The authors declare that they have no competing interests. However, supplementary hypertext links could be followed up from Google Scholar to either an abstract or, optimally, to the full text. The taxonomy enabled us to refine the inclusion criteria to identify studies that reported explicit application of the KTA Framework. The KTA Framework was adapted to different health service settings and resources, indicating a good fit for the diversity of real-world health care. The KTA Framework consists of two components: (1) Knowledge Creation Knowledge creation is represented by the funnel in the centre of the image above. Google Scholar. Glossary for Knowledge to Action Framework; Research Phase. In addition, this suggests conceptual frameworks do not have to be mutually exclusive. Privacy All ten studies reported applying the Action Cycle, describing at least five of the seven possible phases (see Table 5). A prospective design would strengthen research studies. Full-text articles were obtained for any article coded for inclusion and for any articles that appeared relevant but where it was unclear whether the KTA Framework had been actually used in practice. Celebrate the work you have accomplished. 2009, 338: a3152-10.1136/bmj.a3152. The first component of the model is the knowledge creation funnel, which represents the production and synthesis of knowledge. Acad Emerg Med. Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. For an overview of other determinant frameworks that are useful in this phase, see the determinant frameworks section of Nilsens paper [7]. Each study demonstrates the particularity of implementation activities. Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A: Getting evidence into practice: ingredients for change. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. Assessment of barriers can be done quantitatively and qualitatively using a variety of conceptual models and instruments. We did not assess the research rigour of the individual knowledge translation projects. Program implementation involves the activities of putting the program into place, from gaining acceptance for the program to making revisions when the program is not working as planned - (Ervin, N. Advanced community health nursing practice: Population focused care. Three studies illustrated each phase of the Action Cycle or explained their reasons for not doing so [18],[23],[25]. 1, EPOC Taxonomy of Professional and OrganisationalInterventions.[https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf]. Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare However, the method is replicable and could be repeated to update the review in future. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Future research could examine the studies which we categorised as using the KTA Framework to a lesser degree, perhaps for conceptual or persuasive reasons rather than instrumentally. J Clin Epidemiol. 2002). It is important to note that Graham and colleagues have continued to publish on applications of the framework and the multiple factors to be considered [29]. They reviewed 31 planned action theories about the process of change. There was substantial variation in the setting and target audience for each documented change, the methods used to apply the KTA Framework and the terminology employed to report the phases within Knowledge Creation and the Action Cycle. CDC Knowledge to Action Framework [PDF - 33 KB] An Organizing Framework for Translation in Public Health: The Knowledge to Action Framework Applying the Knowledge to Action (K2A) Framework: Questions to Guide Planning Tool [PDF - 3.57 MB] Glossary of Terms [DOC -17 KB] Page last reviewed: April 28, 2021 2009, 4: Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N: Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. Papers could be scrutinised according to how their aims and objectives had been operationalised. Ilott I, Gerrish K, Bray K, Laker S: Tackling the implementation challenge: bridging thegapbetweenresearchandpractice. Exploring the impact of the KTA Framework, and other conceptual frameworks, on patients and the public in terms of health improvement and outcomes would also be worthwhile, as would exploring their involvement in the application of the framework, not just as recipients of services but as key stakeholders in each phase. Unfortunately, an implemented change is not usually self-sustaining and requires ongoing monitoring and effort. However, our review focused primarily on examining how a conceptual framework had been used in practice. Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. Making sense of implementation theories, models and frameworks Guide to Evidence Based Practice and Knowledge Translation for Public Health Nursing. 10.1016/j.jclinepi.2004.09.002. For Web of Science and Scopus citations, full abstracts were identified. Citation searching was further indicated in this review given that our scoping search, using the databases MEDLINE and CINAHL, had previously identified few abstracts reporting explicitly the use of the KTA Framework in practice. Notably, the KTA Framework assumes a systems perspective and situates knowledge producers and users within a system of knowledge that is responsive, adaptive, and unpredictable. Further information about how the different studies applied the phases within the Action Cycle are shown in Table 6. All results were imported and combined into an Excel spreadsheet for review by two reviewers. Data extraction and presenting results according to the phases were also challenging, given that the framework is dynamic, and can be non-sequential with overlap between phases [1]. 2012, 9: 1-10.1111/j.1741-6787.2011.00240.x. Knowledge to action framework for home health monitoring Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . Action model learning (sometimes abbreviated action learning) is an area of machine learning concerned with creation and modification of software agent 's knowledge about effects and preconditions of the actions that can be executed within its environment. Data extracted were mapped to each phase of Knowledge Creation and the Action Cycle (see Figure 1) by one researcher (BF) and then discussed with the whole team. 1992). The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. We found that the framework is being used in practice, to varying degrees of completeness, and with theory fidelity when reported as integral to the implementation effort. The index citation for the original paper was identified on three databasesWeb of Science, Scopus and Google Scholarwith the facility for citation searching. We further identified a need to use taxonomies when analysing or evaluating knowledge translation strategies [33],[34]. This can be achieved through observation (e.g. 10.1111/wvn.12016. The K2A framework describes and depicts the high-level processes necessary to move from discovery into action by using translation of evidence-based programs, practices, or policiesbroadly defined to include evidence-based communications, campaigns, guidelines, and other interventions and tools. This article presents independent research by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Yorkshire and Humber (NIHR CLAHRC YH). This review is designed to address this knowledge gap. Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: models for dissemination and implementation research. questionnaires). Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. Provided by the Springer Nature SharedIt content-sharing initiative. AB is a member of the editorial board of Implementation Science. For example, Eccles et al. Most studies illustrate how knowledge was adapted to the local context. Initial screening out by title and abstract on the basis of partial information from Google Scholar may also have excluded relevant studies. Minimizing the knowledge-to-action gap; identification of interventions II provided BF with clinical supervision for her MSc dissertation. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. 2009, 33: 82-88. Using the Knowledge to Action Framework in practice: a citation Assessing the public health impact of health promotion initiatives. Worldviews Evid Based Nurs. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. Steps involved in Translating the Evidence into Practice: The Knowledge to Action (KTA) Framework is used for facilitating the use of research knowledge by several stakeholders, such as practitioners, policymakers, patients and the public. Note that action steps may not be sequential, and one can start at any phase of the cycle. Box. For example, difficulties in applying exclusion/inclusion criteria were discussed by the team and all subsequent decisions were then resolved by consensus. Consequently, we recommend that the phase select, tailor, implement intervention be amended to include define and select outcomes and knowledge use measures, as a prompt to those using the KTA Framework to specify such outcomes when selecting which knowledge translation strategies to use. Only four studies detailed Knowledge Creation, yet existing knowledge was utilised in the other studies to identify knowledge-practice gaps, or as part of the Action Cycle. 2010, 33: 259-263. 10.1111/j.1752-7325.2011.00223.x. Thomas A, Menon A, Boruff J, Rodriguez AM, Ahmed S: Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review. Rycroft-Malone J: The PARIHS framework: a framework for guiding the implementation of evidence based practice. All ten studies reported using the Action Cycle. Some indication of the impact of this article can be gained from constructing a normalised citation count for comparison purposes. Google Scholar. Translating Evidence Into Practice Through Knowledge Impleme - LWW One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. Closer examination revealed that usage varied considerably, ranging from simple attribution via a reference through to being integral to most aspects of the implementation work. We acknowledge that there are multiple choices available when conducting citation searches. Nurs Stand. This MCHRI framework for impact has been adapted form multiple sources and from internal learnings and is underpinned by the Canadian knowledge to action process. A notable feature of the KTA Framework is the development of knowledge tools or products as part of Knowledge Creation. 1, Lgar F: Assessing barriers and facilitators to knowledge use. Rycroft-Malone J: Implementing evidence-based practice in the reality of clinical practice. 2002, 38: 94-104. (Dignan, M.B & Carr, P.A. Graham ID, Tetroe J: Some theoretical underpinnings of knowledge translation. Part of Knowledge Translation in Health Care: Moving from Evidence to Practice. PDF Introduction to Knowledge into Action - The Centre for Evidence-Based This inner component of the model is broken down into 3 phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) the creation of knowledge tools and products. This scheme may be useful for similar studies examining theory use. Five studies applied one or more phases [18],[20],[22],[24],[26].
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