Exploring knowledge exchange: A useful framework for practice and policy

Exploring knowledge exchange: A useful framework for practice and policy
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DOI:
10.1016/j.socscimed.2011.09.021
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发表时间:
2012-02-01
影响因子:
5.4
通讯作者:
Hamer, Susan
Hamer, Susan
中科院分区:
医学2区
文献类型:
--
作者:
Ward, Vicky;Smith, Simon;Hamer, Susan

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知识翻译的基础是一个动态的社会知识交流过程,但很少有关于这在实践环境中如何展开的描述。这阻碍了建立现实和有用的模型来帮助决策者和研究人员理解知识交换如何运作的努力。本文报告了对知识交换性质的研究结果。我们的目的是了解知识交换的动态和流动定义是否有效,并产生一个现实的、描述性的知识交换框架。我们的研究采用了现实主义的方法。我们在英国一家精神卫生组织的三个服务交付团队中嵌入了一名知识经纪人,每个团队都在努力应对特定的挑战。知识经纪人参与了团队解决问题的过程,并收集了观测现场记录。我们还采访了团队成员。为了更详细地确定和描述知识交换过程的性质,对观察和访谈数据进行了定量和定性分析。这使我们能够完善知识交换的概念框架。我们发现,知识交换可以被理解为一个动态的、流动的过程,它融合了来自多个来源的不同形式的知识。定量分析表明,知识交换的五个广泛定义的组成部分(问题、背景、知识、活动、使用)在任何时候都可以发挥作用,并且不按固定顺序发生。定性分析揭示了一些不同的主题,这些主题更好地描述了知识交流的性质。通过揭示知识交换的本质,我们的发现对知识翻译的一些线性技术方法提出了问题。因此,我们在此提出的修正后的知识交换模型有助于重新定位对知识交换的思考,并作为进一步探索和评估知识交换过程的起点。(C) 2011 Elsevier Ltd.版权所有。
Knowledge translation is underpinned by a dynamic and social knowledge exchange process but there are few descriptions of how this unfolds in practice settings. This has hampered attempts to produce realistic and useful models to help policymakers and researchers understand how knowledge exchange works. This paper reports the results of research which investigated the nature of knowledge exchange. We aimed to understand whether dynamic and fluid definitions of knowledge exchange are valid and to produce a realistic, descriptive framework of knowledge exchange.Our research was informed by a realist approach. We embedded a knowledge broker within three service delivery teams across a mental health organisation in the UK, each of whom was grappling with specific challenges. The knowledge broker participated in the team's problem-solving process and collected observational fieldnotes. We also interviewed the team members. Observational and interview data were analysed quantitatively and qualitatively in order to determine and describe the nature of the knowledge exchange process in more detail. This enabled us to refine our conceptual framework of knowledge exchange.We found that knowledge exchange can be understood as a dynamic and fluid process which incorporates distinct forms of knowledge from multiple sources. Quantitative analysis illustrated that five broadly-defined components of knowledge exchange (problem, context, knowledge, activities, use) can all be in play at any one time and do not occur in a set order. Qualitative analysis revealed a number of distinct themes which better described the nature of knowledge exchange.By shedding light on the nature of knowledge exchange, our findings problematise some of the linear, technicist approaches to knowledge translation. The revised model of knowledge exchange which we propose here could therefore help to reorient thinking about knowledge exchange and act as a starting point for further exploration and evaluation of the knowledge exchange process. (C) 2011 Elsevier Ltd. All rights reserved.