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Implementation Science
Published in: Implementation Science 1/2009

Open Access 01-12-2009 | Research article

A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies

Authors: Maureen Dobbins, Paula Robeson, Donna Ciliska, Steve Hanna, Roy Cameron, Linda O'Mara, Kara DeCorby, Shawna Mercer

Published in: Implementation Science | Issue 1/2009

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Abstract

Background

A knowledge broker (KB) is a popular knowledge translation and exchange (KTE) strategy emerging in Canada to promote interaction between researchers and end users, as well as to develop capacity for evidence-informed decision making. A KB provides a link between research producers and end users by developing a mutual understanding of goals and cultures, collaborates with end users to identify issues and problems for which solutions are required, and facilitates the identification, access, assessment, interpretation, and translation of research evidence into local policy and practice. Knowledge-brokering can be carried out by individuals, groups and/or organizations, as well as entire countries. In each case, the KB is linked with a group of end users and focuses on promoting the integration of the best available evidence into policy and practice-related decisions.

Methods

A KB intervention comprised one of three KTE interventions evaluated in a randomized controlled trial.

Results

KB activities were classified into the following categories: initial and ongoing needs assessments; scanning the horizon; knowledge management; KTE; network development, maintenance, and facilitation; facilitation of individual capacity development in evidence informed decision making; and g) facilitation of and support for organizational change.

Conclusion

As the KB role developed during this study, central themes that emerged as particularly important included relationship development, ongoing support, customized approaches, and opportunities for individual and organizational capacity development. The novelty of the KB role in public health provides a unique opportunity to assess the need for and reaction to the role and its associated activities. Future research should include studies to evaluate the effectiveness of KBs in different settings and among different health care professionals, and to explore the optimal preparation and training of KBs, as well as the identification of the personality characteristics most closely associated with KB effectiveness. Studies should also seek to better understand which combination of KB activities are associated with optimal evidence-informed decision making outcomes, and whether the combination changes in different settings and among different health care decision makers.
Literature
1.
Grimshaw J, Eccles M, Thomas R, MacLennan G, Ramsay C, Fraser C, Vale L: Toward evidence-based quality improvement: evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966–1998. J Gen Intern Med. 2006, 21: S14-S20.PubMedPubMedCentral
2.
Davis D, O'Brien MAT, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A: Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?. JAMA. 1999, 282: 867-874. 10.1001/jama.282.9.867.CrossRefPubMed
3.
O'Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard JJ, Kristoffersen DT, Forsetlund L, Bainbridge D, Freemantle N, Davis DA, Haynes RB, Harvey EL: Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2007, CD000409-4
4.
Lavis JN, Robertson D, Woodside J, McLeod C, Abelson J: How can research organizations more effectively transfer research knowledge to decision makers?. The Milbank Quarterly. 2003, 81: 221-248. 10.1111/1468-0009.t01-1-00052.CrossRefPubMedPubMedCentral
5.
Dobbins M, Davies B, Danseco E, Edwards N, Virani T: Changing nursing practice: Evaluating the usefulness of a best-practice guideline implementation toolkit. Nurs Leadersh (Tor Ont). 2005, 18: 34-45.CrossRef
6.
Grol R, Grimshaw J: From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003, 362: 1225-1230. 10.1016/S0140-6736(03)14546-1.CrossRefPubMed
7.
Davis DA, Thomson MA, Oxman AD, Haynes RB: Evidence for the effectiveness of CME: a review of 50 randomized controlled trials. JAMA. 1992, 268: 1111-1117. 10.1001/jama.268.9.1111.CrossRefPubMed
8.
Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E: Towards systematic reviews that inform health care management and policy-making. J Health Serv Res Policy. 2005, 10: 35-48. 10.1258/1355819054308549.CrossRefPubMed
9.
Lomas J, Enkin MA, Anderson GA, Hannah WJ, Singer J: Opinion leaders vs audit and feedback to implement practice guidelines: delivery after previous cesarean section. JAMA. 1991, 265: 2202-2207. 10.1001/jama.265.17.2202.CrossRefPubMed
10.
Oxman AD, Thomson MA, Davis DA, Hayes JE: No magic bullets: A systematic review of 102 trials of interventions to improve professional practice. CMAJ. 1995, 153: 1423-1431.PubMedPubMedCentral
11.
Lavis JN: Towards a new research transfer strategy for the Institute for Work and Health. 1999, Toronto, ON, Institute for Work and Health
12.
Canadian Health Services Research Foundation: Issues in linkage and exchange between researchers and decision-makers. c. 1999
13.
Cargo M, Mercer SL: The value and challenges of participatory research: strengthening its practice. Annu Rev Public Health. 2008, 29: 325-350. 10.1146/annurev.publhealth.29.091307.083824.CrossRefPubMed
14.
Kothari A, Birch S, Charles C: Interaction and research utilisation in health policies and programs: does it work?. Health Policy. 2005, 71: 125-10.1016/j.healthpol.2004.03.010.CrossRef
15.
Lomas J: Using research to inform healthcare managers' and policy makers' questions: from summative to interpretive synthesis. Healthcare Policy. 2005, 1: 55-71.PubMedPubMedCentral
16.
Canadian Health Services Research Foundation: The theory and practice of knowledge brokering in Canada's health system. Canadian Health Services Research Foundation. Ottawa, 1–15. 2003. Ottawa, Ontario, Canada, Canadian Health Services Research Foundation
17.
Hartwich F, von Oppen M: Knowledge brokers in agricultural research and extension. Adapted Farming in West Africa: Issues, Potentials, and Perspectives. Edited by: Graef F, Lawrence P, von Oppen M. 2000, Stuttgart, Germany: Verlag Ulrich E. Grauer, 445-453.
18.
Hon KKB, Zeiner J: Knowledge Brokering for assisting the generation of automotive product design. Cirp Annals-Manufacturing Technology. 2004, 53: 159-162. 10.1016/S0007-8506(07)60668-4.CrossRef
19.
Verona G, Prandelli E, Sawhney M: Innovation and virtual environments: towards virtual knowledge brokers. Organization Studies. 2006, 27: 765-788. 10.1177/0170840606061073.CrossRef
20.
Zook MA: The knowledge brokers: venture capitalists, tacit knowledge and regional development. International Journal of Urban and Regional Research. 2004, 28: 621-641. 10.1111/j.0309-1317.2004.00540.x.CrossRef
21.
Burnett S, Brookes-Rooney A, Keogh W: Brokering knowledge in organizational networks: The SPN approach. Knowledge and Process Management. 2002, 9: 1-11. 10.1002/kpm.133.CrossRef
22.
Hargadon A: Technology brokering and innovation: linking strategy, practice, and people. Strategy & Leadership. 2005, 33: 32-36. 10.1108/10878570510572635.CrossRef
23.
Hargadon AB: Firms as knowledge brokers: lessons in pursuing continuous innovation. Calif Manage Rev. 1998, 40: 209-227.CrossRef
24.
Kitson A, Harvey G, McCormack B: Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998, 7: 149-158. 10.1136/qshc.7.3.149.CrossRefPubMedPubMedCentral
25.
van Kammen J, De SD, Sewankambo N: Using knowledge brokering to promote evidence-based policy-making: The need for support structures. Bull World Health Organ. 2006, 84: 608-612. 10.2471/BLT.05.028308.CrossRefPubMedPubMedCentral
26.
Jackson-Bowers E, Kalucy L, McIntyre E: Focus on knowledge brokering. Primary Health Care Research and Information Service. 2006
27.
Canadian Health Services Research Foundation: Knowledge brokering in Canada's health system: what we're doing, what we're reading. 1–15. 2003. Ottawa, Ontario, Canada, Canadian Health Services Research Foundation
28.
Cillo P: Fostering market knowledge use in innovation: The role of internal brokers. European Management Journal. 2005, 23: 404-412. 10.1016/j.emj.2005.06.008.CrossRef
29.
Hargadon AB: Brokering knowledge: linking learning and innovation. Research in Organizational behavior. 2002, 24: 41-85. 10.1016/S0191-3085(02)24003-4.CrossRef
30.
von Malmborg F: Networking for knowledge transfer: towards an understanding of local authority roles in regional industrial ecosystem management. Business Strategy and the Environment. 2004, 13: 334-346. 10.1002/bse.419.CrossRef
31.
32.
Lyons R, Warner G, Langille L, Phillips SJ: Piloting knowledge brokers to promote integrated stroke care in Atlantic Canada. Moving population and public health knowledge into action: A casebook of knowledge translation stories. 2006, Ottawa, ON: Canadian Institutes of Health Research (CIHR) Institute for Population and Public Health
33.
Lomas J: Improving research dissemination and uptake in the health sector: beyond the sound of one hand clapping. c97-1, 1–45. 1997. Hamilton, ON, McMaster University Centre for Health Economics and Policy Analysis. CHEPA Working Paper Series
34.
Oldham G, McLean R: Approaches to knowledge-brokering. 1997, International Institute for Sustainable Development. Winnipeg, MB
35.
Dobbins M, DeCorby K, Twiddy T: A knowledge transfer strategy for public health decision makers. Worldviews Evid Based Nurs. 2004, 1: 120-128. 10.1111/j.1741-6787.2004.t01-1-04009.x.CrossRefPubMed
36.
Lavis JN, Ross SE, Hohenadel J, Hurley J, Stoddart GL, Woodward C, Abelson J, Giacomini M: The role of health services research in Canadian provincial policy-making. 2001, Canadian Health Services Research Foundation
37.
Roy M, Parent R, Desmarais L: Knowledge networking: A strategy to improve workplace health and safety knowledge transfer. Electronic Journal on Knowledge Management. 2003, 1: 159-166.
38.
Lavis JN, Robertson D, Woodside J, McLeod C, Abelson J: How can research organizations more effectively transfer research knowledge to decision makers?. The Milbank Quarterly. 2003, 81: 221-248. 10.1111/1468-0009.t01-1-00052.CrossRefPubMedPubMedCentral
39.
Gravois Lee R, Garvin T: Moving from information transfer to information exchange in health and health care. Soc Sci Med. 2003, 56: 449-464. 10.1016/S0277-9536(02)00045-X.CrossRef
40.
Thompson GN, Estabrooks CA, Degner LF: Clarifying the concepts in knowledge transfer: a literature review. J Adv Nurs. 2006, 53 (6): 691-701. 10.1111/j.1365-2648.2006.03775.x.CrossRefPubMed
41.
Clark G, Kelly L: New directions for knowledge transfer and knowledge brokerage in Scotland: Office of Chief Researcher Knowledge Transfer Team briefing paper. Scottish Executive Social Research. 2005, Scottish Executive Social Research
42.
Loew R, Bleimann U, Walsh P: Knowledge broker network based on communication between humans. Campus-Wide Information Systems. 2004, 21: 185-190. 10.1108/10650740410567527.CrossRef
43.
Wenger E, Snyder W: Communities of practice: The organizational frontier. Harv Bus Rev. 2000, 78: 139-145.
44.
Wenger E: Communities of Practice: Learning, Meaning, and Identity. 1998, New York: Cambridge University PressCrossRef
45.
Lee LL, Neff M: How information technologies can help build and sustain an organization's community of practice: Spanning the socio-technical divide?. Knowledge Networks: Innovation Through Communities of Practice. Edited by: Hildreth P. 2004, Hershey, PA.: Idea Group Publishing, 165-183.CrossRef
46.
Greenhalgh T, Robert G, MacFarlane F, Bate P, Kyriakidou O: Diffusion of innovations in service organizations: systematic review and recommendations. The Milbank Quarterly. 2004, 82: 581-10.1111/j.0887-378X.2004.00325.x.CrossRefPubMedPubMedCentral
47.
Pyper C: Knowledge brokers as change agents. New practitioners in the future health service: Exploring roles for practitioners in primary and intermediate care. Edited by: Lissauer R, Kendall L. 2002, London: Institute for Public Policy Research, 60-70.
48.
Choi BCK, Pang T, Lin V, Puska P, Sherman G, Goddard M, Ackland MJ, Sainsbury P, Stachenko S, Morrison H, Clottey C: Can scientists and policy makers work together?. J Epidemiol Community Health. 2005, 59: 632-637. 10.1136/jech.2004.031765.CrossRefPubMedPubMedCentral
49.
Raphael D, Bryant T: The state's role in promoting population health: Public health concerns in Canada, USA, UK, and Sweden. Health Policy. 2006, 78: 39-55. 10.1016/j.healthpol.2005.09.002.CrossRefPubMed
50.
Dobbins M, Ciliska D, Cockerill R, Barnsley J, DiCenso A: A framework for the dissemination and utilization of research for health-care policy and practice. The Online Journal of Knowledge Synthesis for Nursing. 2002, 9:
51.
Canadian Health Services Research Foundation: Is research working for you? A self-assessment tool and discussion guide for health services management and policy organizations. 2007, Canadian Health Services Research Foundation
52.
Innvaer S', Vist G, Trommald M, Oxman A: Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed
53.
Kitson AL, Ahmed LB, Harvey G, Seers K, Thompson DR: From research to practice: one organizational model for promoting research-based practice. J Adv Nurs. 1996, 23: 430-440. 10.1111/j.1365-2648.1996.tb00003.x.CrossRefPubMed
54.
Battista RN: Innovation and diffusion of health-related technologies. A conceptual framework. Int J Technol Assess Health Care. 1989, 5: 227-248. 10.1017/S0266462300006450.CrossRefPubMed
55.
Kaluzny AD: Innovation in health services: theoretical framework and review of research. Health Serv Res. 1974, 9: 101-120.PubMedPubMedCentral
56.
McCaughan D, Thompson C, Cullum N, Sheldon TA, Thompson DR: Acute care nurses' perceptions of barriers to using research information in clinical decision-making. J Adv Nurs. 2002, 39: 46-60. 10.1046/j.1365-2648.2002.02241.x.CrossRefPubMed
57.
Forsetlund L, Bjorndal A: Identifying barriers to the use of research faced by public health physicians in Norway and developing an intervention to reduce them. J Health Serv Res Policy. 2002, 7: 10-18. 10.1258/1355819021927629.CrossRefPubMed
58.
Muir Gray JA: Evidence-based Healthcare: How to Make Health Policy and Management Decisions. Edinburgh. 1997
59.
Funk SG, Tornquist EM, Champagne MT: Barriers and facilitators of research utilization: an integrative review. Nurs Clin North Am. 1995, 30: 395-407.PubMed
60.
Hicks C: A study of nurses' attitudes towards research: a factor analytic approach. J Adv Nurs. 1996, 23: 373-379. 10.1111/j.1365-2648.1996.tb02681.x.CrossRefPubMed
61.
Kimberly JR, Evanisko MJ: Organizational innovation: the influence of individual, organizational, and contextual factors on hospital adoption of technological and administrative innovations. Acad Manage J. 1981, 24: 689-713. 10.2307/256170.CrossRefPubMed
62.
Pettengill MM, Gillies DA, Clark CC: Factors encouraging and discouraging the use of nursing research findings. Image J Nurs Sch. 1994, 26: 143-147. 10.1111/j.1547-5069.1994.tb00934.x.CrossRefPubMed
63.
Walczak JR, McGuire DB, Haisfield ME, Beezley A: A survey of research-related activities and perceived barriers to research utilization among professional oncology nurses. Oncol Nurs Forum. 1994, 21: 710-715.PubMed
64.
Nutley S, Walter I, Davies H: From knowing to doing: a framework for understanding the evidence-into-practice agenda. Evaluation. 2003, 9: 125-148. 10.1177/1356389003009002002.CrossRef
65.
van Kammen J, Jansen CW, Bonsel GJ, Kremer JA, Evers JL, Wladimiroff JW: Technology assessment and knowledge brokering: the case of assisted reproduction in The Netherlands. Int J Technol Assess Health Care. 2006, 22: 302-306. 10.1017/S026646230605118X.CrossRefPubMed
66.
Bowen S, Martens P: Demystifying knowledge translation: learning from the community. J Health Serv Res Policy. 2005, 10: 203-211. 10.1258/135581905774414213.CrossRefPubMed
67.
World Health Organization: Linking research into action. 2004, Geneva: World Health Organization, 97-130.
68.
Hinloopen J: The market for knowledge brokers. Small Business Economics. 2004, 22: 415-10.1023/B:SBEJ.0000022210.10016.28.CrossRef
69.
Loew R, Bleimann U, Walsh P: Knowledge broker network based on communication between teams. Campus-Wide Information Systems. 2004, 21: 185-190. 10.1108/10650740410567527.CrossRef
70.
Kothari A, Birch S, Charles C: "Interaction" and research utilisation in health policies and programs: does it work?. Health Policy. 2005, 71: 117-125. 10.1016/j.healthpol.2004.03.010.CrossRefPubMed
Metadata
Title
A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies
Authors
Maureen Dobbins
Paula Robeson
Donna Ciliska
Steve Hanna
Roy Cameron
Linda O'Mara
Kara DeCorby
Shawna Mercer
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2009
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-4-23

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