Current conceptualizations of knowledge transfer reinforce the notion of a linear process between researchers and clinicians, who are seen as operating separately with different agenda. This paper uses a case study to illustrate a dynamic model of knowledge integration involving integrated and interdependent relationships among researchers, clinicians, and decision-makers. We believe the principles of this model are more likely to lead to effective use of research evidence in clinical practice.
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References
1.
GrolRGrimshawJ. From best evidence to best practice: Effective implementation of change in patients' care. Lancet2003; 362: 1225–1230.
2.
GrolR. Successes and failures in the implementation of evidence-based guidelines for clinical practice. Medical Care2001; 39: 46–54.
3.
BrazilKMacLeodSGuestB. Collaborative practice: A strategy to improve the relevance of health services research. Health Management Forum2002; 15: 18–24.
4.
BeroLGrilliRGrimshawJHarveyEOxmanADThomsonMA. Closing the gap between research and practice: An overview of systematic reviews of interventions to promote the implementation of research findings. BMJ1998; 317: 465–468.
5.
BroadML. Overview of transfer of training: From learning to performance. Perform Improve Q1997; 10: 7–21.
6.
SengePM. The fifth discipline. New York: Bantam; 1990.
7.
KnowlesMS. The adult learner: A neglected species. Houston, TX: Gulf Pub; 1990.
8.
HainesADonaldA. Making better use of research findings. BMJ1998; 317: 72–75.
9.
SchonDA. Educating the reflective practitioner. San Francisco, CA: Jossey-Bass; 1987.
10.
BanduraA. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.
11.
BrownJSDuguidP. Organizational learning and communities of practice: Toward a unified view of working, learning and innovation. Organ Sci1991; 2: 40–57.
12.
LinscottJSpeeRFlintFFisherA. Creating a culture of patient-focused care through a learner-centered philosophy. Can J Nurs Leadership1999; 12: 5–10.
13.
GriffinPEdwardsN. Literature review: Research receptor capacity and research utilization. Community Health Research Unit, University of Ottawa. Ottawa, ON; 2002.
14.
LavisJNRobertsonDWoodsideJMMcLeodCBAbelsonJ. How can research organizations more effectively transfer research knowledge to decision makers?The Milbank Quarterly2003; 81(2): 221–248.
15.
ClarkeCLWilcocksonJ. Professional and organizational learning: Analyzing the relationship with the development of practice. J Adv Nurs2001; 34: 264–272.
16.
FinkRThompsonCJBonnesD. Overcoming barriers and promoting the use of research in practice. J Nurs Admin2005; 35: 121–129.
17.
SpringBPagotoSKaufmannPGWhitlockEPGlasgowRESmithTW. Invitation to a dialogue between researchers and clinicians about evidence-based behavioral medicine. Ann Behav Med2005; 30(2): 135–137.
18.
LomasJ. Using “linkage and exchange” to move research into policy at a Canadian foundation. Health Aff2000; 19: 236–240.
19.
RichR. Measuring knowledge utilization: Processes and outcomes. Knowledge and Policy1997; 11–24.
20.
Registered Nurses Association of Ontario.Nursing best practice guideline: Assessment and management of pain. Toronto, ON: Author; 2002.
21.
StoleePHillierLMEsbaughJBolNMcKellarLGauthierN. Instruments for the assessment of pain in older persons with cognitive impairment. J Am Geriatr Soc2005; 53(2): 319–326.
22.
Rycroft-MaloneJKitsonAHarveyGMcCormackBSeersKTitchenA. Ingredients for change: Revisiting a conceptual framework. Qual Saf Health Care2002; 11: 174–180.
23.
JacobsonNButterillDGoeringP. Consulting as a strategy for knowledge transfer. The Milbank Quarterly, 2005; 83(2): 299–321.
24.
BerwickDM. Disseminating innovations in health care. JAMA2003; 289: 1969–1975.
25.
GreenhalghTRobertGMacFarlaneFBatePKyriakidouO. Diffusion of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly2004; 82: 581–629.
26.
HirdesJPSmithRGRabinowitzTYamauchiKPerezETelegdiNC. The Resident Assessment Instrument-Mental Health (RAI-MH): Inter-rater reliability and convergent validity. J Behav Health Serv Res2002; 29(4): 419–432.
27.
ZelmerJ. From access to quality to outcomes — Using health information to improve health care. Presentation at the Canadian Institute of Health Information Data Users' Conference, September 2004, Ottawa, ON.
28.
LoganJGrahamID. Toward a comprehensive interdisciplinary model of health care research use. Science Communication1998; 20: 227–246.
29.
JacobsonNButterillDGoeringP. Development of a framework for knowledge translation: Understanding user context. J Health Serv Res Policy2003; 8: 94–99.
30.
RosswurmMALarrabeeJH. A model for change to evidence-based practice. Image J Nurs Sch1999; 31(41): 317–322.
31.
MohideEAKingB. Building a foundation for evidence-based practice: Experiences in a tertiary hospital. Evid Based Nurs2003; 6: 100–103.
32.
Canadian Insitutes for Health Research.Knowledge translation strategy 2004–2009: Innovation in action. Ottawa, ON: Canadian Institutes for Health Research; 2004.