Some theoretical underpinnings of knowledge translation
Some theoretical underpinnings of knowledge translation
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DOI：
10.1197/j.aem.2007.07.004
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发表时间：
2007-11-01
影响因子：
4.4
通讯作者：
Tetroe, Jacqueline
中科院分区：
文献类型：
--
作者：
Graham, Ian D.;Tetroe, Jacqueline
对知识转化定义的仔细分析突出了明智地将研究转化为实践和政策的重要性。然而，研究与实践之间存在着相当大的差距。缩小研究与实践的差距涉及改变临床实践，这是一项复杂而具有挑战性的奋进。人们日益认识到，改变做法的努力应该以概念模式或框架为指导，以便更好地理解变革进程。作者进行了集中的文献检索，制定了纳入标准，以确定有计划的行动理论，然后从每个理论中提取数据，以确定起源，检查的意义，判断逻辑的一致性，并定义程度的概括性，简约性和可测试性。对每个理论中的概念进行了分析，并制定了一套行动类别，形成了计划行动的阶段。确定了31个有计划的行动理论，这些理论构成了分析的基础。建立了一个Access数据库，以及一个KT理论用户指南，其中综合了所有计划的变革模式和理论，确定了每种模式和理论的共同要素，并提供了关于其使用的信息。有许多有计划的变革模式和框架，其中有许多共同的要素和行动类别。无论何时使用任何计划的变更模型，变更代理人都应考虑记录他们使用该模型的经验，以促进对该模型有用性的理解，并为尝试类似项目的其他人提供信息。
A careful analysis of the definition of knowledge translation highlights the importance of the judicious translation of research into practice and policy. There is, however, a considerable gap between research and practice. Closing the research-to-practice gap involves changing clinical practice, a complex and challenging endeavor. There is increasing recognition that efforts to change practice should be guided by conceptual models or frameworks to better understand the process of change. The authors conducted a focused literature search, developed inclusion criteria to identify planned action theories, and then extracted data from each theory to determine the origins, examine the meaning, judge the logical consistency, and define the degree of generalizability, parsimony, and testability. An analysis was conducted of the concepts found in each theory, and a set of action categories was developed that form the phases of planned action. Thirty-one planned action theories were identified that formed the basis of the analyses. An Access database was created, as well as a KT Theories User's Guide that synthesizes all the planned change models and theories, identifies common elements of each, and provides information on their use. There are many planned change models and frameworks with many common elements and action categories. Whenever any planned change model is used, change agents should consider documenting their experiences with the model so as to advance understanding of how useful the model is and to provide information to others who are attempting a similar project.