Research Center of the Centre Hospitalier Universitaire de Québec, Québec, Canada.
Implement Sci. 2011 Jul 13;6:72. doi: 10.1186/1748-5908-6-72.
Knowledge translation (KT) is an imperative in order to implement research-based and contextualized practices that can answer the numerous challenges of complex health problems. The Chronic Care Model (CCM) provides a conceptual framework to guide the implementation process in chronic care. Yet, organizations aiming to improve chronic care require an adequate level of organizational readiness (OR) for KT. Available instruments on organizational readiness for change (ORC) have shown limited validity, and are not tailored or adapted to specific phases of the knowledge-to-action (KTA) process. We aim to develop an evidence-based, comprehensive, and valid instrument to measure OR for KT in healthcare. The OR for KT instrument will be based on core concepts retrieved from existing literature and validated by a Delphi study. We will specifically test the instrument in chronic care that is of an increasing importance for the health system.
Phase one: We will conduct a systematic review of the theories and instruments assessing ORC in healthcare. The retained theoretical information will be synthesized in a conceptual map. A bibliography and database of ORC instruments will be prepared after appraisal of their psychometric properties according to the standards for educational and psychological testing. An online Delphi study will be carried out among decision makers and knowledge users across Canada to assess the importance of these concepts and measures at different steps in the KTA process in chronic care.Phase two: A final OR for KT instrument will be developed and validated both in French and in English and tested in chronic disease management to measure OR for KT regarding the adoption of comprehensive, patient-centered, and system-based CCMs.
This study provides a comprehensive synthesis of current knowledge on explanatory models and instruments assessing OR for KT. Moreover, this project aims to create more consensus on the theoretical underpinnings and the instrumentation of OR for KT in chronic care. The final product--a comprehensive and valid OR for KT instrument--will provide the chronic care settings with an instrument to assess their readiness to implement evidence-based chronic care.
知识转化（KT）是必要的，以实施基于研究和上下文的实践，从而应对复杂健康问题的众多挑战。慢性病照护模式（CCM）为指导慢性病照护实施过程提供了一个概念框架。然而，旨在改善慢性病照护的组织需要有足够的知识转化准备度（OR）。现有的组织变革准备度（ORC）工具在效度方面显示出了局限性，并且不适用于知识转化行动（KTA）过程的特定阶段。我们旨在开发一种基于证据的、全面的、有效的工具，以衡量医疗保健领域的 KT 准备度。KT 准备度工具将基于从现有文献中检索到的核心概念，并通过德尔菲研究进行验证。我们将特别在慢性病照护中测试该工具，因为它对卫生系统越来越重要。
第一阶段：我们将对评估医疗保健中 ORC 的理论和工具进行系统回顾。保留的理论信息将综合在一个概念图中。在根据教育和心理测试的标准评估其心理测量特性后，将准备一份 ORC 工具的参考书目和数据库。将在加拿大各地的决策者和知识使用者中进行在线德尔菲研究，以评估这些概念和措施在慢性病 KTA 过程的不同步骤中的重要性。第二阶段：将以法语和英语开发和验证最终的 KT 准备度工具，并在慢性病管理中进行测试，以衡量采用全面、以患者为中心和基于系统的 CCM 时的 KT 准备度。
本研究对解释性模型和评估 KT 准备度的工具的现有知识进行了全面综合。此外，该项目旨在就慢性病照护中 KT 准备度的理论基础和工具达成更多共识。最终产品——一个全面有效的 KT 准备度工具——将为慢性病照护环境提供一个评估其实施基于证据的慢性病照护的准备度的工具。
