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Knowledge translation is the use of knowledge in health care decision making
Abstract
Objective To provide an overview of the science and practice of knowledge translation.Study design Narrative review outlining what knowledge translation is and a framework for its use.Results Knowledge translation is defined as the use of knowledge in practice and decision making by the public, patients, health care professionals, managers, and policy makers. Failures to use research evidence to inform decision making are apparent across all these key decision maker groups. There are several proposed theories and frameworks for achieving knowledge translation. A conceptual framework developed by Graham et al., termed the knowledge-to-action cycle, provides an approach that builds on the commonalities found in an assessment of planned action theories.Conclusions Review of the evidence base for the science and practice of knowledge translation has identified several gaps including the need to develop valid strategies for assessing the determinants of knowledge use and for evaluating sustainability of knowledge translation interventions.
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“In particular, they may improve the likelihood of successful implementation and sustainability [1,2].”
From Scoping review identifies significant number of knowledge translation theories, models, and frameworks with limited use (2018) · cites this paper as [1]
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Besterman‐Dahan, K., Hahm, B., Chavez, M., Heuer, J. N., Melillo, C., Lind, J. D., Dillahunt-Aspillaga, C. J., & Ottomanelli, L. (2022) · JMIR Research Protocols · doi:10.2196/42029 · Cited by 7
“KT is widely used to ensure that decision makers at all levels of the health system (eg, consumers, patients, practitioners, managers, and policy makers) are aware of and can access and use research evidence to inform health-related decision-making [13-16].”
A MILD DEMENTIA KNOWLEDGE TRANSFER PROGRAM TO IMPROVE KNOWLEDGE AND CONFIDENCE IN PRIMARY CARE
Chesney, T. R., Alvarado, B., & Garcia, A. A. (2011) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2011.03384.x · Cited by 7
Leese, J., Kerr, S., McKinnon, A., Carruthers, E. C., Backman, C. L., LI, L. C., & Townsend, A. F. (2017) · Journal of Participatory Medicine · doi:10.2196/jopm.8756 · Cited by 7
Grasso, D. J., Doyle, C., & Koon, R. (2018) · Child Maltreatment · doi:10.1177/1077559518808584 · Cited by 7
Mousavi, S. M., Jafarı, M., & Moghaddam, A. V. (2020) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_444_19 · Cited by 7
“[19] The knowledge translation ensures that the decisionmakers at all levels of health system (consumers, patients, experts, managers, and policymakers) use research evidence to validate health decisions.[20] The policy conceptual analysis framework explicitly clarifies this concept and pave the way for wide research…”
BackgroundCook, C., & Rockwood, K. J. (2013) · Alzheimer s Research & Therapy · doi:10.1186/alz194 · Cited by 7
Leadership Competencies for Knowledge Translation in Public Health: A consensus study
Rodríguez‐Feria, P., Hernandéz, L. J., & Czabanowska, K. (2021) · Journal of Public Health · doi:10.1093/pubmed/fdab286 · Cited by 6
Medical decision making and the importance of baseline risk
Stovitz, S. D., & Shrier, I. (2013) · British Journal of General Practice · doi:10.3399/bjgp13x674585 · Cited by 7
“10 Is the value associated with removing a bullet the same if (1) the gun started with one bullet versus (2) the gun started with four bullets? If zero-risk is important, one may pay more if there were only one bullet.”
BackgroundConclusiveness resolves the conflict between quality of evidence and imprecision in GRADE
Anttila, S., Persson, J., Vareman, N., & Sahlin, N. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2016.03.019 · Cited by 6
Appropriateness of tumor marker request: a case of study
Gion, M., Trevisiol, C., & Fabricio, A. S. C. (2017) · Annals of Translational Medicine · doi:10.21037/atm.2017.06.19 · Cited by 6
“The roadmap for a cont inuous improvement of appropriateness should consider to move from implementa t ion o f gu ide l ines to in tegra t ion o f guidelines into the more formal context of knowledge translation (28).”
BackgroundCraig, S., McConnell, H., Stark, P., Devlin, N., McKeaveney, C., & Mitchell, G. (2025) · Nursing Reports · doi:10.3390/nursrep15070236 · Cited by 6
“Nursing education has sought to prepare students for EBP competency through the creation of frequent and relevant opportunities to ask clinically relevant questions and search scientific and clinical databases through the critical appraisal of research [11,12].”
Brief Report: Exploring Rural and Urban Caregiver Descriptions of Autism Symptoms and Aetiology
Barber, A. B., Yerby, L. G., Tomeny, T., Baker, L. K., & Morales-Alemán, M. M. (2020) · International Journal of Disability Development and Education · doi:10.1080/1034912x.2020.1767763 · Cited by 5
Stirling, R. G., Melder, A., Eyles, E., Reich, M., & Dawkins, P. A. (2024) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.8297 · Cited by 5
“21,22 Evidence addressing any of the 7 steps of the K2A framework was sought to inform the evidence gap map (Figure 2).”
BackgroundResearch to support evidence-based practice in COPD community nursing
Kirkpatrick, P., Wilson, E., & Wimpenny, P. (2012) · British Journal of Community Nursing · doi:10.12968/bjcn.2012.17.10.486 · Cited by 5
Yeo, Y. L., O’Brien, S., Bear, N., & Borland, M. L. (2020) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.14930 · Cited by 5
Factors influencing the sustainability of a community health volunteer programme — A scoping review
Rajaa, S., & Palanisamy, B. (2022) · Indian Journal of Medical Ethics · doi:10.20529/ijme.2022.079 · Cited by 5
Hattingh, L., Baysari, M. T., Foot, H., Sim, T. F., Keijzers, G., Morgan, M. A. J., Scott, I. A., Norman, R., Yong, F. R., Mullan, B. A., et al. (2024) · Trials · doi:10.1186/s13063-024-08496-w · Cited by 5
Next generation paramedics, agents of change, or time for curricula renewal?
Williams, B. A., Jennings, P., Fielder, C., & Ghirardello, A. (2013) · Advances in Medical Education and Practice · doi:10.2147/amep.s53085 · Cited by 5
Scotland's Knowledge Network: translating knowledge into action to improve quality of care
Awales, A., Graham, S., Rooney, K., & Crawford, A. (2012) · Scottish Medical Journal · doi:10.1258/smj.2012.012122 · Cited by 6
Payne, H. (2017) · Health Research Policy and Systems · doi:10.1186/s12961-017-0219-3 · Cited by 5
“[20] showed that decision-making groups within the public, patient, healthcare professionals, managers and policymakers all fail to use research evidence to inform their decision-making.”
BackgroundOng, I. L., Diño, M. J. S., Calimag, M. M. P., & Hidalgo, F. A. (2018) · PeerJ · doi:10.7717/peerj.5323 · Cited by 5
Asgharzadeh, A., Shabaninejad, H., Aryankhesal, A., & Majdzadeh, R. (2019) · Evidence & Policy · doi:10.1332/174426419x15704986117256 · Cited by 5
Metadata
- Authors
- Straus, S. E., Tetroe, J. M., & Graham, I. D.
- Affiliations
- St. Michael's Hospital (CA)
- Canadian Institutes of Health Research (CA)
- Corresponding author
- Straus, Sharon E.
- Venue
- Journal of Clinical Epidemiology
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 64
- Issue
- 1
- Pages
- 6-10
- ISSN
- 0895-4356 (ISSN-L)
- OpenAlex
- W2086381401
- Cited by
- 383
- References
- 27
- Citations by year
- 2026: 15 · 2025: 15 · 2024: 37 · 2023: 18 · 2022: 23 · 2021: 29 · 2020: 33 · 2019: 31 · 2018: 24 · 2017: 24 · 2016: 25 · 2015: 27 · 2014: 34 · 2013: 20 · 2012: 15
- FWCI
- 16.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- knowledge translation, knowledge-to-action cycle, healthcare decision-making, research utilization, health policy makers, healthcare workers
- MeSH terms
- Canada, Decision Making, Health Services Research, Humans, Health Knowledge, Attitudes, Practice, Evidence-Based Medicine, Knowledge, Information Dissemination, Translational Research, Biomedical
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