scholarly journals Implementing best practice in hospital multidisciplinary nutritional care: an example of using the knowledge-to-action process for a research program

2015 ◽  
pp. 463 ◽  
Author(s):  
Celia Laur ◽  
Heather Keller
Keyword(s):  
Research Program ◽  
Best Practice ◽  
Nutritional Care ◽  
Knowledge To Action ◽  
Action Process

scholarly journals Service Navigators in the Workforce: an ethical framework for practice

2018 ◽  
Vol 13 (2) ◽  
pp. i36 ◽  
Author(s):  
Jennifer Donovan ◽  
Ralph Hampson ◽  
Marie Connolly
Keyword(s):  
Best Practice ◽  
Self Determination ◽  
Ethical Framework ◽  
Power Dynamics ◽  
Relational Autonomy ◽  
Research Knowledge ◽  
Ethical Practices ◽  
Knowledge Framework ◽  
Stage Process ◽  
Action Process

Aim and Context: This paper explores the current growth of service navigators in complex health and human services and details the development of the Service Navigation Relational Autonomy Framework as a guide to assist practitioners and managers implementing this role.  Approach: The framework was developed using a research into action process. The three-stage process included knowledge inquiry: bringing together existing knowledge in practice fields and research; knowledge synthesis:debate and exchange of practitioner insights and messages from research; and knowledge framework: framework creation based on the key elements of evidence-informed best practice. Main findings: The framework centres on four practice domains: reinforcing ethical practices; fostering self-determination; supporting transitions and wellbeing; and mobilising service systems. It incorporates the concept of relational autonomy as a foundation for navigator practice by recognising the nature of relationships and power dynamics in the provision of care, and the central importance of self-determination. Conclusions: A navigation framework is critical for practice guidance and to ensure service navigators and organisations have the capacity to meet the needs of service users and their families. The framework presented in this paper seeks to encourage debate about service navigation, its implementation, and its future in health and human service organisations.

scholarly journals Protocol for a program of research from the Aging, Community and Health Research Unit

2018 ◽  
Vol 8 (1) ◽  
pp. 2235042X1878950 ◽  
Author(s):  
Maureen Markle-Reid ◽  
Jenny Ploeg ◽  
Ruta Valaitis ◽  
Wendy Duggleby ◽  
Kathryn Fisher ◽  
...  
Keyword(s):  
Older Adults ◽  
Research Program ◽  
Health Research ◽  
Health Care Services ◽  
Research Capacity ◽  
Research Unit ◽  
Implementation Barriers ◽  
Knowledge To Action ◽  
Effective Interventions ◽  
Building Activities

Background: The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented, cross-jurisdictional research program. Objectives: The objectives of the ACHRU research program are (i) to codesign integrated and person-centered interventions with older adults, family/friend caregivers, and providers; (ii) to examine the feasibility of newly designed interventions; (iii) to determine the intervention effectiveness on Triple Aim outcomes: health, patient/caregiver experience, and cost; (iv) to examine intervention context and implementation barriers and facilitators; (v) to use diverse integrated knowledge translation (IKT) strategies to engage knowledge users to support scalability and sustainability of effective interventions; and (vi) to build patient-oriented research capacity. Design: The research program was informed by the Knowledge-to-Action Framework and the Complexity Model. Six individual studies were conceptualized as integrated pieces of work. The results of the three initial descriptive studies will inform and be followed by three pragmatic randomized controlled trials. IKT and capacity building activities will be embedded in all six studies and tailored to the unique focus of each study. Conclusions: This research program will inform the development of effective and scalable person-centered interventions that are sustainable through interagency and intersectoral partnerships with community-based agencies, policy makers, and other health and social service agencies. Implementation of these interventions has the potential to transform health-care services and systems and improve the quality of life for older adults with multimorbidity and their caregivers. Trial registration: NCT02428387 (study 4), NCT02158741 (study 5), and NCT02209285 (study 6).

scholarly journals Applying Knowledge Translation Theory to Physical Therapy Research and Practice in Balance and Gait Assessment: Case Report

2015 ◽  
Vol 95 (4) ◽  
pp. 579-587 ◽  
Author(s):  
Kathryn M. Sibley ◽  
Nancy M. Salbach
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Knowledge Translation ◽  
Best Practice ◽  
Physical Therapist ◽  
Intervention Development ◽  
Assessment Tools ◽  
Ongoing Research ◽  
Knowledge To Action ◽  
Gait Assessment

Background and PurposeKnowledge translation (KT) is an emerging discipline with a focus on implementing health evidence in decision making and clinical practice. Knowledge translation theories provide conceptual frameworks that can direct research focused on optimizing best practice. The objective of this case report is to describe one prominent KT theory—the knowledge-to-action (KTA) framework—and how it was applied to research on balance and gait assessment in physical therapist practice.Case DescriptionValid and reliable assessment tools are recommended to evaluate balance and gait function, but gaps in physical therapy practices are known. The KTA framework's 2-pronged approach (knowledge creation phase and action cycle) guided research questions exploring current practices in balance and gait assessment and factors influencing practice in Ontario, Canada, with the goal of developing and evaluating targeted KT interventions.OutcomesResults showed the rate at which therapists use standardized balance and gait tools was less than optimal and identified both knowledge-to-practice gaps and individual and organizational barriers to implementing best assessment practices. These findings highlighted the need for synthesis of evidence to address those gaps prior to the development of potential intervention strategies.DiscussionThe comprehensive KTA framework was useful in guiding the direction of these ongoing research programs. In both cases, the sequence of the individual KTA steps was modified to improve the efficiency of intervention development, there was a need to go back and forth between the 2 phases of the KTA framework, and additional behavior change and barrier assessment theories were consulted. Continued research is needed to explicitly evaluate the efficacy of applying KT theory to best practice in health care.

Using the knowledge to action process model to incite clinical change*

2010 ◽  
Vol 30 (3) ◽  
pp. 167-171 ◽  
Author(s):  
Anita Petzold ◽  
Nicol Korner-Bitensky ◽  
Anita Menon
Keyword(s):  
Process Model ◽  
Clinical Change ◽  
Knowledge To Action ◽  
Action Process

scholarly journals Introducing the Canadian Thoracic Society Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation

2013 ◽  
Vol 20 (4) ◽  
pp. 263-264 ◽  
Author(s):  
Samir Gupta ◽  
Christopher Licskai ◽  
Anne Van Dam ◽  
Louis-Philippe Boulet
Keyword(s):  
Guideline Implementation ◽  
Discussion Board ◽  
Production Cycle ◽  
Dissemination And Implementation ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Action Team ◽  
Guideline Dissemination ◽  
Collaboration And Communication ◽  
Action Process

The Canadian Thoracic Society (CTS) is leveraging its strengths in guideline production to enable respiratory guideline implementation in Canada. The authors describe the new CTS Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation, which has three spheres of action: guideline production, implementation infrastructure and knowledge translation (KT) methodological support. The Canadian Institutes of Health Research ‘Knowledge-to-Action’ process was adopted as the model of choice for conceptualizing KT interventions. Within the framework, new evidence for formatting guideline recommendations to enhance the intrinsic implementability of future guidelines were applied. Clinical assemblies will consider implementability early in the guideline production cycle when selecting clinical questions, and new practice guidelines will include a section dedicated to KT. The framework describes the development of a web-based repository and communication forum to inventory existing KT resources and to facilitate collaboration and communication among implementation stakeholders through an online discussion board. A national forum for presentation and peer-review of proposed KT projects is described. The framework outlines expert methodological support for KT planning, development and evaluation including a practical guide for implementers and a novel ‘Clinical Assembly – KT Action Team’, and in-kind logistical support and assistance in securing peer-reviewed funding.

scholarly journals Recommendations for nutritional care after bariatric surgery: Recommendations for best practice and SOFFCO-MM/AFERO/SFNCM/expert consensus

2021 ◽  
Vol 158 (1) ◽  
pp. 51-61
Author(s):  
D. Quilliot ◽  
M. Coupaye ◽  
C. Ciangura ◽  
S. Czernichow ◽  
A. Sallé ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Best Practice ◽  
Expert Consensus ◽  
Nutritional Care

scholarly journals Building a Knowledge to Action Program in Stroke Rehabilitation

2016 ◽  
Vol 43 (5) ◽  
pp. 619-625 ◽  
Author(s):  
Shannon Janzen ◽  
Amanda McIntyre ◽  
Marina Richardson ◽  
Eileen Britt ◽  
Robert Teasell
Keyword(s):  
Clinical Practice ◽  
Knowledge Creation ◽  
Stroke Rehabilitation ◽  
Best Practice ◽  
Evidence Based ◽  
Clinical Implementation ◽  
Evidence Based Practices ◽  
Knowledge To Action ◽  
Best Practice Guidelines ◽  
Action Project

AbstractThe knowledge to action (KTA) process proposed by Graham et al (2006) is a framework to facilitate the development and application of research evidence into clinical practice. The KTA process consists of the knowledge creation cycle and the action cycle. The Evidence Based Review of Stroke Rehabilitation is a foundational part of the knowledge creation cycle and has helped guide the development of best practice recommendations in stroke. The Rehabilitation Knowledge to Action Project is an audit-feedback process for the clinical implementation of best practice guidelines, which follows the action cycle. The objective of this review was to: (1) contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led to improved evidence-based practice in stroke rehabilitation. Through this process, a single centre was able to change clinical practice and promote a culture that supports the use of evidence-based practices in stroke rehabilitation.

scholarly journals Non-Aboriginal Child Protective Service Workers’ Utilization of the Maltreatment and Adolescent Pathway Knowledge Translation (MAP-KT) Portal: A Report on the Utilization Statistics and Utilization Gaps of Aboriginal Best-Practice Material

2020 ◽  
Vol 6 (2) ◽  
pp. 7-13
Author(s):  
Eman Leung ◽  
Christine Wekerle ◽  
Randy Weachter ◽  
Julian Egelstaff ◽  
Marlyn Bennett
Keyword(s):  
Child Welfare ◽  
First Nations ◽  
Best Practice ◽  
Future Research ◽  
Protective Services ◽  
Aboriginal Youth ◽  
Knowledge To Action ◽  
Protective Service ◽  
Aboriginal Child ◽  
Aboriginal Child Welfare

Given the unique history and culture of the Aboriginal heritage, research evidence and evidence-based practice guidelines/recommendation derive from the general population are not sufficient in informing the practices of Child Protective Services’ caseworkers who are caring for Aboriginal youth in the child welfare system. Special attention should also be given to best-practice materials developed with special consideration of the Aboriginal context. The current study describes caseworkers’ utilization of Aboriginal child welfare best-practice materials hosted at the MAP-KT portal during its pilot testing period between October 1st 2007 and September 31st 2008. The objective of the current study is to assess the knowledge consumption behavior of caseworkers who were not employed by Aboriginal child protective agency but nonetheless had Aboriginal Child Welfare youth under they care. The MAP-KT portal is a web-based knowledge tool that brings to the point of practice (of CPS caseworker) child welfare knowledge distilled through the ‘knowledge filter” of the Knowledge to Action framework. Given the proportion of Aboriginal youth under the care of participating agencies, the utilization statistics of Aboriginal content hosted on the MAP-KT portal indicated that they might be under-utilized compared to other content areas. According to the Knowledge to Action framework, a number of ways to improve utilization have been proposed. Future research may focus on adapting the MAP-KT portal to user knowledge preferences on format, content and linkage to frequently utilized sites, as well as tailored marketing to users in First Nations child welfare services and those who provide services to children with First Peoples’ heritage.

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