Khoddam Homeira, Mehrdad Neda, Peyrovi Hamid, Kitson Alison L, Schultz Timothy J, Athlin Asa Muntlin
1. PhD candidate of Nursing, Nursing and Midwifery School of Iran University of Medical Sciences, Tehran, & Faculty member of Nursing and Midwifery school, Golestan University of Medical Sciences, Gorgan, Iran.
2. Associate Professor of Nursing, Knowledge Utilization Research Center (KURC) &Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2014 Sep 17;28:98. eCollection 2014.
Although knowledge translation is one of the most widely used concepts in health and medical literature, there is a sense of ambiguity and confusion over its definition. The aim of this paper is to clarify the characteristics of KT. This will assist the theoretical development of it and shape its implementation into the health care system Methods: Walker and Avant's framework was used to analyze the concept and the related literature published between 2000 and 2010 was reviewed. A total of 112 papers were analyzed.
Review of the literature showed that "KT is a process" and "implementing refined knowledge into a participatory context through a set of challenging activities" are the characteristics of KT. Moreover, to occur successfully, KT needs some necessary antecedents like an integrated source of knowledge, a receptive context, and preparedness. The main consequence of successful process is a change in four fields of healthcare, i.e. quality of patient care, professional practice, health system, and community. In addition, this study revealed some empirical referents which are helpful to evaluate the process.
By aiming to portray a clear picture of KT, we highlighted its attributes, antecedents, consequences and empirical referents. Identifying the characteristics of this concept may resolve the existing ambiguities in its definition and boundaries thereby facilitate distinction from similar concepts. In addition, these findings can be used as a knowledge infrastructure for developing the KT-related models, theories, or tools.
尽管知识转化是健康与医学文献中使用最为广泛的概念之一，但其定义仍存在模糊和混淆之处。本文旨在阐明知识转化的特征。这将有助于其理论发展，并使其在医疗保健系统中的实施得以成形。方法：采用沃克和阿万特的框架对该概念进行分析，并回顾了2000年至2010年间发表的相关文献。共分析了112篇论文。
文献回顾表明，“知识转化是一个过程”以及“通过一系列具有挑战性的活动将精炼的知识应用于参与性情境”是知识转化的特征。此外，为了成功发生，知识转化需要一些必要的前提条件，如综合的知识来源、接受性的情境和准备状态。成功过程的主要结果是医疗保健四个领域的变化，即患者护理质量、专业实践、卫生系统和社区。此外，本研究还揭示了一些有助于评估该过程的实证参照。
通过旨在清晰描绘知识转化的图景，我们突出了其属性、前提条件、结果和实证参照。确定这一概念的特征可能会解决其定义和边界中现有的模糊性，从而便于与类似概念区分开来。此外，这些发现可作为开发与知识转化相关的模型、理论或工具的知识基础。
