Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis

被引：27
|
作者：
Squires, Janet E. [1 ,2 ]
Hutchinson, Alison M. [3 ,4 ]
Coughlin, Mary [2 ]
Bashir, Kainat [5 ]
Curran, Janet [6 ,7 ]
Grimshaw, Jeremy M. [2 ,8 ]
Dorrance, Kristin [9 ]
Aloisio, Laura [2 ]
Brehaut, Jamie [2 ,10 ]
Francis, Jill J. [2 ,11 ]
Ivers, Noah [12 ]
Lavis, John [13 ]
Michie, Susan [14 ]
Hillmer, Michael [15 ]
Noseworthy, Thomas [16 ]
Vine, Jocelyn [7 ]
Graham, Ian D. [2 ,10 ]
机构：
[1] Univ Ottawa, Sch Nursing, Dept Hlth Sci, Ottawa, ON, Canada
[2] Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada
[3] Monash Hlth, Melbourne, Vic, Australia
[4] Deakin Univ, Ctr Qual & Patient Safety Res, Sch Nursing & Midwifery, Inst Hlth Transformat, Geelong, Vic, Australia
[5] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada
[6] Dalhousie Univ, Fac Hlth, Sch Nursing, Halifax, NS, Canada
[7] IWK Hlth Ctr, Halifax, NS, Canada
[8] Univ Ottawa, Fac Med, Ottawa, ON, Canada
[9] Stat Canada, Ottawa, ON, Canada
[10] Univ Ottawa, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada
[11] Univ Melbourne, Sch Hlth Sci, Melbourne, Vic, Australia
[12] Womens Coll Hosp, Toronto, ON, Canada
[13] McMaster Univ, Hamilton, ON, Canada
[14] UCL, London, England
[15] Ontario Minist Hlth & Long Term Care, Toronto, ON, Canada
[16] Univ Calgary, Calgary, AB, Canada
来源：
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT | 2022年 / 11卷 / 08期
关键词：
Context; Knowledge Translation; Implementation; EVIDENCE-BASED MEDICINE; MENTAL-HEALTH; QUALITY IMPROVEMENT; IMPLEMENTATION; CARE; DETERMINANTS; INNOVATIONS; SCIENCE;
D O I：
10.34172/ijhpm.2021.32
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Background: Context is recognized as important to successful knowledge translation (KT) in health settings. What is meant by context, however, is poorly understood. The purpose of the current study was to elicit tacit knowledge about what is perceived to constitute context by conducting interviews with a variety of health system stakeholders internationally so as to compile a comprehensive list of contextual attributes and their features relevant to KT in healthcare. Methods: A descriptive qualitative study design was used. Semi-structured interviews were conducted with health system stakeholders (change agents/KT specialists and KT researchers) in four countries: Australia, Canada, the United Kingdom, and the United States. Interview transcripts were analyzed using inductive thematic content analysis in four steps: (1) selection of utterances describing context, (2) coding of features of context, (3) categorizing of features into attributes of context, (4) comparison of attributes and features by: country, KT experience, and role. Results: A total of 39 interviews were conducted. We identified 66 unique features of context, categorized into 16 attributes. One attribute, Facility Characteristics, was not represented in previously published KT frameworks. We found instances of all 16 attributes in the interviews irrespective of country, level of experience with KT, and primary role (change agent/KT specialist vs. KT researcher), revealing robustness and transferability of the attributes identified. We also identified 30 new context features (across 13 of the 16 attributes). Conclusion: The findings from this study represent an important advancement in the KT field; we provide much needed conceptual clarity in context, which is essential to the development of common assessment tools to measure context to determine which context attributes and features are more or less important in different contexts for improving KT success.
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页码：1373 / 1390
页数：18
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