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对加拿大马尼托巴省卫生研究人员知识转化实践的描述性定性研究。

A descriptive qualitative examination of knowledge translation practice among health researchers in Manitoba, Canada.

机构信息

Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, 379 - 753 McDermot Avenue, Winnipeg, MB, R3E 0T6, Canada.

George and Fay Yee Centre for Healthcare Innovation, 379 - 753 McDermot Avenue, Winnipeg, MB, R3E 0T6, Canada.

出版信息

BMC Health Serv Res. 2017 Sep 6;17(1):627. doi: 10.1186/s12913-017-2573-9.

Abstract

BACKGROUND

The importance of effective translation of health research findings into action has been well recognized, but there is evidence to suggest that the practice of knowledge translation (KT) among health researchers is still evolving. Compared to research user stakeholders, researchers (knowledge producers) have been under-studied in this context. The goals of this study were to understand the experiences of health researchers in practicing KT in Manitoba, Canada, and identify their support needs to sustain and increase their participation in KT.

METHODS

Qualitative semi-structured interviews were conducted with 26 researchers studying in biomedical; clinical; health systems and services; and social, cultural, environmental and population health research. Interview questions were open-ended and probed participants' understanding of KT, their experiences in practicing KT, barriers and facilitators to practicing KT, and their needs for KT practice support.

RESULTS

KT was broadly conceptualized across participants. Participants described a range of KT practice experiences, most of which related to dissemination. Participants also expressed a number of negative emotions associated with the practice of KT. Many individual, logistical, and systemic or organizational barriers to practicing KT were identified, which included a lack of institutional support for KT in both academic and non-academic systems. Participants described the presence of good relationships with stakeholders as a critical facilitator for practicing KT. The most commonly identified needs for supporting KT practice were access to education and training, and access to resources to increase awareness and promotion of KT. While there were few major variations in response trends across most areas of health research, the responses of biomedical researchers suggested a unique KT context, reflected by distinct conceptualizations of KT (such as commercialization as a core component), experiences (including frustration and lack of support), and barriers to practicing KT (for example, intellectual property concerns).

CONCLUSIONS

The major findings of this study were the continued variations in conceptualization of KT, and persisting support needs that span basic individual to comprehensive systemic change. Expanding the study to additional regions of Canada will present opportunities to compare and contrast the state of KT practice and its influencing factors.

摘要

背景

将健康研究成果有效转化为行动的重要性已得到广泛认可,但有证据表明,健康研究人员在知识转化(KT)方面的实践仍在不断发展。与研究用户利益相关者相比,在这种情况下,研究人员(知识生产者)的研究相对较少。本研究的目的是了解加拿大马尼托巴省健康研究人员在实践 KT 方面的经验,并确定他们在维持和增加参与 KT 方面的支持需求。

方法

对 26 名从事生物医学、临床、卫生系统和服务以及社会、文化、环境和人口健康研究的研究人员进行了定性半结构式访谈。访谈问题是开放式的,探讨了参与者对 KT 的理解、他们在实践 KT 方面的经验、实践 KT 的障碍和促进因素,以及他们对 KT 实践支持的需求。

结果

KT 在参与者中被广泛理解。参与者描述了一系列 KT 实践经验,其中大部分与传播有关。参与者还表达了与实践 KT 相关的许多负面情绪。许多个人、后勤和系统或组织障碍被确定为实践 KT 的障碍,包括学术和非学术系统中缺乏对 KT 的机构支持。参与者描述了与利益相关者保持良好关系是实践 KT 的关键促进因素。支持 KT 实践最常被识别的需求是获得教育和培训的机会,以及获得资源以提高对 KT 的认识和推广。尽管在大多数健康研究领域的大多数领域的反应趋势都没有太大差异,但生物医学研究人员的反应表明存在一个独特的 KT 背景,这反映在 KT 的不同概念化(例如,商业化作为一个核心组成部分)、经验(包括挫折感和缺乏支持)以及实践 KT 的障碍(例如,知识产权问题)。

结论

本研究的主要发现是 KT 的概念化持续变化,以及持续存在的支持需求,从基本的个人到全面的系统变化。将研究扩展到加拿大的其他地区将提供机会,比较和对比 KT 实践及其影响因素的状况。

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