Estabrooks Carole A, Thompson David S, Lovely J Jacque E, Hofmeyer Anne
Knowledge Utilization Studies Program, and Canada Research Chair, Knowledge Translation, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
J Contin Educ Health Prof. 2006 Winter;26(1):25-36. doi: 10.1002/chp.48.
Despite calls over several decades for theory development, there remains no overarching knowledge-translation theory. However, a range of models and theoretical perspectives focused on narrower and related areas have been available for some time. We provide an overview of selected perspectives that we believe are particularly useful for developing testable and useful knowledge-translation interventions. In addition, we discuss adjuvant theories necessary to complement these perspectives. We draw from organizational innovation, health, and social sciences literature to illustrate the similarities and differences of various theoretical perspectives related to the knowledge-translation field.A variety of theoretical perspectives useful to knowledge translation exist. They are often spread across disciplinary boundaries, making them difficult to locate and use. Poor definitional clarity, discipline-specific terminology, and implicit assumptions often hinder the use of complementary perspectives. Health care environments are complex, and assessing the setting prior to selecting a theory should be the first step in knowledge-translation initiatives. Finding a fit between setting (context) and theory is important for knowledge-translation initiatives to succeed. Because one theory will not fit all contexts, it is helpful to understand and use several different theories. Although there are often barriers associated with combining theories from different disciplines, such obstacles can be overcome, and to do so will increase the likelihood that knowledge-translation initiatives will succeed.
尽管几十年来一直呼吁进行理论发展,但仍然没有一个总体的知识转化理论。然而,一段时间以来,已经有一系列关注较窄相关领域的模型和理论视角。我们概述了一些我们认为对开发可测试且有用的知识转化干预措施特别有用的视角。此外,我们还讨论了补充这些视角所需的辅助理论。我们借鉴组织创新、健康和社会科学文献来说明与知识转化领域相关的各种理论视角的异同。
存在多种对知识转化有用的理论视角。它们常常跨越学科界限,难以定位和使用。定义不够清晰、特定学科的术语以及隐含假设常常阻碍互补视角的使用。医疗保健环境复杂,在选择理论之前评估环境应是知识转化举措的第一步。找到环境(背景)与理论之间的契合点对于知识转化举措的成功很重要。由于一种理论并不适用于所有情况,理解和使用几种不同的理论会有所帮助。尽管将不同学科的理论结合起来往往存在障碍,但这些障碍是可以克服的,这样做将增加知识转化举措成功的可能性。