Aims: To identify the key common components of knowledge transfer and exchange in existing models to facilitate practice developments in health services research.
Background: There are over 60 models of knowledge transfer and exchange designed for various areas of health care. Many of them remain untested and lack guidelines for scaling-up of successful implementation of research findings and of proven models ensuring that patients have access to optimal health care, guided by current research.
Design: A scoping review was conducted in line with PRISMA guidelines. Key components of knowledge transfer and exchange were identified using thematic analysis and frequency counts.
Data sources: Six electronic databases were searched for papers published before January 2015 containing four key terms/variants: knowledge, transfer, framework, health care.
Review methods: Double screening, extraction and coding of the data using thematic analysis were employed to ensure rigour. As further validation stakeholders' consultation of the findings was performed to ensure accessibility.
Results: Of the 4,288 abstracts, 294 full-text articles were screened, with 79 articles analysed. Six key components emerged: knowledge transfer and exchange message, Stakeholders and Process components often appeared together, while from two contextual components Inner Context and the wider Social, Cultural and Economic Context, with the wider context less frequently considered. Finally, there was little consideration of the Evaluation of knowledge transfer and exchange activities. In addition, specific operational elements of each component were identified.
Conclusions: The six components offer the basis for knowledge transfer and exchange activities, enabling researchers to more effectively share their work. Further research exploring the potential contribution of the interactions of the components is recommended.
目的: 的在于确定已有模式中知识传递和交流的关键通用组分,以促进卫生服务研究的实践发展。
背景为各种医疗保健领域设计了60多种知识转移和交流模式。当中许多吧没有进行测试,也没有指导方针来既扩大研究结果的成功实施,又没有指导方针来扩大已证模型的成功实施,以便于确保患者在当前研究的指导下获得最佳的医疗保健。
设计: 根据PRISMA指南进行了范围综述。采用了主题分析和频率计数来确定知识传递和交流的关键组分。
数据来源: 在6个电子数据库中搜索了2015年1月之前发表的论文,其中包含四个关键术语/变体:知识、传递、框架、医疗保健。
综述方法: 采用了主题分析对数据进行双重筛选,提取和编码,以便确保严谨性。随着进一步确认,利益相关者对调查结果进行了协商,以确保可访问性。
结果: 在4288篇摘要中,筛选了294篇全文文章,分析了79篇文章。出现了6个关键组分:知识传递和交流信息、利益相关者和流程组件经常一起出现、而出现于两个上下文组件——内部语境和更广阔的社会,文化和经济语境、不太经常考虑更广阔的语境。最后,很少考虑对知识传递和交流活动的评估。此外,还确定了每个组分的具体操作要素。
结论: 这六个组分为知识传递和交流活动提供了基础,使研究人员能够更有效地共享其工作。建议进一步研究探讨组件交互的潜在贡献。
Keywords: evidence-based practice; health services research; nursing; research implementation; systematic scoping review.
© 2018 John Wiley & Sons Ltd.