Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Implement Sci. 2009 Aug 10;4:51. doi: 10.1186/1748-5908-4-51.
The knowledge translation field is undermined by two interrelated gaps - underdevelopment of the science and limited use of research in health services and health systems decision making. The importance of context in theory development and successful translation of knowledge has been identified in past research. Additionally, examination of knowledge translation in the long-term care (LTC) sector has been seriously neglected, despite the fact that aging is increasingly identified as a priority area in health and health services research.
The aims of this study are: to build knowledge translation theory about the role of organizational context in influencing knowledge use in LTC settings and among regulated and unregulated caregivers, to pilot knowledge translation interventions, and to contribute to enhanced use of new knowledge in LTC.
This is a multi-level and longitudinal program of research comprising two main interrelated projects and a series of pilot studies. An integrated mixed method design will be used, including sequential and simultaneous phases to enable the projects to complement and inform one another. Inferences drawn from the quantitative and qualitative analyses will be merged to create meta-inferences.
Outcomes will include contributions to (knowledge translation) theory development, progress toward resolution of major conceptual issues in the field, progress toward resolution of methodological problems in the field, and advances in the design of effective knowledge translation strategies. Importantly, a better understanding of the contextual influences on knowledge use in LTC will contribute to improving outcomes for residents and providers in LTC settings.
知识转化领域受到两个相互关联的差距的影响——科学发展不足以及在卫生服务和卫生系统决策中对研究的应用有限。过去的研究已经确定了理论发展和知识成功转化中背景的重要性。此外，尽管老龄化越来越被认为是卫生和卫生服务研究的优先领域，但长期护理（LTC）领域的知识转化研究却严重被忽视。
本研究的目的是：构建关于组织背景在影响 LTC 环境中的知识使用以及在受监管和不受监管的护理人员中的知识使用方面的知识转化理论；试点知识转化干预措施；并促进在 LTC 中更好地利用新知识。
这是一个多层次和纵向的研究计划，包括两个主要的相互关联的项目和一系列试点研究。将采用综合混合方法设计，包括顺序和同时阶段，以使项目相互补充和相互提供信息。从定量和定性分析中得出的推论将被合并以创建元推论。
结果将包括对（知识转化）理论发展的贡献、在该领域重大概念问题的解决方面取得的进展、在该领域方法问题的解决方面取得的进展以及有效知识转化策略设计的进展。重要的是，更好地了解 LTC 中的知识应用的背景影响将有助于改善 LTC 环境中居民和提供者的结果。
