Ryan David, Barnett Robert, Cott Cheryl, Dalziel William, Gutmanis Iris, Jewell David, Kelley Mary Lou, Liu Barbara, Puxty John
Director of Education & Knowledge Processes, Regional Geriatric Program of Toronto, Assistant Professor, Faculty of Medicine University of Toronto.
J Contin Educ Health Prof. 2013 Summer;33(3):180-9. doi: 10.1002/chp.21183.
Caring for frail seniors requires health professionals with skills and knowledge in 3 core competencies: geriatrics, interprofessional practice, and interorganizational collaboration. Despite a growing population of frail seniors in all developed countries, significant gaps exist in preparation of health professionals in these skills. To help close these gaps, a knowledge-to-practice (KTP) process was undertaken to increase the capacity of newly created family health teams and longer standing Community Health Centers in the Province of Ontario, Canada.
Each team identified a staff member to become its facilitator in the 3 core skill sets. Guided by a KTP framework, a set of training modules were created, compiled into a digital toolkit for transfer into practice, translated in a multimethods workshop, and implemented using a variety of strategies to optimize practice change.
Staff from 82% of the targeted primary care teams learned to use the toolkit in a train-the-facilitator process that was highly valued, and prompted a range of changes in personal and team practice. A digital toolkit for primary care teams remains an enduring and often used resource.
Closing the knowledge gap in the core competencies for frailty focused care is complex. A KTP framework helped guide a staged multimethod process that produced both individual and team practice change and on online toolkit that has a continuing influence.
照顾体弱的老年人需要具备三项核心能力的专业医护人员，即老年医学、跨专业实践和跨组织协作。尽管所有发达国家中体弱老年人的数量都在不断增加，但医护人员在这些技能方面的准备仍存在显著差距。为了缩小这些差距，加拿大安大略省开展了一个知识转化为实践（KTP）的过程，以提高新组建的家庭健康团队以及历史更久的社区健康中心的能力。
每个团队都指定了一名工作人员，让其成为这三项核心技能的推动者。在一个KTP框架的指导下，创建了一套培训模块，汇编成一个数字工具包以便转化为实践，在一个多方法研讨会上进行翻译，并采用多种策略来实施以优化实践变革。
82%的目标初级保健团队的工作人员在一个备受重视的培训推动者的过程中学会了使用该工具包，并促使个人和团队实践发生了一系列变化。一个针对初级保健团队的数字工具包仍然是一种持久且经常被使用的资源。
缩小体弱老年人护理核心能力方面的知识差距是复杂的。一个KTP框架有助于指导一个分阶段的多方法过程，该过程带来了个人和团队实践的改变以及一个具有持续影响力的在线工具包。
