual frameworks, theories and models are often used interchangeably, conceptual frameworks are broad and descriptive, whereas theories and models are more specific and amenable to hypothesis testing [6]. The Knowledge to Action KTF The Knowledge to Action (KTA)4 is an overarching framework that includes both knowledge creation and implementation. 10.1016/j.amepre.2012.05.024. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. 10.1111/j.1740-8709.2010.00271.x. The prevalence of the Action Cycle may simply reflect the cyclical nature of the change process evident in other common, quality improvement tools such as the Plan, Do, Study, Act cycle [30]. Guide to Evidence Based Practice and Knowledge Translation for Public Health Nursing. Making sense of implementation theories, models and frameworks. 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. This scheme may be useful for similar studies examining theory use. Those excluded at this stage included literature reviews and conceptual, descriptive or commentary papers, papers describing a single knowledge translation strategy or not topically relevant. Refresh the page, check Medium 's site status, or find. BF, II and AB conceived the review; AB designed the study; AB undertook the searches; BF and II screened and extracted the data; BF wrote the review; and BF, II, AB and KG made comments and edited the review drafts. Knowledge Translation in Health Care: Moving from Evidence to Practice. PDF Introduction to Knowledge into Action - The Centre for Evidence-Based As Kate has described previously, knowledge synthesis (second generation knowledge) involves synthesizing results from individual research studies and interpreting them within the context of global evidence. In other cases, we made an initial judgement, based on the abstract or a Google text fragment, that the paper was not about an empirical, real-life, knowledge translation or implementation project. Further information about how the different studies applied the phases within the Action Cycle are shown in Table 6. The data were extracted from the integrated studies where the KTA Framework was applied in practice. The papers were coded according to the taxonomy in Table 1. Evidence-Based Decision Making 5: Knowledge Translation and the The Action Cycle outlines a process, representing the activities needed for knowledge to be applied in practice; knowledge is adapted to the local context, and barriers and facilitators to its use are explicitly assessed. Using the Knowledge to Action Framework to Describe a Nation - LWW This involves valuing the utility of the knowledge to the problem, setting and circumstances, as well as tailoring the knowledge to the specific situation. Neither did we seek out grey literature or search specific thesis/dissertation databases. Data extracted were mapped to each phase of Knowledge Creation and the Action Cycle (see Figure 1) by one researcher (BF) and then discussed with the whole team. Can J Cardiol. However, because KT interventions are usually tailored to local contexts, and mapped to specific barriers/facilitators, effectiveness in one context does not guarantee success in another. Acad Emerg Med. Nine of the studies reported assessing barriers to change [17]-[19],[21]-[26]. In the absence of formal comparisons of citation search techniques, we decided to operationalise citation searching using Google Scholar. The KTA Framework is one of many frameworks, models, and theories that provides KT researchers with a practical yet systematic method of implementation. We thank Jennifer Read who provided BF with academic supervision for her MSc dissertation. Int J Nurs Educ Scholarsh. 10.7748/ns2002.05.16.37.38.c3201. Knowledge synthesis is essential when considering an initiatives potential for widespread implementation and collates existing knowledge using rigorous methodologies. J Contin Educ Health Prof. 2008, 28: 117-122. This can be achieved through observation (e.g. Such work may require additional funding for longer term monitoring or strategies to sustain knowledge use over time. Adapted from Graham 2006 (https://pubmed.ncbi.nlm.nih.gov/16557505/) by Crockett 2017 (https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8). Estabrooks and colleagues [28] comment that the Canadian research funding organisation had adopted the KTA Framework to guide knowledge translation, deploying specific grant mechanisms to ensure involvement of knowledge users with researchers throughout the research process (p. 2). Knowledge producers . Russell and colleagues [25] describe use of a knowledge broker, an example of a linkage and exchange-type strategy. Thomas A, Menon A, Boruff J, Rodriguez AM, Ahmed S: Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review. One of the things that makes the KTA unique is that it begins with research evidence, the need to synthesize and translate that evidence - these are represented by the funnel in the middle of the cycle. research findings not being translated. Yet, this method may prove challenging, often because of limited and imprecise reporting. Program implementation involves the activities of putting the program into place, from gaining acceptance for the program to making revisions when the program is not working as planned - (Ervin, N. Advanced community health nursing practice: Population focused care. However, as shown by our study, citation searching in isolation from citation analysisthe detailed examination of full-textis unable to discriminate between where a model is simply mentioned in passing or even for cosmetic reasons and where it represents an explicit intellectual and conceptual contribution. BMJ. Phys Ther. PDF Knowledge to Action Model - WordPress.com This study is a citation analysis and systematic review. Article ASUS Corporate Stable Model (CSM) is a commercial program designed to provide stable and reliable motherboards. In the COM-B model behavior is a result of an interaction between three components, which includes: Capability, which can be psychological (knowledge) or physical (skills); Opportunity can be social (societal influences) or physical (environment); motivation can be automatic (emotion) or reflective (beliefs, intentions) [ 16, 17 ]. Our findings support this proposal. Most studies created a range of products, either as part of Knowledge Creation [18],[20],[21],[26] or the Action Cycle [21],[23],[24]. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Theories and Models of Knowledge to Action - Knowledge Translation in Exploring the impact of the KTA Framework, and other conceptual frameworks, on patients and the public in terms of health improvement and outcomes would also be worthwhile, as would exploring their involvement in the application of the framework, not just as recipients of services but as key stakeholders in each phase. Within KTA, knowledge creation - or the production of knowledge - is composed of three phases: knowledge inquiry (first-generation knowledge), knowledge synthesis (second-generation knowledge), and creation of knowledge tools and/or products (third-generation knowledge). Once an understanding of the potential barriers and facilitators to adoption has been achieved, the next phase involves planning and carrying out interventions to bring about the intended change. Building a conceptual model Forms of knowledge Research evidence Clinician knowledge, skills, experience The citation search yielded 1,787 records. administrative databases) and/or active measurement (e.g. J Adv Nurs. 2010, 29: 1-8. Below are the links to the authors original submitted files for images. 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]. Implement Sci. 2012, 7: 50-10.1186/1748-5908-7-50. CIHR also provides a practical guide to designing a KT intervention for health researchers, with relevant examples of its application. 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. It is frequently cited, with usage ranging from simple attribution via a reference, through informing planning, to making an intellectual contribution. volume9, Articlenumber:172 (2014) Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation, Validation of the theoretical domains framework for use in behaviour change and implementation research, Theoretical domains framework to assess barriers to change for planning health care quality interventions: a systematic literature review. All ten studies reported using the Action Cycle. Note that action steps may not be sequential, and one can start at any phase of the cycle. The Knowledge to Action Framework [1] (the KTA Framework) is a conceptual framework intended to help those concerned with knowledge translation deliver sustainable, evidence-based interventions. II is an occupational therapist. to the "The KT Library is designed to provide information to NIDRR grantees and interested members of the public about a wide spectrum of knowledge translation and evidence-based resources.". Adapting to local context is a critical step in the process. Cookies policy. 60612, One Illini Drive A further eighteen (12%) were categorised as directed because the KTA Framework influenced the project design or helped to plan, structure or conceptualise what was done, but with no examples given. Citation searching was further indicated in this review given that our scoping search, using the databases MEDLINE and CINAHL, had previously identified few abstracts reporting explicitly the use of the KTA Framework in practice. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Estabrooks CA, Teare GF, Norton PG: Should we feed back research results in the midst of a study?. Further details can be found at www.clahrc-yh.nihr.ac.uk. We found that the framework is being used in practice, to varying degrees of completeness, and with theory fidelity when reported as integral to the implementation effort. We recommend using the latest version of IE11, Edge, Chrome, Firefox or the main menu, The KTA Framework [1] is being used in practice with varying degrees of completeness and theory fidelity when the conceptual framework is integrated into the implementation project. The Knowledge to Action (KTA) framework is an effective approach in the implementation science literature to methodically guide the translation of evidence-based research findings into practice, putting knowledge into practical use. Implement Sci. Worldviews Evid Based Nurs. These were the question and study design, recruitment and selection and methods of data collection and analysis. Rycroft-Malone J: The PARIHS framework: a framework for guiding the implementation of evidence based practice. 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 . PubMed Central Understanding if and how these theoretical tools add value to implementation endeavours and outcomes merits further research. Each article was scrutinised and mapped against the corresponding phases within the Knowledge Creation and Action Cycle components of the framework. Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. Knowledge Translation - KTDRR Part of Stacey D, Higuchi K, Menard P: Integrating patient decision support in an undergraduate nursing curriculum: an implementation project. And if so, how?. Using the Knowledge to Action Process Model to Incite - ResearchGate Manage cookies/Do not sell my data we use in the preference centre. 10.1136/bmjqs-2013-001862. https://doi.org/10.1186/s13012-014-0172-2, DOI: https://doi.org/10.1186/s13012-014-0172-2. Change may occur at more than one level, and for more than one intended end-user, and may require multiple methods of monitoring knowledge use. Knowledge to Action Framework. The index citation for the source paper for the KTA Framework Lost in knowledge translation: time for a map? by Graham and colleagues [1] was identified on each of three databases that offered functionality for citation searching. Using the knowledge to action process model to incite clinic - LWW This review sought to answer two questions: 'Is the Knowledge Translation Portfolio, Canadian Institutes of Health Research, Ottawa, ON, Canada. The study was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for South Yorkshire and Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Yorkshire and Humber. The KTA could also be used as a literacy device to structure reporting of the framework. Secondly, multifaceted strategies are more likely to be successful than a single strategy [27],[46],[47], as they target different barriers [40], which reflects our interest in the real-world use of the KTA Framework, where it is probably impossible to control and isolate one strategy [48]. For example, the creation of websites, interactive e-learning modules, training packages and a protocol were reported as part of the Action Cycle [19],[23],[24], yet they could be knowledge tools/products. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. Action model learning (sometimes abbreviated action learning) is an area of machine learning concerned with creation and modification of software agent 's knowledge about effects and preconditions of the actions that can be executed within its environment. Development of a theory coding scheme. The one-hour conversation between Dr. Marianne Farkas of Boston University's Center for Psychiatric Rehabilitation and Dr. Ian Graham was presented in . McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of context. School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK, School of Nursing and Midwifery, University of Sheffield, Sheffield, UK, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK, You can also search for this author in Field, B., Booth, A., Ilott, I. et al. Knowledge syntheses take the form of studies that fall into the categories of systematic reviews, scoping reviews, and meta-analyses, just to name a few. This study sought to identify and describe available full-spectrum KT TMFs to subsequently guide users. As knowledge moves through the funnel, it is refined and summarized to be more useful for end-users. Becky Field. The integrated studies described different ways of integrating the KTA Framework, particularly the Action Cycle. Papers could be scrutinised according to how their aims and objectives had been operationalised. Some indication of the impact of this article can be gained from constructing a normalised citation count for comparison purposes. Evaluating outcomes is an area of KT that requires more attention and involves evaluating whether application of the knowledge is actually impacting the desired outcome be it patient or practitioner behaviour, health outcomes, or system-level changes. In practice, the implications of this decision were minimal as many Google Scholar records either duplicated full bibliographic records already identified from Web of Science or Scopus or contained at least sufficient detail in the title or in the limited text displayed (text fragment), to indicate whether the paper merited further consideration. These include things like clinical practice guidelines, decision aids and videos. J Behav Med. CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. Worldviews Evid Based Nurs. Only four studies detailed Knowledge Creation, yet existing knowledge was utilised in the other studies to identify knowledge-practice gaps, or as part of the Action Cycle. None reported using every phase of the KTA Framework. McEvoy R, Ballini L, Maltoni S, O Donnell CA, Mair FS, Macfarlane A: A qualitative systematic review of studies using the normalization process theory to research implementation processes. knowledge to action gap through research-clinical partnerships in speech-language pathology. 2014, 9: 2-10.1186/1748-5908-9-2. statement and Rather, we focused on the application of, and theory fidelity to, the KTA Framework. Citations were excluded where there was insufficient information to make a judgment about inclusion/exclusion criteria. 2009, 33: 82-88. Judging between informed and directed was difficult, suggesting further refinement of the categories is required. 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.

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