Translational networks in healthcare? Evidence on the design and initiation of organizational networks for knowledge mobilization
Translational networks in healthcare? Evidence on the design and initiation of organizational networks for knowledge mobilization
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DOI：
10.1016/j.socscimed.2015.06.015
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发表时间：
2015-08-01
影响因子：
5.4
通讯作者：
Harvey, Gill
中科院分区：
文献类型：
--
作者：
Fitzgerald, Louise;Harvey, Gill
国际上的注意力集中在医疗保健的研究证据和实践之间的差异。这促使建立了由学术服务伙伴关系组成的正式翻译网络。应用健康研究和护理领导英语合作（CLAHRC）是翻译网络的一个例子。本文使用一个CLAHRC在3年期间（2008年至2011年）的纵向档案案例研究数据，探讨了翻译网络的组织形式和功能之间的关系。本文重点讨论了支持翻译网络的有效结构和适当治理方面的研究空白。数据分析表明，建立翻译网络的政策本身并不足以产生积极的翻译活动。数据表明，为了充分利用整个网络的好处，必须注意设计一个结构，将研究生产和使用相结合，并促进横向跨学科和跨组织的沟通。同样，适当的治理安排也是必要的，特别是在大型的多利益攸关方网络中，在这些网络中，共同治理可能是有问题的。不适当的网络结构和治理抑制了翻译网络的潜力。最后，该案例提供了对网络组织内部和之间知识流动的见解。数据表明，知识动员超越了知识翻译;知识动员包括知识的谈判利用，一种平衡的合作形式。虽然很多翻译工作是外部集中在卫生系统，我们的研究结果强调了学术界内部的谈判和知识动员的必要性。(C)2015爱思唯尔有限公司版权所有。
International attention has focussed on the variations between research evidence and practice in healthcare. This prompted the creation of formalized translational networks consisting of academic-service partnerships. The English Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) are one example of a translational network. Using longitudinal, archival case study data from one CLAHRC over a 3-year period (2008-11), this article explores the relationship between organizational form and the function(s) of a translational network. The article focuses on the research gaps on the effective structures and appropriate governance to support a translational network. Data analysis suggested that the policy of setting up translational networks is insufficient of itself to produce positive translational activity. The data indicate that to leverage the benefits of the whole network, attention must be paid to devising a structure which integrates research production and use and facilitates lateral cross-disciplinary and cross-organizational communication. Equally, appropriate governance arrangements are necessary, particularly in large, multi-stakeholder networks, where shared governance may be questionable. Inappropriate network structure and governance inhibits the potential of the translational network. Finally, the case provides insights into the movement of knowledge within and between network organizations. The data demonstrate that knowledge mobilization extends beyond knowledge translation; knowledge mobilization includes the negotiated utilization of knowledge a balanced power form of collaboration. Whilst much translational effort is externally focused on the health system, our findings highlight the essential need for the internal negotiation and mobilization of knowledge within academia. (C) 2015 Elsevier Ltd. All rights reserved.