Faculty of Health Education and Life Sciences, Birmingham City University, Birmingham, UK.
Information Resources Group, HEDS, ScHARR, The University of Sheffield, Sheffield, UK.
J Adv Nurs. 2021 Feb;77(2):523-536. doi: 10.1111/jan.14586. Epub 2020 Oct 17.
To review when, how, and in what context knowledge mobilization (KMb) has crossed patient-practitioner-researcher boundaries.
KMb is essential in contemporary health care, yet little is known about how patients are engaged.
Integrative review.
Ten academic databases and grey literature.
We followed integrative review methodology to identify publications from 2006-2019 which contributed to understanding of cross-boundary KMb. We extracted data using a bespoke spreadsheet and the Template for Intervention Description and Replication (TIDieR) framework. We used meta-summary to organize key findings.
Thirty-three papers collectively provide new insights into 'when' and 'how' KMb has crossed patient-researcher-practitioner boundaries and the impact this has achieved. Knowledge is mobilized to improve care, promote health, or prevent ill health. Most studies focus on creating or re-shaping knowledge to make it more useful. Knowledge is mobilized in small community groups, in larger networks, and intervention studies. Finding the right people to engage in activities is crucial, as activities can be demanding and time-consuming. Devolving power to communities and using local people to move knowledge can be effective. Few studies report definitive outcomes of KMb.
Cross-boundary KMb can and does produce new and shared knowledge for health care. Positive outcomes can be achieved using diverse public engagement strategies. KMb process and theory is an emerging discipline, further research is needed on effective cross-boundary working and on measuring the impact of KMb.
This review provides new and nuanced understandings of how KMb theory has been used to bridge patient-researcher-practitioner boundaries. We have assessed 'how', 'when', and in what context patients, practitioners and researchers have attempted to mobilize knowledge and identified impact. We have developed a knowledge base about good practice and what can and potentially should be avoided in cross-boundary KMb.
回顾知识转移（KMb）何时、如何以及在何种背景下跨越了医患-研究人员的界限。
KMb 在当代医疗保健中至关重要，但对于如何让患者参与知之甚少。
综合审查。
十个学术数据库和灰色文献。
我们遵循综合审查方法，从 2006 年至 2019 年确定了有助于理解跨边界 KMb 的出版物。我们使用定制的电子表格和干预描述和复制模板（TIDieR）框架提取数据。我们使用元总结来组织关键发现。
33 篇论文共同提供了有关 KMb 何时以及如何跨越医患-研究人员-实践者界限以及实现这一目标的新见解。知识转移是为了改善护理、促进健康或预防健康不良。大多数研究都专注于创建或重塑知识，使其更有用。知识在小型社区团体、大型网络和干预研究中转移。找到合适的人参与活动至关重要，因为活动可能要求高且耗时。将权力下放给社区并利用当地人转移知识可能会很有效。很少有研究报告 KMb 的明确结果。
跨边界 KMb 可以为医疗保健提供新的和共享的知识。使用各种公众参与策略可以实现积极的成果。KMb 过程和理论是一个新兴学科，需要进一步研究有效的跨边界工作和 KMb 的影响衡量。
本综述提供了对 KMb 理论如何用于弥合医患-研究人员-实践者之间的界限的新的和细致的理解。我们评估了患者、从业者和研究人员何时、如何以及在何种背景下试图转移知识，并确定了影响。我们已经开发了一个关于良好实践的知识库，以及在跨边界 KMb 中可以避免和潜在应该避免的内容。
