Theory and Knowledge Translation: Setting Some Coordinates
Abstract
In a healthcare context in which research evidence is not used routinely in practice, there have been increasingly loud calls for the use of theory from investigators working in the field of knowledge translation. Implementation researchers argue that theory should be used to guide the design of testable and practical intervention strategies, and thus, contribute to generalizable knowledge about implementation interventions. The purpose of this commentary is to critique model papers writing by a team of scholars who aimed to disentangle some of the relationships determining research utilization, by scrutinizing an existing conceptual framework that acknowledges, along with other factors, the importance of contextual factors in knowledge translation. These papers are used as a vehicle to explore theory application in knowledge translation research. As theory use and development is in its infancy, some key issues, including different ideological perspectives, factors for and against theory use, ensuring conceptual clarity, selecting coherent overarching frameworks, and choosing appropriately among theories, are considered. Finally, an agenda for theory-informed research is outlined, which highlights the need for scholarly, pluralistic, and collaborative activity if the state of knowledge translation science is to advance.
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There is increased interest and awareness of relevant theories that can and should inform implementation strategies.
“Increased interest and awareness of relevant theories that can and should inform implementation strategies [23–25]”
From PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice (2015) · cites this paper as [25]
Cites
From best evidence to best practice: effective implementation of change in patients' care
Grol, R., & Grimshaw, J. (2003) · The Lancet · doi:10.1016/s0140-6736(03)14546-1 · Cited by 4,531 · see citing works
Enabling the implementation of evidence based practice: a conceptual framework.
Kitson, A., Harvey, G., & McCormack, B. (1998) · Quality in Health Care · doi:10.1136/qshc.7.3.149 · Cited by 1,985 · see citing works
Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical Practice
Grol, R. (2001) · Medical Care · doi:10.1097/00005650-200108002-00003 · Cited by 1,233 · see citing works
What counts as evidence in evidence‐based practice?
Rycroft‐Malone, J., Seers, K., Titchen, A., Harvey, G., Kitson, A. A., & McCormack, B. G. (2004) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03068.x · Cited by 960 · see citing works
Self-citationEccles, M., Grimshaw, J., Walker, A., Johnston, M., & Pitts, N. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.09.002 · Cited by 917 · see citing works
Getting evidence into practice: the meaning of `context'
McCormack, B., Kitson, A., Harvey, G., Rycroft‐Malone, J., Titchen, A., & Seers, K. (2002) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2002.02150.x · Cited by 765 · see citing works
Self-citationAn exploration of the factors that influence the implementation of evidence into practice
Rycroft‐Malone, J., Harvey, G., Seers, K., Kitson, A., McCormack, B., & Titchen, A. (2004) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2004.01007.x · Cited by 623 · see citing works
Self-citationA guide to knowledge translation theory
Estabrooks, C. A., Thompson, D. S., Lovely, J. J. E., & Hofmeyer, A. (2006) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.48 · Cited by 435 · see citing works
Mittman, B. S., Tonesk, X., & Jacobson, P. (1992) · QRB - Quality Review Bulletin · doi:10.1016/s0097-5990(16)30567-x · Cited by 350 · see citing works
West, E., Barron, D., Dowsett, J., & Newton, J. N. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00361-x · Cited by 271 · see citing works
No Magic Targets! Changing Clinical Practice To Become More Evidence Based
Dopson, S., Fitzgerald, L., Ferlie, E. B., Gabbay, J., & Locock, L. (2002) · Health Care Management Review · doi:10.1097/00004010-200207000-00005 · Cited by 219 · see citing works
From research to practice: one organizational model for promoting research‐based practice
Kitson, A. A., Ahmed, L., Harvey, G., Seers, K., & Thompson, D. R. (1996) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1996.tb00003.x · Cited by 192 · see citing works
Salient beliefs and intentions to prescribe antibiotics for patients with a sore throat
Walker, A. E., Grimshaw, J., & Armstrong, E. M. (2001) · British Journal of Health Psychology · doi:10.1348/135910701169250 · Cited by 175 · see citing works
Bhattacharyya, O., Reeves, S., Garfinkel, S., & Zwarenstein, M. (2006) · Implementation Science · doi:10.1186/1748-5908-1-5 · Cited by 144 · see citing works
The OFF theory of research utilization
Oxman, A. D., Fretheim, A., & Flottorp, S. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.10.002 · Cited by 107 · see citing works
Given, C. W., Bradley, C. J., Luca, A., Given, B. A., & Osuch, J. R. (2001) · Medical Care · doi:10.1097/00005650-200111000-00002 · Cited by 83 · see citing works
Development and Validation of a Derived Measure of Research Utilization by Nurses
Wallin, L., Estabrooks, C. A., Midodzi, W. K., & Cummings, G. G. (2006) · Nursing Research · doi:10.1097/00006199-200605000-00001 · Cited by 69 · see citing works
Evidence, Research, Knowledge: A Call for Conceptual Clarity
Scott, S. D., & Pollock, C. (2004) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1741-6787.2004.04021.x · Cited by 57 · see citing works
The politics of the evidencebased practice movements
Rycroft‐Malone, J. (2006) · Journal of research in nursing · doi:10.1177/1744987106059793 · Cited by 45 · see citing works
Self-citationEvidence into practice: a theory based study of achieving national health targets in primary care
Michie, S., Hendy, J., Smith, J. A., & Adshead, F. (2004) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2004.00520.x · Cited by 35 · see citing works
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Harvey, G., & Kitson, A. (2015) · Implementation Science · doi:10.1186/s13012-016-0398-2 · Cited by 1,271 · see citing works
Kitson, A. L., Rycroft-Malone, J., Harvey, G., McCormack, B., Seers, K., & Titchen, A. (2008) · Implementation Science · doi:10.1186/1748-5908-3-1 · Cited by 1,314 · see citing works
Self-citationRycroft-Malone, J., Seers, K., Chandler, J., Hawkes, C. A., Crichton, N., Allen, C., Bullock, I., & Strunin, L. (2013) · Implementation Science · doi:10.1186/1748-5908-8-28 · Cited by 303 · see citing works
“Historically, there had been a lack of attention to theory in implementation research, however in recent years there has been a growing interest in its development and use [2-8].”
BackgroundSelf-citationA realistic evaluation: the case of protocol-based care
Rycroft-Malone, J., Fontenla, M., Bick, D., & Seers, K. (2010) · Implementation Science · doi:10.1186/1748-5908-5-38 · Cited by 173 · see citing works
A thematic analysis of theoretical models for translational science in nursing: Mapping the field
Mitchell, S. A., Fisher, C. A., Hastings, C. E., Silverman, L. B., & Wallen, G. R. (2010) · Nursing Outlook · doi:10.1016/j.outlook.2010.07.001 · Cited by 138 · see citing works
Building theories of knowledge translation interventions: Use the entire menu of constructs
Brehaut, J. C., & Eva, K. W. (2012) · Implementation Science · doi:10.1186/1748-5908-7-114 · Cited by 120 · see citing works
Ilott, I., Gerrish, K., Booth, A., & Field, B. (2013) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2012.01876.x · Cited by 78 · see citing works
Critical examination of knowledge to action models and implications for promoting health equity
Davison, C. M., Ndumbe-Eyoh, S., & Clement, C. (2015) · International Journal for Equity in Health · doi:10.1186/s12939-015-0178-7 · Cited by 72 · see citing works
A pragmatic cluster randomised trial evaluating three implementation interventions
Rycroft-Malone, J., Seers, K., Crichton, N., Chandler, J., Hawkes, C. A., Allen, C., Bullock, I., & Strunin, L. (2012) · Implementation Science · doi:10.1186/1748-5908-7-80 · Cited by 71 · see citing works
Self-citationChandler, J., Rycroft‐Malone, J., Hawkes, C., & Noyes, J. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.12815 · Cited by 70 · see citing works
Self-citationBrown, D., & McCormack, B. G. (2011) · Implementation Science · doi:10.1186/1748-5908-6-9 · Cited by 47 · see citing works
- Authors
- Rycroft-Malone, J.
- Venue
- Nursing Research
- Published
- 2007-07
- Volume
- 56
- Issue
- 4
- Pages
- S78-S85
- ISSN
- 0029-6562 (ISSN-L)
- OpenAlex
- W2027367308
- Cited by
- 131
- References
- 20
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 11 · 2014: 14 · 2013: 16 · 2012: 9
- FWCI
- 18.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing Research (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 › Health Professions › Health Information Management › Methodologies in Health Research and Practice
- Keywords
- knowledge translation, theory application, implementation research, research utilization, contextual factors, conceptual framework, theory choice, implementation strategies, evidence-based practice
- MeSH terms
- Attitude of Health Personnel, Diffusion of Innovation, Humans, Health Knowledge, Attitudes, Practice, Leadership, Models, Psychological, Nursing Staff, Hospital, Nursing Theory, Philosophy, Nursing, Research Design, Organizational Culture, Nursing Research, Outcome Assessment, Health Care, Models, Organizational, Evidence-Based Medicine, Knowledge, Information Dissemination
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