Knowledge mobilization

知识动员
  • 文章类型: Journal Article
    背景:泛加拿大面向患者的战略研究网络的知识翻译(KT)计划专注于基于大脑的发育障碍,旨在动员与网络成员相关的知识。该计划还促进和研究涉及不同利益方的综合知识翻译(iKT)方法,比如研究人员,患者伙伴和决策者,在知识创造过程的各个部分。
    目的:本研究的目的是通过对实施iKT活动的过程进行现实评估来推进研究计划评估方法。
    方法:现实主义过程评估包括:(1)初始计划理论的发展(使用伙伴关系协同理论);(2)数据收集和分析;(3)通过与文献接触来综合和完善理论;(4)在上下文机制结果(C-M-O)配置中呈现结果。审查了一系列项目文件记录进行分析,和三个共同领导,方案协调员,并咨询了一名高级研究助理,以了解相关KT活动的实施过程。
    结果:基于开发的C-M-O配置,我们确定了在iKT过程中产生协同作用的五个关键机制:(1)体现iKT外观的可见共享领导;(2)研究人员为iKT做好准备;(3)适应和灵活分配资源以适应新出现的需求;(4)权力共享以创造实用和创造性的知识;(5)在政策层面对潜在的变革性影响的集体声音。
    结论:当前的现实主义评估证明了研究人员之间的伙伴关系,患者-合作伙伴和其他相关方可以在所有相关方之间协同产生新的思维方式,在研究中整合用户的可操作策略,以及传播知识的解决方案。特别是,我们确定了患者-合作伙伴作为平等的决策者在帮助建立和维持伙伴关系以及巩固KT战略方面的关键作用.
    BACKGROUND: The Knowledge Translation (KT) Programme of a pan-Canadian strategic patient-oriented research network focused on brain-based developmental disabilities aimed to mobilize knowledge relevant to the network members. The programme also promotes and studies integrated Knowledge Translation (iKT) approaches involving different interested parties, such as researchers, patient-partners and decision-makers, in all parts of the knowledge creation process.
    OBJECTIVE: The objective of this study is to advance research programme evaluation methods through a realist evaluation of the process of implementing iKT activities.
    METHODS: Realist process evaluation included: (1) development of initial programme theories (using the partnership synergy theory); (2) data collection and analysis; (3) synthesis and refinement of theories through engagement with literature; and (4) presentation of findings in context-mechanism-outcome (C-M-O) configurations. A range of project documentation records were reviewed for analysis, and three co-leads, a programme coordinator, and a senior research associate were consulted to contextualize the implementation process of relevant KT activities.
    RESULTS: Based on the developed C-M-O configurations, we identified five key mechanisms of generating synergy in the iKT processes: (1) Visible shared leadership that embodies what iKT looks like; (2) Researchers\' readiness for iKT; (3) Adaptation and flexible allocation of resources to emerging needs; (4) Power sharing to create practical and creative knowledge; and (5) Collective voice for potential transformative impacts at the policy level.
    CONCLUSIONS: The current realist evaluation demonstrated how partnerships between researchers, patient-partners and other interested parties can synergistically generate new ways of thinking among all interested parties, actionable strategies to integrate users in research, and solutions to disseminate knowledge. In particular, we identified a pivotal role for patient-partners to act as equal decision-maker helps building and maintaining partnerships and consolidating KT strategies.
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  • 文章类型: Journal Article
    背景:循证实践,结合最佳护理质量,改善患者的临床预后。然而,其在日常临床实践中的实施仍然存在困难。这项研究的目的是确定高级实践护士(APN)应用于促进遵守临床实践指南建议的策略。
    方法:对属于巴利阿里群岛卫生保健服务(西班牙)的三家公立医院的六个焦点小组进行了一项探索性定性研究。研究参与者是32名病房护士和5名高级执业护士,他们在这些医院常规与住院病人一起工作。这项研究于2020年11月至2021年1月进行,采用专题分析,根据COREQ清单。
    结果:RNs和APNs确定了与促进过程相关的四个主要主题:项目背景,APN对护理团队管理的贡献,病房里的医疗保健,以及知识的获取和应用。
    结论:APN根据当地情况的特点和需要调整其行动,采用旨在改善团队合作的策略,healthcare,和知识管理。这些贡献中的每一个都增强了所做变革的可持续性。
    BACKGROUND: Evidence-based practice, in conjunction with optimum care quality, improves patients\' clinical outcomes. However, its implementation in daily clinical practice continues to present difficulties. The aim of this study was to identify the strategies applied by Advanced Practice Nurses (APNs) to foster adherence to clinical practice guideline recommendations.
    METHODS: An exploratory qualitative study was conducted with six focus groups at three public hospitals belonging to the Balearic Islands Health Care Service (Spain). The study participants were 32 ward nurses and 5 advanced practice nurses working routinely with inpatients at these hospitals. The study was conducted from November 2020 to January 2021, using thematic analysis, based on the COREQ checklist.
    RESULTS: Four major themes related to the facilitation process were identified either by RNs and APNs: the context of the project, APN contribution to nursing team management, healthcare provision on the ward, and the acquisition and application of knowledge.
    CONCLUSIONS: The APNs adapted their actions to the characteristics and needs of the local context, employing strategies aimed at improving teamwork, healthcare, and knowledge management. Each of these contributions enhanced the sustainability of the changes made.
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  • 文章类型: Journal Article
    教育工作者往往缺乏知识和资源来帮助学生获得脑损伤(ABI)。TeachABI,一个教育模块,是为了帮助小学教师在课堂上支持ABI学生而创建的。这项研究考察了TeachABI对高中教育工作者的适应性。
    一项定性描述性研究探索了高中教育工作者\'(n=9)的经验,通过半结构化访谈回顾了TeachABI及其对高中的适应性。访谈指南由执行和适应框架提供信息。使用定向内容分析检查成绩单。
    教师认为TeachABI是创建基于高中的教育模块的良好基础。强调了适应,例如精简内容(例如,心理健康)和策略(例如,支持考试),更好地满足教育者的需求。
    使用实现科学和适应框架提供了一种结构化的方法来探索TeachABI的自适应元素。该模块被认为是向高中教育工作者讲授ABI的合适平台。
    TeachABI是一种创新,用户知情教育模块,提供多模态(例如,案例研究,视频)和可复制的学习ABI的方法。应用来自不同领域的框架提供了在调整资源以符合教育者需求时需要考虑的概念(例如,grade,班级环境),并促进创新吸收。
    UNASSIGNED: Educators often lack the knowledge and resources to assist students with acquired brain injury (ABI). TeachABI, an education module, was created to help elementary school teachers support students with ABI in classrooms. This study examined the adaptability of TeachABI for high school educators.
    UNASSIGNED: A qualitative descriptive study explored high school educators\' (n = 9) experiences reviewing TeachABI and its adaptability for high school through semi-structured interviews. The interview guide was informed by implementation and adaptation frameworks. Transcripts were examined using directed content analysis.
    UNASSIGNED: Teachers felt TeachABI was a good foundation for creating a high school-based education module. Adaptations were highlighted, such as streamlining content (e.g., mental health) and strategies (e.g., supporting test taking), to better meet educator needs.
    UNASSIGNED: Using implementation science and adaptation frameworks provided a structured approach to explore the adaptive elements of TeachABI. The module was perceived as a suitable platform for teaching high school educators about ABI.
    UNASSIGNED: TeachABI is an innovative, user informed education module, providing a multi-modal (e.g., case study, videos) and replicable approach to learning about ABI. Applying frameworks from different fields provides concepts to consider when tailoring resources to align with educator needs (e.g., grade, class environment) and facilitate innovation uptake.
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  • 文章类型: Journal Article
    背景:提高食品供应的营养质量可以增加对营养食品的获取,改善饮食习惯和人口健康。然而,公共卫生营养研究人员和食品行业之间的知识动员举措往往没有得到充分考虑和理解。本研究探讨了与这一特定背景相关的哪些要素需要被识别,以便研究人员能够更好地利用食品工业调动营养科学知识,以促进食品的营养改善。
    方法:选择案例研究定性方法来回答研究问题,使用半结构化访谈作为数据收集技术。向魁北克烘焙行业的参与者展示了一个在线动员平台的模型,该平台分享了食品质量观察站的结果,该结果描述了魁北克提供的面包的营养质量,加拿大。他们被要求在探索网络平台时大声思考并接受采访。两名编码人员使用归纳法和主题内容分析对数据进行了分析,从个人开放编码开始,然后提出他们的分析并起草最终主题。
    结果:最终数据包括2019年10月至2020年8月进行的10次半结构化访谈。确定了四个主要主题:行业背景,知识动员倡议,与产品相关的问题源于行业内共享的信息和动机。在每个主题中,强调了子主题,并与行业“改善产品的动机”营养质量有关。这项研究还指出了面包中钠和纤维含量变化的关键考虑因素。
    结论:除了使用简单的语言和网站格式之外,还可以采取其他步骤来更好地动员食品行业的科学知识,例如提供更多的消费者信息,使用包括考虑道德的综合知识动员方法,与通信专业人员合作,与食品科学专家合作,并提供资源对共享信息采取行动。诸如包装前法规之类的立法可以加快研究人员与行业之间的合作步伐。总的来说,与行业建立事先关系有助于更好地理解本研究中强调的主题。未来的研究可以在这个案例研究的基础上,提供更多的见解并巩固这些发现。
    公共卫生,公私,政策制定,研究机构,使用知识。
    BACKGROUND: Improving the nutritional quality of the food supply increases access to nutritious foods, which improves dietary habits and population health. Yet, knowledge mobilization initiatives between public health nutrition researchers and food industries are often not adequately considered and understood. This study explored what elements related to this specific context need to be recognized so that researchers can better mobilize nutrition science knowledge with the food industry to promote the nutritional improvement of food products.
    METHODS: A case study qualitative approach was selected to answer the research question, using semi-structured interviews as the data collection technique. Québec baking industry actors were shown a mock-up of an online mobilization platform sharing the results of the Food Quality Observatory that describes the nutritional quality of breads offered in Québec, Canada. They were asked to think aloud as they explored the web platform and were interviewed. Two coders analyzed the data using an inductive approach and thematic content analysis, starting with individual open coding, and then put forward their analyses and drafted the final themes.
    RESULTS: The final data consisted of 10 semi-structured interviews conducted between October 2019 and August 2020. Four main themes were identified: the industry\'s context, the knowledge mobilization initiative, the product-related matters stemming from the information shared and the motivation within the industry. Within each theme, sub-themes were highlighted and related to the industries\' motivation to improve their products\' nutritional quality. This study also specified key considerations for changes to the sodium and fiber content in bread.
    CONCLUSIONS: Other steps beyond using simple language and a website format could be taken to better mobilize scientific knowledge with food industries, such as providing more consumer information, using an integrated knowledge mobilization approach that includes a consideration of ethics, working with communication professionals, collaborating with food science experts, and providing resources to act on shared information. Legislation such as the front-of-pack regulations could accelerate the pace of collaboration between researchers and industry. Overall, establishing a prior relationship with industries could help gain a better understanding of the themes highlighted in this study. Future research could build on this case study to provide more insights and solidify these findings.
    UNASSIGNED: Public Health, Public Private, Policy Making, Research Institutions, Use of Knowledge.
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  • 文章类型: Journal Article
    目标:COVID-19大流行促使科学界以前所未有的方式进行合作,随着关于这种疾病及其致病因子的新知识的迅速而紧迫的产生和翻译。迭代地,在不同级别的政府和全球,建立了人口水平指导,并更新,导致需要一份活的指导方针目录,eCOVID-19建议映射和上下文化网关(RecMap)。本文重点介绍了用于分析与在加拿大公共卫生中使用RecMap相关的障碍和机会的方法。
    方法:使用混合的定性和定量方法数据为该知识动员项目提供信息,并为实施eCOVID-19RecMap提供反馈。这种方法涉及对公共卫生网络研讨会上的110名与会者进行调查。在这次网络研讨会之后,我们创建了一份证据摘要和一系列案例研究,并分发给24名参加虚拟研讨会的加拿大公共卫生从业人员.该研讨会确定了改进RecMap使用的障碍和机会。
    结果:这项研究有助于揭示公共卫生从业人员在发现以下问题时的需求:使用,和传播公共卫生指南。通过举办的研讨会,公共卫生指南的机会可以分为四类:1)信息获取,2)意识,3)公共卫生发展,4)可用性。识别的障碍也可以分为四类:1)可用性,2)信息维护,3)公共卫生指导,4)意识。
    结论:这项工作将有助于为未来公共卫生指南的制定和组织提供信息,以及公共卫生从业人员与他们接触时的需求。
    OBJECTIVE: The COVID-19 pandemic prompted the scientific community to collaborate in an unprecedented way, with the rapid and urgent generation and translation of new knowledge about the disease and its causative agent. Iteratively, and at different levels of government and globally, population-level guidance was created and updated, resulting in the need for a living catalog of guidelines, the eCOVID-19 Recommendations Map and Gateway to Contextualization (RecMap). This article focuses on the approach that was used to analyze barriers and opportunities associated with using the RecMap in public health in Canada.
    METHODS: A mixed qualitative and quantitative approach data were used to inform this knowledge mobilization project and inform feedback on implementation of the eCOVID-19 RecMap. This approach involved surveying 110 attendees from a public health webinar. Following this webinar, an evidence brief and series of case studies were created and disseminated to 24 Canadian public health practitioners who attended a virtual workshop. This workshop identified barriers and opportunities to improve RecMap use.
    RESULTS: This study helped to shed light on the needs that public health practitioners have when finding, using, and disseminating public health guidelines. Through the workshop that was conducted, opportunities for public health guidelines can be categorized into 4 categories: 1) information access, 2) awareness, 3) public health development, and 4) usability. Barriers that were identified can also be categorized into 4 categories: 1) usability, 2) information maintenance, 3) public health guidance, 4) awareness.
    CONCLUSIONS: This work will help to inform the development and organization of future public health guidelines, and the needs that public health practitioners have when engaging with them.
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  • 文章类型: Journal Article
    疼痛影响所有儿童和青少年,然而,急性和程序性疼痛在加拿大医院仍然没有得到充分治疗。为了改善儿科医院的疼痛管理实践,有必要了解医疗保健专业人员(HCP)希望如何设计教育干预措施以改善其疼痛管理实践.
    在2020年10月至12月之间对18个HCP进行了半结构化访谈。雪球抽样用于首先从医院的儿科疼痛管理委员会招募感兴趣的成员。根据参与者的偏好进行了访谈,包括Zoom,电话,和面对面采访。当确定数据足够丰富时,招聘就停止了。对逐字记录和反身现场笔记进行主题分析,以创建专注于知识动员和临床教育的数据集。
    确定了三个核心主题:(a)对HCPs进行及时教育的必要性;(b)提供临床疼痛倡导者来教育工作人员;(c)提供资源来教育儿童及其家庭有关可用的疼痛管理干预措施。准时教育包括在职培训的建议,动手训练,并定期更新最新研究。疼痛冠军,包括临床护士教育者,强调在激励员工改善疼痛管理实践方面很重要。与会者注意到缺乏关于疼痛管理的患者和家庭教育资源,并建议提供更多的多模式资源和教育机会。
    让本地冠军引入疼痛管理计划和及时教育对实施环境产生积极影响,这也有助于HCPs为患者和家庭提供循证教育和资源。
    UNASSIGNED: Pain affects all children and youth, yet acute and procedural pain remains undertreated in Canadian hospitals. To improve pain management practices in paediatric hospitals, it is necessary to understand how healthcare professionals (HCPs) wish for educational interventions to be designed to improve their pain management practice.
    UNASSIGNED: Semi-structured interviews were conducted with 18 HCPs between October and December 2020. Snowball sampling was used to first recruit interested members from the hospital\'s Pediatric Pain Management Committee. Interviews were conducted per participant preference and included Zoom, telephone, and in-person interviews. Recruitment ceased when data were determined sufficiently rich. A thematic analysis of verbatim transcripts and reflexive field notes were used to create a data set focused on knowledge mobilization and clinical education.
    UNASSIGNED: Three core themes were identified: (a) the necessity for just-in-time education for HCPs; (b) the availability of clinical pain champions to educate staff; and (c) the provision of resources to educate children and their families about available pain management interventions. Just-in-time education included suggestions for in-service training, hands-on training, and regular updates on the latest research. Pain champions, including clinical nurse educators, were stressed as being important in motivating staff to improve their pain management practices. Participants noted the lack of resources for patient and family education on pain management and suggested providing more multimodal resources and educational opportunities.
    UNASSIGNED: Having local champions introduce pain management initiatives and just-in-time education positively impacts the implementation climate, which also helps HCPs provide evidence-based education and resources to patients and families.
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  • 文章类型: Journal Article
    弥合课堂上教育利益相关者之间的差距,学校,和系统水平对于实现中小学教育的可持续变革至关重要。然而,在这个松散耦合的利益相关者网络中转移知识或建设能力的要求很高。经纪概念有望研究这些复杂的互动模式,因为它指的是特定的参与者(经纪人)如何连接松散耦合或断开的个人(经纪)。然而,不同的研究传统,在理论框架和方法论方面,以及各种利益相关者作为桥梁建设者所扮演的角色,让他们理解经纪人的角色,经纪,和经纪在改变教育实践中具有挑战性。因此,这项研究的目的是提供有关教育变革研究中这些概念的当前文献的概述。在基于42项研究的系统文献综述中,我们分析了每项研究的理论假设,方法论方法,涉及的利益相关者的范围,和实证研究结果。首先,文献综述显示,当关注经纪人时,关于教育变革的研究指的是四个不同的理论框架,经纪,或经纪。第二,我们的结果表明,主要采用定性方法。第三,使用内容网络图,我们确定教师和校长是最经常分析的经纪人之一。第四,提出了实证研究结果的四个相关方面:经纪人的个人特征,促成经纪的条件,成功的经纪策略,和经纪结果。最后,我们根据经验证据基础和不足概述了未来的研究议程。
    Bridging gaps between educational stakeholders at the classroom, school, and system levels is essential to achieve sustainable change in primary and secondary education. However, transferring knowledge or building capacity within this network of loosely coupled stakeholders is demanding. The brokerage concept holds promise for studying these complex patterns of interaction, as it refers to how specific actors (brokers) link loosely coupled or disconnected individuals (brokering). However, different research traditions, in terms of theoretical frameworks and methodological approaches, and various stakeholders examined in their role as bridge builders make understanding the role of brokers, brokering, and brokerage in changing educational practice challenging. Therefore, the purpose of this study is to provide an overview of the current literature on these concepts in educational change research. In a systematic literature review based on 42 studies, we analyzed each study\'s theoretical assumptions, methodological approach, scope in terms of stakeholders involved, and empirical findings. First, the literature review revealed that research on educational change refers to four different theoretical frameworks when focusing on brokers, brokering, or brokerage. Second, our results indicate that predominantly qualitative approaches have been applied. Third, using content network graphs, we identified teachers and principals as among the most frequently analyzed brokers. Fourth, four relevant aspects of the empirical findings are presented: brokers\' personal characteristics, conditions that enable brokering, successful brokering strategies, and outcomes of brokerage. Finally, we outline a future research agenda based on the empirical evidence base and shortcomings.
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  • 文章类型: Journal Article
    根据人种学研究的结果,手头的文件提供了一个明显的方式与蒙太奇的工作作为一种手段,在建筑设计过程中动员知识的例子。参考一个具体的设计项目,本文遵循建筑学学生通过应用蒙太奇系统地探索和构建问题的可能性空间。强调其程序所涉及的方法论严谨性和逻辑连贯性,本文阐述了蒙太奇作为一种有效的方法和可追溯的探索过程。介绍和讨论这些经验数据,本文旨在展示蒙太奇如何以整体方式理解问题,同时促进将其分析为单独的部分。这样,蒙太奇带来了知识的动员,这可能与手头的案件有牵连。
    Drawing on findings from an ethnographic study, the paper at hand provides an example of a pronounced way of working with montage as a means of mobilizing knowledge in the architectural design process. With reference to a specific design project, the paper follows architecture students systematically exploring and structuring the problem\'s space of possibilities by applying montage. Highlighting the methodological rigor and logical coherence their procedure involves, the paper elaborates on montage as an effective method and traceable exploratory process. Presenting and discussing this empirical data, the paper aims at showing how montage allows for apprehending a problem in a holistic manner while at the same time facilitating its analysis into separate parts. In this way, montage engenders the mobilization of knowledge, which can be implicated to the case at hand.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    从历史上看,衰老的视觉表现依赖于二值化的陈词滥调:理想化的青春与虚弱和疾病。为了挑战这些过于简化的描述,研究生开发了一个名为“加拿大老年人”的社区外展项目。该项目的目的是双重的:(1)在以后的生活中分享人们的图像和故事;(2)挑战主导的叙事和陈规定型观念。在本说明中,我们概述了关于衰老“看起来像什么”的主流论述,我们如何收集故事和图像,以及对加拿大知识动员和研究的影响。本文重点介绍了自项目开始以来获得的见解,包括三个关键的学习:(1)搭建跨越学术界和社区的桥梁,(2)代际联系和数字化工具,(3)视觉讲故事的力量。我们提供了一个成功的知识动员/社区外展项目的实用概述,并展示了弥合学术界和社区为社会变革的力量。
    Visual representations of aging have historically relied upon binarized clichés: idealized youthfulness versus frailty and illness. To challenge these oversimplified depictions, graduate students developed a community outreach project titled \'Seniors of Canada\'. The aim of this project was twofold: (1) share images and stories of people in later life; and (2) challenge dominant narratives and stereotypes of aging. In this note, we outline the prevailing discourse of what aging \'looks like\', how we collected stories and images, and implications for knowledge mobilization and research in Canada. This article highlights insights gained since the inception of the project, including three key learnings: (1) Building bridges across academia and community, (2) Intergenerational connection and digital tools, and (3) The power of visual storytelling. We provide a practical overview of a successful knowledge mobilization/community outreach project and showcase the power of bridging academia and community for social change.
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