Development and Improvement, East Grampians Health Service, Ararat, Victoria, Australia.
Pharmacy, Grampians Health, Ballarat, Victoria, Australia.
BMJ Open. 2023 Oct 29;13(10):e075926. doi: 10.1136/bmjopen-2023-075926.
The aim of this study was to explore the intention of health professionals to use evidence generated through an integrated knowledge translation (iKT) activity undertaken during the COVID-19 pandemic to answer a time-critical research question about the delivery of community-based group programmes to rural clients via virtual technology, and describe the participating health professionals and researchers' perceptions of the iKT partnership.
Multimethod study incorporating qualitative and quantitative approaches.
Two regional health services in Victoria (Australia).
26 allied health professionals (knowledge-partners) from eight disciplines across two regional health services and eight researchers from five Victorian universities.
An iKT approach was used to facilitate problem identification, evidence synthesis and adaption of evidence to the local context.
Participants were invited to complete a survey (knowledge-partners) and undertake a semistructured interview (knowledge-partners and researchers) on their experiences. A process log of collaborative activities tracked the type of engagement activities, who attended and the outcomes. The survey and process log results were analysed descriptively, the interviews using thematic analysis and a comparison of results approach applied to evaluate similarities and differences in the perception of the partnership from separate data collection and analysis processes.
The survey indicated strong positive attitudes towards using research evidence in practice as well as strong intentions to use it in the future by knowledge-partners. Knowledge-partners indicated that their expertise was used in the research process, although there was greater collaboration in some steps of iKT. The context of COVID-19 facilitated collaboration between knowledge-partners and researchers through a sense of urgency and shared purpose. Rapid team development was a key mechanism that enabled iKT. Team participation was necessarily pragmatic and flexible in nature to facilitate knowledge-partner involvement. Participants suggested the iKT process was likely to result in greater end-user buy in and a powerful example of how to upskill health professionals without a significant impact on their day-to-day workload. This project was considered by knowledge-partners to be more likely to have an impact compared with other projects without a research partner.
This study highlights how researchers and knowledge-partners can work effectively and rapidly to address a time-sensitive problem of mutual interest. Establishing and nurturing rural-based researcher and knowledge-partner networks is key to enabling agile and timely responses to the changing evidence needs of the health system.
本研究旨在探讨卫生专业人员使用通过在 COVID-19 大流行期间开展的综合知识转化（iKT）活动生成的证据的意愿，以回答一个关于通过虚拟技术向农村客户提供社区团体计划的时效性研究问题，并描述参与的卫生专业人员和研究人员对 iKT 伙伴关系的看法。
采用定性和定量相结合的多方法研究。
维多利亚州（澳大利亚）的两个区域卫生服务机构。
来自两个区域卫生服务机构的八个学科的 26 名联合健康专业人员（知识伙伴）和来自五所维多利亚大学的 8 名研究人员。
采用 iKT 方法促进问题识别、证据综合和证据适应当地情况。
邀请参与者完成一项调查（知识伙伴）并对其经验进行半结构化访谈（知识伙伴和研究人员）。合作活动的过程日志跟踪了参与活动的类型、参加者和结果。调查和过程日志结果进行描述性分析，访谈采用主题分析，比较单独数据收集和分析过程中对伙伴关系的看法的相似点和不同点。
调查表明，知识伙伴对在实践中使用研究证据持强烈的积极态度，并表示强烈的意图在未来使用。知识伙伴表示，他们的专业知识在研究过程中得到了利用，尽管在 iKT 的某些步骤中合作更多。COVID-19 的背景通过紧迫感和共同目标促进了知识伙伴和研究人员之间的合作。快速的团队发展是使 iKT 成为可能的关键机制。团队参与本质上是务实和灵活的，以促进知识伙伴的参与。参与者表示，iKT 过程可能会导致最终用户更多的支持，并成为一个有力的例子，说明如何在不对他们的日常工作量产生重大影响的情况下提高卫生专业人员的技能。与没有研究伙伴的其他项目相比，知识伙伴认为该项目更有可能产生影响。
本研究强调了研究人员和知识伙伴如何能够有效地快速合作，解决共同感兴趣的时间敏感问题。建立和培养以农村为基础的研究人员和知识伙伴网络是使卫生系统能够灵活和及时应对不断变化的证据需求的关键。
