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在社区医院中培养知识转化能力:面向医疗保健提供者、研究人员和领导层的基于实践的课程。

Building knowledge translation competency in a community-based hospital: a practice-informed curriculum for healthcare providers, researchers, and leadership.

机构信息

Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, Toronto, ON, M4G 1R8, Canada.

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Department of Occupational Science & Occupational Therapy, Rehabilitation Sciences Institute, University of Toronto, 150 Kilgour Road, Toronto, ON, M4G 1R8, Canada.

出版信息

Implement Sci. 2020 Jul 3;15(1):54. doi: 10.1186/s13012-020-01013-y.

Abstract

BACKGROUND

Enacting knowledge translation (KT) in healthcare settings is a complex process that requires organizational facilitation. In addition to addressing organizational-level barriers, targeting individual-level factors such as KT competencies are a necessary component of this aim. While literature on KT competency training is rapidly growing, there has been little exploration of the potential benefits of training initiatives delivered from an intra-organizational perspective. Addressing this gap, we developed the Knowledge Translation Facilitator Network (KTFN) to meet the KT needs of individuals expected to use and produce knowledge (e.g., healthcare providers, research staff, managers, family advisors) within an academic health sciences center. The aim of this study is to describe the development, implementation, and evaluation of the KTFN curriculum.

METHODS

An educational framework was used to guide creation of the KTFN curriculum. Stakeholder interviews, a literature review of KT competency, and environmental scan of capacity building initiatives plus adult learning principles were combined with in-house experience of KT practitioners to inform content and delivery. An evaluation strategy consisting of pre/post-test curriculum and post-session satisfaction surveys, as well as post-curriculum interviews assessed impact on participant knowledge and skills and captured perceived value of KFTN.

RESULTS

The curriculum has been delivered three times over 3 years, with 30 individuals trained, representing healthcare providers, graduate level research trainees, managers, and family advisors. Using the New World Kirkpatrick Model as an analysis framework, we found that the KTFN curriculum was highly valued and shifted learners' perceptions of KT. Participants identified enhanced knowledge and skills that could be applied to different facets of their work; increased confidence in their ability to execute KT tasks; and intention to use the content in future projects. Barriers to future use included time to plan and conduct KT activities.

CONCLUSION

KTFN was developed to enhance KT competency among organizational members. This initiative shows promise as a highly valued training program that meets both individual and organizational KT needs and speaks to the importance of investing in tailored KT competency initiatives as an essential building block to support moving evidence into practice.

摘要

背景

在医疗保健环境中实施知识转化(KT)是一个复杂的过程,需要组织的促进。除了解决组织层面的障碍外,针对 KT 能力等个人层面的因素也是实现这一目标的必要组成部分。尽管关于 KT 能力培训的文献迅速增加,但从组织内部角度探讨培训计划的潜在益处的研究却很少。为了解决这一差距,我们开发了知识转化促进者网络(KTFN),以满足预计将在学术医疗保健中心内使用和产生知识的个人的 KT 需求(例如医疗保健提供者、研究人员、管理人员、家庭顾问)。本研究的目的是描述 KTFN 课程的开发、实施和评估。

方法

使用教育框架来指导 KTFN 课程的创建。利益相关者访谈、KT 能力文献综述以及能力建设计划的环境扫描以及 KT 从业者的内部经验相结合,为内容和交付提供了信息。评估策略包括课前/课后课程测试和课后满意度调查,以及课程后的访谈,评估对参与者知识和技能的影响,并捕获对 KTFN 的感知价值。

结果

该课程在三年内已交付三次,培训了 30 名参与者,代表医疗保健提供者、研究生研究培训人员、管理人员和家庭顾问。使用新世界柯克帕特里克模型作为分析框架,我们发现 KTFN 课程受到高度重视,并改变了学习者对 KT 的看法。参与者确定了增强的知识和技能,这些知识和技能可应用于他们工作的不同方面;增强了他们执行 KT 任务的能力;并打算在未来的项目中使用该内容。未来使用的障碍包括规划和开展 KT 活动的时间。

结论

KTFN 的开发是为了增强组织成员的 KT 能力。这项举措显示出作为一项高价值培训计划的潜力,它既满足了个人和组织的 KT 需求,又强调了投资于量身定制的 KT 能力计划的重要性,这是支持将证据转化为实践的重要基石。

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