Ontario Tech University, Oshawa, ON, Canada.
Canadian Memorial Chiropractic College, ON, Toronto, Canada.
BMC Health Serv Res. 2021 Sep 6;21(1):926. doi: 10.1186/s12913-021-06955-7.
End-user involvement in developing evidence-based tools for clinical practice may result in increased uptake and improved patient outcomes. Understanding end-user experiences and perceptions about the co-production of knowledge is useful to further the science of integrated knowledge translation (iKT) - a strategy for accelerating the uptake and impact of research. Our study had two main objectives: (1) explore end-user (clinician) experiences of co-producing an evidence-based practice tool; and (2) describe end-user perceptions in knowledge development.
We used a qualitative study design. We conducted semi-structured interviews with clinicians and used a transcendental phenomenological approach to analyze themes/phenomena. In addition, we explored the interrelated themes between the thematic maps of each objective.
Four themes emerged from clinicians' experiences in co-producing the practice tool: ease/convenience of participating, need for support and encouragement, understanding the value of participating, and individual skillsets yield meaningful contributions. Stakeholder roles in knowledge tool development and improving dissemination of evidence and knowledge tools were themes that related to clinician perceptions in knowledge development. The review of interrelated thematic maps depicts an intertwined relationship between stakeholders and dissemination.
End-users provide invaluable insight and perspective into the development of evidence-based clinical tools. Exploring the experiences and perceptions of end-users may support future research endeavours involving iKT, such as the co-production of clinical resources, potentially improving uptake and patient health outcomes.
终端用户参与开发基于证据的临床实践工具可能会增加采用率并改善患者的预后。了解终端用户对知识共同生产的经验和看法有助于进一步推动综合知识转化（iKT）的科学发展，这是一种加速研究采用和影响的策略。我们的研究有两个主要目标：（1）探索终端用户（临床医生）共同开发基于证据的实践工具的经验；（2）描述知识开发中的终端用户感知。
我们使用了定性研究设计。我们对临床医生进行了半结构化访谈，并采用了先验现象学方法来分析主题/现象。此外，我们还探讨了每个目标的主题地图之间的相互关联的主题。
临床医生在共同开发实践工具方面的经验中出现了四个主题：参与的方便性/便利性、需要支持和鼓励、理解参与的价值、以及个人技能集产生有意义的贡献。利益相关者在知识工具开发中的角色以及改进证据和知识工具的传播是与临床医生在知识开发中的感知相关的主题。相关主题地图的审查描绘了利益相关者和传播之间的交织关系。
终端用户为开发基于证据的临床工具提供了宝贵的见解和观点。探索终端用户的经验和看法可能会支持涉及 iKT 的未来研究工作，例如共同开发临床资源，从而有可能提高采用率并改善患者的健康结果。
