1 knowledge to action: action to research katharina kovacs burns, msc, mhsa, phd conference on...
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KNOWLEDGE TO ACTION:
ACTION TO RESEARCHKatharina Kovacs Burns, MSc, MHSA, PhD
Conference on
Moving Palliative & End-of-Life Care Forward
Edmonton, Alberta
May 18,2010
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TERMINOLOGY Knowledge Translation Knowledge Exchange Knowledge Utilization/
Implementation Knowledge Transfer Knowledge Mobilization Knowledge Management Knowledge Cycle Knowledge Diffusion Knowledge To Action
Knowledge Dissemination
Knowledge Communication
Evidence-based Practice Research
Implementation Practice Impact Research/Practice
Linkage Translational Research
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DEFINITIONS - KTCIHR’s definition:
The exchange, synthesis & ethically-sound application of knowledge – within a complex system of interactions among researchers and users – to accelerate the capture of the benefits of research for Canadians through improved health, more effective services & products, & a strengthened health care system (2005).
Graham’s definition:
A dynamic & tentative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of Canadians, provide more effective health services & products & strengthen the healthcare system (2006).
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CHARACTERISTICS OF KT All steps between knowledge creation & its application Multidirectional communications Interactive process Ongoing collaborations among relevant parties Multiple activities Nonlinear process Use of research-generated knowledge & other
knowledge Diverse knowledge-user groups User and context-specific Impact-oriented An interdisciplinary process
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Researcher – Knowledge UserInteraction/Collaboration
Who are the knowledge users? Researchers within & across disciplines Policy makers, planners, managers Health care providers, professionals General public, patients, families, others Voluntary sector, NGOs Private sector, manufacturers Institutions Others?
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TYPES OF KNOWLEDGE USE(1) Instrumental Use – applying research
results in specific & direct ways
e.g. linked to decision-making
(2) Conceptual Use – using research results for general enlightenment
e.g. changing thinking or attitudes
(3) Symbolic Use - using research to legitimatize and sustain predetermined positions
e.g. political/advocacy tool
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BARRIERS TO KT (Ciliska, 2009)
Time Inability to access
research Inability to understand
the language of research
Lack of critical appraisal skills
Lack of confidence in making change based on research evidence
Lack of sense of control over practice
Culture – resistance to change, decisions based on history
Lack of organization valuing or supporting evidence-based practice
Lack of consensus on what constitutes evidence
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Decision Tree for Using Research Evidence (Buffett, Ciliska &
Thomas, 2007)
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PUSH – PULL FACTORS
WHO, 2004
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EVALUATING/MEASURING KT Patient level
Health practitioner level Organizational or process level
(Conner’s Conceptual model for research utilization evaluation – 1980)
Components of
an evaluation project
Aspects of the
utilizationProcess.
Goals Inputs
Processes
Outcomes
•QualityofResults
•Importanceof results
•Pattern
•Rationale
•State ofutilizers
•Type
•Level
•Timing
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KT MODELS Coordinated Implementation Model (1993) Stetler Model of Research Utilization (2001) Understanding User-Context Framework
(2003) Ottawa Model of Research Use (2004) Knowledge to Action Process (2006) CIHR Model of KT (2007) Others
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Ottawa Model of Research Use (Graham & Logan, 2004)
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Knowledge to Action Process (Graham, 2006)
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CIHR Model of KT (CIHR, 2007)
17www.learning.cihr-ir.gc.ca/mod/resource/view
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CONTACT INFORMATIONKatharina Kovacs Burns
Associate DirectorHealth Sciences Council
300 Campus Tower8625 – 112 Street
Edmonton, ABT6R 1K8
Ph. 780-492-7766Email: kathy.kovacsburns@ualberta.ca
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