In summary, KTA is applying knowledge to real life situations. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. We thank Jennifer Read who provided BF with academic supervision for her MSc dissertation. 2009, 6: Paper 10-10.2202/1548-923X.1741. 61801, 2016 The Board of Trustees of the University of Illinois. 61107, 102 Medical Sciences Building, 506 S. Mathews, Urbana, The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY) used the KTA Framework to underpin a programme of knowledge translation work undertaken between 2008 and 2013 [12]. 2010, 5: 82-10.1186/1748-5908-5-82. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. In other cases, we made an initial judgement, based on the abstract or a Google text fragment, that the paper was not about an empirical, real-life, knowledge translation or implementation project. Unfortunately, an implemented change is not usually self-sustaining and requires ongoing monitoring and effort. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. This may explain the varying degrees to which the framework was used. Harrison, S.E. PRISMA flow diagram of citation analysis and systematic literature review. Implement Sci. We recognise that assimilation and utilisation of an influential framework is a continuous process and that we have employed essentially a cross-sectional method to survey the literature. Such work may require additional funding for longer term monitoring or strategies to sustain knowledge use over time. Between 2009 and 2013, she was a Knowledge Translation Project Lead with the NIHR CLAHRC SY. Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. Nilsens paper provides an overview of evaluation frameworks to guide evaluation of implementation strategies [7]. By using this website, you agree to our There are a number of factors that can hinder or enhance the uptake of knowledge, including issues relating to the knowledge itself, factors relating to those who will be using the knowledge, and the context where the knowledge is to be used. Citation searching for the original reference by Graham and colleagues [1] optimised the sensitivity and specificity of the search strategy. Knowledge becomes more refined as it moves through these three steps. [http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf]. Action phases may be carried out sequentially or simultaneously; knowledge phases may impact on the action phases. This involves valuing the utility of the knowledge to the problem, setting and circumstances, as well as tailoring the knowledge to the specific situation. Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A: Getting evidence into practice: ingredients for change. Straus S, Graham I: Development of a mentorship strategy: a knowledge translation case study. Citation searches were limited to the period from 2006 (the date of publication of the source paper) to July 2013. Med Care Res Rev. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. 10.1111/j.1752-7325.2011.00223.x. Petzold A, Korner-Bitensky N, Menon A: Using the knowledge to action process model to incite clinical change. None described applying every phase of the KTA Framework. Making sense of implementation theories, models and frameworks. The findings informed their conceptual framework, which was intended to address the need for conceptual clarity in the KTA field and to offer a framework to help elucidate what we believe to be the key elements of the KTA process [1] (p. 14). Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. Finding Health Statistics: Going Beyond the Literature, Learning, Leadership, and Professionalism, NExT Online Course for Public Health Nursing, Program planning for health education and promotion, Special Collections & University Archives, Nursing Experts: Translating the Evidence - Public Health Nursing, The Canadian Institute of Health Research, https://pubmed.ncbi.nlm.nih.gov/16557505/, https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8, "Knowledge translation strategies to improve the use of evidence in public health decision making in local government: intervention design and implementation plan" (2013), "Knowledge translation within a population health study: how do you do it?" However, supplementary hypertext links could be followed up from Google Scholar to either an abstract or, optimally, to the full text. 10.1046/j.1365-2648.2002.02150.x. One can also move between the knowledge creation phase and the action cycle, in an iterative fashion. Provided by the Springer Nature SharedIt content-sharing initiative. Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. The KTA Framework is a framework for guiding the process of KT, adopted by the Canadian Institutes of Health Research (CIHR) and other organizations worldwide. 2013, Wiley-Blackwell BMJ Books, Oxford, 2, Book Why use theory to guide the process of moving evidence into action? Knowledge to Action Model. Cookies policy. However, it is worth noting that clinical guidelines could be categorised as knowledge tools/products and/or implementation strategies depending on if, and how, the guideline features in the framework. Throughout each of these stages, researchers can take an integrated approach, tailoring their activities (be they developing research questions, messages or dissemination strategies) to that of the end-users. Hua D, Carter S, Bellerive J, Allu SO, Reid D, Tremblay G, Lindsay P, Tobe SW: Bridging the gap: innovative knowledge translation and the Canadian hypertension education program. Implement Sci. Development of a theory coding scheme. The Action Cycle focuses on the processes needed to implement knowledge in healthcare settings including identifying problems; assessing determinants of KT; selecting, tailoring, implementing, and evaluating KT interventions; and determining strategies for ensuring sustained knowledge use. 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. Search for more papers by this author. This review seeks to answer two questions: Is the KTA Framework being used in practice? and If so, how is the KTA Framework being used in practice? We were interested in the real-life application of this conceptual framework to real-world implementation challenges. Most of the theories were interdisciplinary or from nursing and were published between 1983 and 2006 [11]. The knowledge to action (KTA) is a process model that helps you select implementation strategies. Those excluded at this stage included literature reviews and conceptual, descriptive or commentary papers, papers describing a single knowledge translation strategy or not topically relevant. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. (Dignan, M.B & Carr, P.A. We initially included 146 studies that reported using the KTA Framework. PubMed 61656, Rockford, Guide to Evidence Based Practice and Knowledge Translation for Public Health Nursing. Our review, and similar studies [39],[40],[43]-[45], consistently comments on the limited, haphazard use of theory, even though theories can be applied in many different ways [41]. Given the incomplete abstracts obtained via Google Scholar, a rule-out strategy was employed. Most studies created a range of products, either as part of Knowledge Creation [18],[20],[21],[26] or the Action Cycle [21],[23],[24]. We recommend using the latest version of IE11, Edge, Chrome, Firefox or 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. Conventional views support the use of theories, models and conceptual frameworks to underpin the process of change, yet in practice, their application seems more limited [40],[43]-[45]. The following analysis focuses on results relating to these ten integrated studies. Refresh the page, check Medium 's site status, or find. Using the knowledge to action process model to incite clinical change. Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. Summary of the Knowledge To Action Model and its application to . Knowledge Translation in Health Care: Moving from Evidence to Practice. Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. The KTA process has two components: (1) knowledge creation and (2) action. Although the terms conceptual frameworks, theories and models are often used interchangeably, conceptual frameworks are broad and descriptive, whereas theories and models are more specific and amenable to hypothesis testing [6]. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . Knowledge to Action Framework. The KTA Framework [1] was developed in Canada by Graham and colleagues in the 2000s in response to the confusing multiplicity of terms used to describe the process of moving knowledge into action [1]. Carroll C, Booth A, Cooper K: A worked example of best fit framework synthesis: a systematic review of views concerning the taking of some potential chemopreventive agents. When thinking about program planning and implementation, there are several important concepts that need to be considered. Knowledge Translation in Health Care: Moving from Evidence to Practice. This model provides a sequence of phases for researchers and clinicians to . The Knowledge to Action (KTA) framework is an effective approach in the implementation science literature to methodically guide the translation of evidence-based research findings into practice, putting knowledge into practical use. A taxonomy categorising the continuum of usage was developed. All authors read and approved the final manuscript. Edited by: Straus S, Tetroe J, Graham ID. J Clin Epidemiol. Translation - Moving the best evidence into professional practice. The KTA model lines up with KTDRR's goals. A few free articles for further reading Chicago, Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 10.1007/s10865-010-9260-1. Four of the ten studies [17],[19],[21],[23] reported gaining ethical approval, suggesting that these had been independently characterised as research. It may also be a reflection of the challenges for defining and reporting outcomes for knowledge translation projects. This flexibility was intended, as Graham and colleagues [1] state the framework can also accommodate different phases being accomplished by different stakeholders and groups (working independently of each other) at different points in time (p. 18). This frequency of use in Canada could be explained by the influence of national Canadian networks and dissemination activities. Knowing your audience and assessing the value, usefulness and appropriateness of the particular knowledge is critical to its uptake and sustained use. 2005, 58: 107-12. 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. Musk was a co-founder of OpenAI before leaving its board in 2018, and has complained recently of the company's move from a nonprofit model to a highly valuable business influenced by Microsoft. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. All ten studies reported using the Action Cycle. This reinforces the importance of theory fidelity and that authors refer to established taxonomies or reporting standards [36],[37],[40],[41] so we can understand how conceptual frameworks, theories and models are really used to guide practice or inform research. Important considerations for choosing a KT strategy (or strategies) include a clearly defined goal or objective for each strategy, an understanding of how the strategy overcomes one or more barriers to behaviour or attitude change, and the use of theory to inform selection and implementation. J Adv Nurs. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. Tugwell and colleagues [26] highlight this particular challenge, commenting that most outcomes in arthritis research are about pain and function. Springer Nature. Data for each phase were then synthesised across studies to help understand how the framework had been used in practice. 10.1037/a0016939. 1, Lgar F: Assessing barriers and facilitators to knowledge use. Article Action includes identifying and appraising the problem and the known research, identifying barriers and successes, planning and executing, and finally monitoring, evaluating, and adjusting. Addressing sustainability also involves planning for both the spread and scaling up of knowledge use, and concerns whether an innovation continues to be used beyond the initial implementation. The result set was reduced to 1,057 records following removal of duplicate and non-English language records. It is possible some potentially relevant studies were excluded during the initial sift stage. The Knowledge to Action (KTA) Framework was developed in Canada by Graham and colleagues in the 2000s, following a review of 31 planned action theories. The index citation for the source paper for the KTA Framework Lost in knowledge translation: time for a map? by Graham and colleagues [1] was identified on each of three databases that offered functionality for citation searching. 10.1002/chp.20077. All ten studies reported applying the Action Cycle, describing at least five of the seven possible phases (see Table 5). Firstly, we were interested in the practical application of the KTA Framework and thus in identifying papers where the KTA Framework appeared to be a fundamental guide to the work reported. Straus S, Tetroe J, Graham ID: Knowledge Translation in Health Care. In real-world practices of the Data-Information-Knowledge-Action model, data are collected surrounding a problem to be addressed, then the data are interpreted to identify competing explanations for the problem, as well as uncertainties of the explanations.
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