Abstract:
Numerous theories, models, and frameworks (TMFs) currently exist for knowledge translation (KT), with scholarship that is increasingly inclusive of populations experiencing health inequalities. This study proposes two objectives: 1) exploring a nine-step method for synthesising best practices, acknowledging existing syntheses in the form of tailored-databases and review-style publications; and 2) collating best practices to inform KT that is inclusive to indigenous individuals living with disabilities in circumpolar regions. The resulting synthesis emphasises 10 best practices: explicitly connect the accountability of stakeholders to the wellbeing of the people they serve; recognise entanglement with existing neoliberal systems; assess impacts of KT on indigenous treatment providers; employ personal outreach visits; rectify longstanding delegitimization; avoid assuming the target group to be homogeneous, critically examine inequitable distribution of benefits and risks; consider how emphasis on a KT initiative can distract from historical and systemic inequalities; target inequitable, systemic social and economic forces; consider how KT can also be mobilised to gain power and control; assess what is selected for KT, and how it intersects with power position of external stakeholders and internal champions; and, allow people access-to-knowledge which changes inequitable systems.
摘要:
众多的理论,模型,和框架(TMF)目前存在用于知识翻译(KT),奖学金越来越多地包括经历健康不平等的人群。本研究提出了两个目标:1)探索一种九步骤方法来综合最佳实践,以量身定制的数据库和审查式出版物的形式承认现有的综合;2)整理最佳做法,以告知KT,这对生活在极地地区的土著残疾人具有包容性。由此产生的综合强调了10个最佳实践:明确地将利益相关者的责任与他们所服务的人民的福祉联系起来;认识到与现有新自由主义制度的纠缠;评估KT对土著治疗提供者的影响;采用个人外展访问;纠正长期的合法化;避免假设目标群体是同质的,批判性地审查利益和风险的不公平分配;考虑对KT倡议的强调如何分散历史和系统不平等的注意力;系统的社会和经济力量;考虑如何动员KT来获得权力和控制;评估为KT选择的内容,以及它如何与外部利益相关者和内部拥护者的权力地位相交;以及,允许人们获得知识,这改变了不公平的制度。