A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies

A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies
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DOI:
10.1186/1748-5908-4-23
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发表时间:
2009-04-27
影响因子:
7.2
通讯作者:
Mercer, Shawna
Mercer, Shawna
中科院分区:
医学1区
文献类型:
--
作者:
Dobbins, Maureen;Robeson, Paula;Mercer, Shawna

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背景资料:知识经纪人(KB)是一种流行的知识翻译和交流(KTE)战略,在加拿大出现,以促进研究人员和最终用户之间的互动,以及发展能力,以证据为依据的决策。知识库通过发展对目标和文化的相互理解,在研究生产者和最终用户之间建立联系,与最终用户合作,以确定需要解决的问题,并促进研究证据的识别,访问,评估,解释和翻译到当地政策和实践中。知识中介可以由个人、团体和/或组织以及整个国家进行。在每种情况下,知识库是与一组最终用户,并侧重于促进整合的最佳证据到政策和实践相关的decisions.Methods:一个知识库干预包括三个KTE干预措施之一,在一个随机对照trial.Results:知识库活动分为以下几类:初始和持续的需求评估;扫描的地平线;知识管理; KTE;网络发展、维护和促进;促进个人能力发展,以便作出有证据的知情决策;以及g)促进和支持组织变革。随着知识库角色在本研究中的发展,出现的特别重要的中心主题包括关系发展、持续支持、定制方法,以及个人和组织能力发展的机会。知识库在公共卫生中的新奇作用提供了一个独特的机会,以评估需要和反应的作用及其相关活动。未来的研究应包括研究,以评估知识库的有效性,在不同的设置和不同的医疗保健专业人员,并探讨最佳的准备和培训知识库,以及识别的人格特征最密切相关的知识库的有效性。研究还应寻求更好地了解哪种KB活动组合与最佳循证决策结果相关,以及组合是否在不同环境和不同医疗保健决策者之间发生变化。
Background: A knowledge broker (KB) is a popular knowledge translation and exchange (KTE) strategy emerging in Canada to promote interaction between researchers and end users, as well as to develop capacity for evidence-informed decision making. A KB provides a link between research producers and end users by developing a mutual understanding of goals and cultures, collaborates with end users to identify issues and problems for which solutions are required, and facilitates the identification, access, assessment, interpretation, and translation of research evidence into local policy and practice. Knowledge-brokering can be carried out by individuals, groups and/or organizations, as well as entire countries. In each case, the KB is linked with a group of end users and focuses on promoting the integration of the best available evidence into policy and practice-related decisions.Methods: A KB intervention comprised one of three KTE interventions evaluated in a randomized controlled trial.Results: KB activities were classified into the following categories: initial and ongoing needs assessments; scanning the horizon; knowledge management; KTE; network development, maintenance, and facilitation; facilitation of individual capacity development in evidence informed decision making; and g) facilitation of and support for organizational change.Conclusion: As the KB role developed during this study, central themes that emerged as particularly important included relationship development, ongoing support, customized approaches, and opportunities for individual and organizational capacity development. The novelty of the KB role in public health provides a unique opportunity to assess the need for and reaction to the role and its associated activities. Future research should include studies to evaluate the effectiveness of KBs in different settings and among different health care professionals, and to explore the optimal preparation and training of KBs, as well as the identification of the personality characteristics most closely associated with KB effectiveness. Studies should also seek to better understand which combination of KB activities are associated with optimal evidence-informed decision making outcomes, and whether the combination changes in different settings and among different health care decision makers.