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在一个以患者为导向的国家肾脏研究网络中界定知识转化的范围。

Defining the Scope of Knowledge Translation Within a National, Patient-Oriented Kidney Research Network.

作者信息

Elliott Meghan J, Allu Selina, Beaucage Mary, McKenzie Susan, Kappel Joanne, Harvey Rebecca, Morrin Louise, Soroka Steven, Graham Janet, Harding Cheryl, Pinsk Maury, Harris Heather, Tang Mila, Manns Braden

机构信息

University of Calgary, AB, Canada.

Can-SOLVE CKD Network, Vancouver, BC, Canada.

出版信息

Can J Kidney Health Dis. 2021 Apr 8;8:20543581211004803. doi: 10.1177/20543581211004803. eCollection 2021.

Abstract

PURPOSE OF PROGRAM

Integrated knowledge translation (IKT) is a collaborative approach whereby knowledge created through health research is utilized in ways that are relevant to the needs of all stakeholders. However, research teams have limited capacity and know-how for achieving IKT, resulting in a disconnect between the generation and application of knowledge. The goal of this report is to describe how IKT research was achieved across a large-scale, patient-oriented research network, Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD).

SOURCES OF INFORMATION

Resources to facilitate knowledge translation (KT) planning across the network were developed by the Can-SOLVE CKD Knowledge User/Knowledge Translation Committee with reference to established Canadian KT and patient engagement tools and frameworks, review of the published and gray literature, and expertise of committee members.

METHODS

The Can-SOLVE CKD Knowledge User/Knowledge Translation Committee consisting of patient partners, health care providers, policymakers, and researchers provided oversight of the development and implementation of the network's IKT initiatives. Guided by its strategic framework, the committee developed KT planning templates and review checklists to assist network projects with preparing for dissemination, implementation, and scale and spread of their interventions. The committee has acted in a consultative capacity to facilitate IKT across network initiatives and has supported capacity building through KT activities aimed at network membership and knowledge users more broadly.

KEY FINDINGS

The Can-SOLVE CKD Knowledge User/Knowledge Translation Committee established a nation-wide strategy for KT infrastructure and capacity building. Acting as a knowledge intermediary, the committee has connected research teams with knowledge users across Canada to support practices and policies informed by evidence generated by the network. The committee has developed KT initiatives, including a Community of Practice, whereby participants across different regions and disciplines convene regularly to share health research knowledge and communications strategies relevant to the network. Critically, patients are engaged and contribute throughout the research process. Examples of IKT activities from select projects are provided, as well as ways for sustaining the network's KT platform.

LIMITATIONS

The KT resources developed by the committee were adapted from other established resources to meet the needs of the network and have not undergone formal evaluation in this context. Given the broad scope of the network, resources to facilitate implementation and knowledge user engagement may not meet the needs of all initiatives and must be tailored accordingly. Knowledge barriers, including a lack of information and skills related to conceptual and practical aspects of KT, among network members provided a rationale for various KT capacity-building initiatives.

IMPLICATIONS

The approach described here offers a practical method for achieving IKT, including how to plan, implement, and sustain initiatives across large-scale health research networks. Within the context of Can-SOLVE CKD, these efforts will shorten knowledge-practice gaps through producing and applying relevant research to improve the lives of people living with kidney disease.

摘要

项目目的

整合知识转化(IKT)是一种协作方法,通过这种方法,健康研究产生的知识以满足所有利益相关者需求的方式得到利用。然而,研究团队在实现IKT方面的能力和专业知识有限,导致知识的产生与应用之间存在脱节。本报告的目的是描述在一个大规模、以患者为导向的研究网络——加拿大慢性肾病解决方案与创新探索(Can-SOLVE CKD)中,IKT研究是如何实现的。

信息来源

Can-SOLVE CKD知识使用者/知识转化委员会参照加拿大既定的知识转化和患者参与工具及框架、已发表和灰色文献的综述以及委员会成员的专业知识,开发了促进网络内知识转化(KT)规划的资源。

方法

由患者合作伙伴、医疗保健提供者、政策制定者和研究人员组成的Can-SOLVE CKD知识使用者/知识转化委员会对网络的IKT计划的制定和实施进行监督。在其战略框架的指导下,该委员会制定了KT规划模板和审查清单,以协助网络项目为其干预措施的传播、实施以及扩大和推广做好准备。该委员会以协商的身份促进跨网络计划的IKT,并通过针对更广泛的网络成员和知识使用者的KT活动支持能力建设。

主要发现

Can-SOLVE CKD知识使用者/知识转化委员会建立了全国范围内的KT基础设施和能力建设战略。作为知识中介,该委员会将研究团队与加拿大各地的知识使用者联系起来,以支持基于网络产生的证据的实践和政策。该委员会开展了KT计划,包括一个实践社区,不同地区和学科的参与者定期聚集在一起,分享与网络相关的健康研究知识和传播策略。至关重要的是,患者在整个研究过程中都有参与并做出贡献。提供了部分项目的IKT活动示例以及维持网络KT平台的方法。

局限性

委员会开发的KT资源是从其他既定资源改编而来,以满足网络的需求,并且在此背景下尚未经过正式评估。鉴于网络范围广泛,促进实施和知识使用者参与的资源可能无法满足所有计划的需求,必须进行相应调整。网络成员中存在知识障碍,包括与KT的概念和实践方面相关的信息和技能缺乏,这为各种KT能力建设计划提供了依据。

启示

这里描述的方法提供了一种实现IKT的实用方法,包括如何在大规模健康研究网络中规划、实施和维持计划。在Can-SOLVE CKD的背景下,这些努力将通过产生和应用相关研究来缩短知识与实践之间的差距,以改善肾病患者的生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d8c/8040615/01bbfad177a3/10.1177_20543581211004803-fig1.jpg

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