Understanding context in knowledge translation: a concept analysis study protocol
Open accessAbstract
Aim: To conduct a concept analysis of clinical practice contexts (work environments) that facilitate or militate against the uptake of research evidence by healthcare professionals in clinical practice. This will involve developing a clear definition of context by describing its features, domains and defining characteristics. Background: The context where clinical care is delivered influences that care. While research shows that context is important to knowledge translation (implementation), we lack conceptual clarity on what is context, which contextual factors probably modify the effect of knowledge translation interventions (and hence should be considered when designing interventions) and which contextual factors themselves could be targeted as part of a knowledge translation intervention (context modification). Design: Concept analysis. Methods: The Walker and Avant concept analysis method, comprised of eight systematic steps, will be used: (1) concept selection; (2) determination of aims; (3) identification of uses of context; (4) determination of defining attributes of context; (5) identification/construction of a model case of context; (6) identification/construction of additional cases of context; (7) identification/construction of antecedents and consequences of context; and (8) definition of empirical referents of context. This study is funded by the Canadian Institutes of Health Research (January 2014). Discussion: This study will result in a much needed framework of context for knowledge translation, which identifies specific elements that, if assessed and used to tailor knowledge translation activities, will result in increased research use by nurses and other healthcare professionals in clinical practice, ultimately leading to better patient care.
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We are aware of at least two other concept analyses of context.
“We are aware of at least two other concept analyses of context [90].”
From Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework (2017) · cites this paper as [90]
McCormack and colleagues looked at context as part of the PARiHS framework; Squires and colleagues have not yet published their concept analysis.
“McCormack and colleagues looked at context as part of the Promoting Action on Research Implementation in Health Services (PARiHS) framework [37]; Squires and colleagues have not yet published their concept analysis [90].”
From Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework (2017) · cites this paper as [90]
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Implementation, context and complexity
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- Authors
- Squires, J. E., Graham, I. D., Hutchinson, A. M., Linklater, S., Brehaut, J. C., Curran, J., Ivers, N., Lavis, J. N., Michie, S., Sales, A. E., Fiander, M., Fenton, S., Noseworthy, T., Vine, J., & Grimshaw, J. M.
- Affiliations
- University of Ottawa (CA)
- Deakin University (AU)
- Ottawa Hospital Research Institute (CA)
- Dalhousie University (CA)
- Women's College Hospital (CA)
- McMaster University (CA)
- University College London (GB)
- University of Michigan (US)
- George & Fay Yee Centre for Healthcare Innovation (CA)
- Ministry of Health and Long Term Care (CA)
- Alberta Health Services (CA)
- Izaak Walton Killam Health Centre (CA)
- Corresponding author
- Squires, Janet E.
- ORCID
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2014-11-28
- Volume
- 71
- Issue
- 5
- Pages
- 1146-1155
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W1984197407
- Cited by
- 45
- References
- 57
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 7 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 2
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Canadian Institutes of Health Research (CIHR) Operating Grant-Priority Announcement: Knowledge Translation (201309KTE-319843-KTR-CECA-169494)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- knowledge translation, context, work environment, research uptake, evidence-based practice, knowledge translation intervention, healthcare workers, nurses
- MeSH terms
- Heuristics, Canada, Translational Research, Biomedical
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