Bucknall Tracey
Deakin University, Australia.
Nurs Res. 2007 Jul-Aug;56(4 Suppl):S60-6. doi: 10.1097/01.NNR.0000280630.40784.0f.
Research findings become evidence when an individual decides that the information is relevant and useful to a particular circumstance. Prior to that point, they are unrelated facts. For research translation to occur, research evidence needs filtering, interpretation, and application by individuals to the specific situation. For this reason, decision science is complementary to knowledge translation science. Both aim to support the individual in deciding the most appropriate action in a dynamic environment where there are masses of uncensored and nonprioritized information readily available. Decision science employs research theories to study the cognitive processes underpinning the filtering and integration of current scientific information into changing contexts. Two meta-theories, coherence and correspondence theories, have been used to provide alternative views and prompt significant debate to advance the science. The aim of this article is to stimulate debate about the relationship between decision theory and knowledge translation. Discussed is the critical role of cognition in clinical decision making, with a focus on knowledge translation. A critical commentary of the knowledge utilization modeling papers is presented from a decision science perspective. The article concludes with a discussion on the implications for knowledge translation when viewed through the lens of decision science.
当个人认定某信息与特定情形相关且有用时，研究发现才成为证据。在此之前，它们只是孤立的事实。为实现研究成果的转化，研究证据需要个体进行筛选、解读并应用于具体情境。因此，决策科学与知识转化科学相辅相成。二者都旨在帮助个体在海量未经筛选和未区分优先级的信息随时可得的动态环境中，决定最恰当的行动。决策科学运用研究理论来研究认知过程，这些认知过程是将当前科学信息筛选并整合到不断变化的情境中的基础。两种元理论，即连贯论和符合论，被用于提供不同观点，并引发了重大辩论以推动该学科发展。本文旨在激发关于决策理论与知识转化之间关系的辩论。讨论了认知在临床决策中的关键作用，重点是知识转化。从决策科学的角度对知识利用建模论文进行了批判性评论。文章最后讨论了从决策科学视角看待知识转化时所产生的影响。
