Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Methods Mol Biol. 2021;2249:467-482. doi: 10.1007/978-1-0716-1138-8_25.
There is a significant gap between what is known and what is implemented by key stakeholders in practice (the evidence to practice gap). The primary purpose of knowledge translation is to address this gap, bridging evidence to clinical practice. The knowledge to action cycle is one framework for knowledge translation that integrates policy makers throughout the research cycle. The knowledge to action cycle begins with the identification of a problem (usually a gap in care provision). After identification of the problem, knowledge creation is undertaken, depicted at the center of the cycle as a funnel. Knowledge inquiry is at the wide end of the funnel, and moving down the funnel, the primary data is synthesized into knowledge products in the form of educational materials, guidelines, decision aids, or clinical pathways. The remaining components of the knowledge to action cycle refer to the action of applying the knowledge that has been created. This includes adapting knowledge to local context, assessing barriers to knowledge use, selecting, tailoring implementing interventions, monitoring knowledge use, evaluating outcomes, and sustaining knowledge use. Each of these steps is connected by bidirectional arrows and ideally involves health-care decision makers and key stakeholders at each transition.
在关键利益相关者的实践中，已知和实施之间存在显著差距（证据与实践差距）。知识转化的主要目的是解决这一差距，将证据转化为临床实践。知识到行动循环是知识转化的一个框架，它将政策制定者纳入整个研究周期。知识到行动循环始于识别问题（通常是护理提供方面的差距）。问题确定后，就进行知识创造，在循环的中心描绘为一个漏斗。知识探究处于漏斗的宽端，沿着漏斗向下，主要数据以教育材料、指南、决策辅助工具或临床路径的形式综合成知识产品。知识到行动循环的其余部分指的是应用已创造的知识的行动。这包括使知识适应当地情况、评估知识使用的障碍、选择、调整实施干预措施、监测知识使用、评估结果和维持知识使用。这些步骤中的每一个都通过双向箭头连接，理想情况下涉及到每个过渡的医疗保健决策者和主要利益相关者。
