Department of Speech Pathology and Audiology, Faculty of Humanities, University of the Witwatersrand, Johannesburg.
S Afr J Commun Disord. 2023 Jul 31;70(1):e1-e9. doi: 10.4102/sajcd.v70i1.951.
Literature supports the mismatch between empirical evidence and service delivery. Given this knowledge gap, it is important that research undertaken has a theoretical foundation, considers the context and stakeholders to confirm its need and that it can be feasibly implemented and sustained.
The study aimed to facilitate knowledge translation in oral care using the knowledge-to-action (K2A) process model among nurses.
The study was completed in an acute hospital in South Africa. A qualitative design with ethnography incorporating video-recordings and semi-structured interviews were used. A total of 139 nurses were recruited using random purposive sampling and received training on oral care, which was monitored. Inductive thematic analysis was completed.
The model facilitated information transfer and implementation of oral care by nurses.
With clear directions for use and theoretical underpinning, the K2A model was well-suited to the needs of the study and stakeholders, and the complexity of the context. For challenging contexts such as public healthcare institutions in South Africa, this was ideal and critical to the success of the intervention.Contribution: When nursing managers show interest and recognise nurses for their role in implementation of interventions, the buy-in, support and sustained use of that intervention is enhanced. A model such as the K2A promotes involvement of all stakeholders (e.g. nurses and their managers) in the design and planning for implementation of an intervention, and these are critical for the successful and feasible use of the intervention.
文献表明实证证据与服务提供之间存在不匹配。鉴于这一知识差距，重要的是，所进行的研究要有理论基础，要考虑到背景和利益相关者，以确认其需求，并确保其能够切实可行地实施和维持。
本研究旨在利用知识转化行动（K2A）过程模型促进口腔护理方面的知识转化，研究对象为护士。
该研究在南非的一家急性医院进行。采用定性设计，结合人种学，包括录像和半结构化访谈。通过随机目的抽样共招募了 139 名护士，并对他们进行了口腔护理培训，同时对培训进行了监测。采用归纳主题分析进行分析。
该模型促进了护士对口腔护理信息的传递和实施。
K2A 模型具有明确的使用方向和理论基础，非常适合研究和利益相关者的需求，以及复杂的背景。对于南非等公共医疗保健机构等具有挑战性的环境，这是理想的，对干预措施的成功至关重要。
当护理管理人员对护士在干预措施实施中的作用表示关注并给予认可时，干预措施的采纳、支持和持续使用就会得到加强。K2A 等模型促进了所有利益相关者（例如护士及其管理人员）参与干预措施的设计和规划，这些对于干预措施的成功和切实可行的使用至关重要。
