Skip to main content
Top
Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

A descriptive qualitative examination of knowledge translation practice among health researchers in Manitoba, Canada

Authors: Kathryn M. Sibley, Patricia L. Roche, Courtney P. Bell, Beverley Temple, Kristy D.M. Wittmeier

Published in: BMC Health Services Research | Issue 1/2017

Login to get access

Abstract

Background

The importance of effective translation of health research findings into action has been well recognized, but there is evidence to suggest that the practice of knowledge translation (KT) among health researchers is still evolving. Compared to research user stakeholders, researchers (knowledge producers) have been under-studied in this context. The goals of this study were to understand the experiences of health researchers in practicing KT in Manitoba, Canada, and identify their support needs to sustain and increase their participation in KT.

Methods

Qualitative semi-structured interviews were conducted with 26 researchers studying in biomedical; clinical; health systems and services; and social, cultural, environmental and population health research. Interview questions were open-ended and probed participants’ understanding of KT, their experiences in practicing KT, barriers and facilitators to practicing KT, and their needs for KT practice support.

Results

KT was broadly conceptualized across participants. Participants described a range of KT practice experiences, most of which related to dissemination. Participants also expressed a number of negative emotions associated with the practice of KT. Many individual, logistical, and systemic or organizational barriers to practicing KT were identified, which included a lack of institutional support for KT in both academic and non-academic systems. Participants described the presence of good relationships with stakeholders as a critical facilitator for practicing KT. The most commonly identified needs for supporting KT practice were access to education and training, and access to resources to increase awareness and promotion of KT. While there were few major variations in response trends across most areas of health research, the responses of biomedical researchers suggested a unique KT context, reflected by distinct conceptualizations of KT (such as commercialization as a core component), experiences (including frustration and lack of support), and barriers to practicing KT (for example, intellectual property concerns).

Conclusions

The major findings of this study were the continued variations in conceptualization of KT, and persisting support needs that span basic individual to comprehensive systemic change. Expanding the study to additional regions of Canada will present opportunities to compare and contrast the state of KT practice and its influencing factors.
Appendix
Available only for authorised users
Literature
1.
go back to reference Balas E, Boren S. Managing clinical knowledge for health care improvement. In: Bemmel J, AT MC, editors. Yearbook of medical informatics: patient centered systems. Stuttgart: Schattauer Verlagsgesellschaft; 2000. p. 65–70. Balas E, Boren S. Managing clinical knowledge for health care improvement. In: Bemmel J, AT MC, editors. Yearbook of medical informatics: patient centered systems. Stuttgart: Schattauer Verlagsgesellschaft; 2000. p. 65–70.
2.
go back to reference Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003;362:1225–30.CrossRefPubMed Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003;362:1225–30.CrossRefPubMed
3.
go back to reference McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45.CrossRefPubMed McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45.CrossRefPubMed
5.
go back to reference McKibbon KA, Lokker C, Wilczynski N, Ciliska D, Dobbins M, Davis D, Haynes RB, Straus S. A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: a tower of Babel? Implement Sci. 2010;5(1):16.CrossRefPubMedPubMedCentral McKibbon KA, Lokker C, Wilczynski N, Ciliska D, Dobbins M, Davis D, Haynes RB, Straus S. A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: a tower of Babel? Implement Sci. 2010;5(1):16.CrossRefPubMedPubMedCentral
6.
7.
go back to reference Straus SE, Tetroe J, Graham ID. Introduction knowledge translation: what it is and what it isn't. In: Knowledge translation in health care. West Sussex: Wiley; 2013. p. 1–13. Straus SE, Tetroe J, Graham ID. Introduction knowledge translation: what it is and what it isn't. In: Knowledge translation in health care. West Sussex: Wiley; 2013. p. 1–13.
8.
go back to reference World Health Organization: Bridging the “Know–Do” Gap Meeting on Knowledge Translation in Global Health. Geneva: World Health Organization; 2005. World Health Organization: Bridging the “Know–Do” Gap Meeting on Knowledge Translation in Global Health. Geneva: World Health Organization; 2005.
9.
go back to reference National Center for the Dissemination of Disability Research: What is Knowledge Translation? Austin: National Center for the Dissemination of Disability Research; 2005. National Center for the Dissemination of Disability Research: What is Knowledge Translation? Austin: National Center for the Dissemination of Disability Research; 2005.
11.
go back to reference Newton MS, Estabrooks CA, Norton P, Birdsell JM, Adewale AJ, Thornley R. Health researchers in Alberta: an exploratory comparison of defining characteristics and knowledge translation activities. Implement Sci. 2007;2:1.CrossRefPubMedPubMedCentral Newton MS, Estabrooks CA, Norton P, Birdsell JM, Adewale AJ, Thornley R. Health researchers in Alberta: an exploratory comparison of defining characteristics and knowledge translation activities. Implement Sci. 2007;2:1.CrossRefPubMedPubMedCentral
12.
go back to reference Holmes BJ, Schellenberg M, Schell K, Scarrow G. How funding agencies can support research use in healthcare: an online province-wide survey to determine knowledge translation training needs. Implement Sci. 2014;9:71.CrossRefPubMedPubMedCentral Holmes BJ, Schellenberg M, Schell K, Scarrow G. How funding agencies can support research use in healthcare: an online province-wide survey to determine knowledge translation training needs. Implement Sci. 2014;9:71.CrossRefPubMedPubMedCentral
13.
go back to reference Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26(1):13–24.CrossRefPubMed Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26(1):13–24.CrossRefPubMed
15.
16.
go back to reference Munce SE, Allin S, Carlin L, Sale J, Hawker G, Kim S, Butt DA, Polidoulis I, Tu K, Jaglal SB. Understanding referral patterns for bone mineral density testing among family physicians: a qualitative descriptive study. J Osteoporos. 2016;2016:2937426.PubMedPubMedCentral Munce SE, Allin S, Carlin L, Sale J, Hawker G, Kim S, Butt DA, Polidoulis I, Tu K, Jaglal SB. Understanding referral patterns for bone mineral density testing among family physicians: a qualitative descriptive study. J Osteoporos. 2016;2016:2937426.PubMedPubMedCentral
18.
go back to reference Kuzel AJ. Sampling in qualitative inquiry. In: Crabtree B, Miller W, editors. Doing qualitative research 2nd ed. 2nd ed. London: Sage Publications; 1999. p. 33–45. Kuzel AJ. Sampling in qualitative inquiry. In: Crabtree B, Miller W, editors. Doing qualitative research 2nd ed. 2nd ed. London: Sage Publications; 1999. p. 33–45.
19.
go back to reference Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.CrossRefPubMed Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.CrossRefPubMed
20.
go back to reference Gibbs GR. Analysing qualitative data. London: Sage; 2008. Gibbs GR. Analysing qualitative data. London: Sage; 2008.
21.
22.
go back to reference Harvey G, Marshall RJ, Jordan Z, Kitson AL. Exploring the hidden barriers in knowledge translation: a case study within an academic community. Qual Health Res. 2015;25(11):1506–17.CrossRefPubMed Harvey G, Marshall RJ, Jordan Z, Kitson AL. Exploring the hidden barriers in knowledge translation: a case study within an academic community. Qual Health Res. 2015;25(11):1506–17.CrossRefPubMed
24.
go back to reference Khoury MJ, Gwinn M, Ioannidis JP. The emergence of translational epidemiology: from scientific discovery to population health impact. Am J Epidemiol. 2010;172(5):517–24.CrossRefPubMedPubMedCentral Khoury MJ, Gwinn M, Ioannidis JP. The emergence of translational epidemiology: from scientific discovery to population health impact. Am J Epidemiol. 2010;172(5):517–24.CrossRefPubMedPubMedCentral
25.
go back to reference Loewenstein G, Lerner JS. The role of affect in decision making. In: Davidson RJ, Scherer KR, Goldsmith HH, editors. Handbook of affective sciences. Oxford; New York: Oxford University Press; 2003. Loewenstein G, Lerner JS. The role of affect in decision making. In: Davidson RJ, Scherer KR, Goldsmith HH, editors. Handbook of affective sciences. Oxford; New York: Oxford University Press; 2003.
26.
go back to reference Shantz E. Knowledge translation challenges and solutions described by researchers. Canadian Water Network; 2012. Shantz E. Knowledge translation challenges and solutions described by researchers. Canadian Water Network; 2012.
27.
go back to reference Visram S, Goodall D, Steven A. Exploring conceptualizations of knowledge translation, transfer and exchange across public health in one UK region: a qualitative mapping study. Public Health. 2014;128(6):497–503.CrossRefPubMed Visram S, Goodall D, Steven A. Exploring conceptualizations of knowledge translation, transfer and exchange across public health in one UK region: a qualitative mapping study. Public Health. 2014;128(6):497–503.CrossRefPubMed
28.
go back to reference Nedjat S, Gholami J, Yazdizadeh B, Nedjat S, Maleki K, Majdzadeh R. Research's practice and barriers of knowledge translation in Iran. Iran J Public Health. 2014;43(7):968–80.PubMedPubMedCentral Nedjat S, Gholami J, Yazdizadeh B, Nedjat S, Maleki K, Majdzadeh R. Research's practice and barriers of knowledge translation in Iran. Iran J Public Health. 2014;43(7):968–80.PubMedPubMedCentral
29.
go back to reference Fudge N, Sadler E, Fisher HR, Maher J, Wolfe CDA, McKevitt C. Optimising translational research opportunities: a systematic review and narrative synthesis of basic and clinician Scientists' perspectives of factors which enable or hinder translational research. PLoS One. 2016;11(8):e0160475.CrossRefPubMedPubMedCentral Fudge N, Sadler E, Fisher HR, Maher J, Wolfe CDA, McKevitt C. Optimising translational research opportunities: a systematic review and narrative synthesis of basic and clinician Scientists' perspectives of factors which enable or hinder translational research. PLoS One. 2016;11(8):e0160475.CrossRefPubMedPubMedCentral
31.
go back to reference Rady Faculty of Health Sciences: Promotion in the Faculty of Health Sciences: Criteria and Procedures. Edited by University of Manitoba; 2015. Rady Faculty of Health Sciences: Promotion in the Faculty of Health Sciences: Criteria and Procedures. Edited by University of Manitoba; 2015.
32.
go back to reference Levinson W, Rothman AI, Phillipson E. Creative professional activity: an additional platform for promotion of faculty. Acad Med. 2006;81(6):568–70.CrossRefPubMed Levinson W, Rothman AI, Phillipson E. Creative professional activity: an additional platform for promotion of faculty. Acad Med. 2006;81(6):568–70.CrossRefPubMed
33.
go back to reference Gagliardi AR, Dobrow MJ. Identifying the conditions needed for integrated knowledge translation (IKT) in health care organizations: qualitative interviews with researchers and research users. BMC Health Serv Res. 2016;16:256.CrossRefPubMedPubMedCentral Gagliardi AR, Dobrow MJ. Identifying the conditions needed for integrated knowledge translation (IKT) in health care organizations: qualitative interviews with researchers and research users. BMC Health Serv Res. 2016;16:256.CrossRefPubMedPubMedCentral
34.
go back to reference Gagliardi AR, Perrier L, Webster F, Leslie K, Bell M, Levinson W, Rotstein O, Tourangeau A, Morrison L, Silver IL, et al. Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study. Implement Sci. 2009;4:55.CrossRefPubMedPubMedCentral Gagliardi AR, Perrier L, Webster F, Leslie K, Bell M, Levinson W, Rotstein O, Tourangeau A, Morrison L, Silver IL, et al. Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study. Implement Sci. 2009;4:55.CrossRefPubMedPubMedCentral
35.
go back to reference Straus SE, Brouwers M, Johnson D, Lavis JN, Legare F, Majumdar SR, McKibbon KA, Sales AE, Stacey D, Klein G, et al. Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative. Implement Sci. 2011;6:127.CrossRefPubMedPubMedCentral Straus SE, Brouwers M, Johnson D, Lavis JN, Legare F, Majumdar SR, McKibbon KA, Sales AE, Stacey D, Klein G, et al. Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative. Implement Sci. 2011;6:127.CrossRefPubMedPubMedCentral
38.
go back to reference Urquhart R, Cornelissen E, Lal S, Colquhoun H, Klein G, Richmond S, Witteman HO. A community of practice for knowledge translation trainees: an innovative approach for learning and collaboration. J Contin Educ Heal Prof. 2013;33(4):274–81.CrossRef Urquhart R, Cornelissen E, Lal S, Colquhoun H, Klein G, Richmond S, Witteman HO. A community of practice for knowledge translation trainees: an innovative approach for learning and collaboration. J Contin Educ Heal Prof. 2013;33(4):274–81.CrossRef
39.
go back to reference Cornelissen E, Urquhart R, Chan VW, Deforge RT, Colquhoun HL, Sibbald S, Witteman H. Creating a knowledge translation trainee collaborative: from conceptualization to lessons learned in the first year. Implement Sci. 2011;6:98.CrossRefPubMedPubMedCentral Cornelissen E, Urquhart R, Chan VW, Deforge RT, Colquhoun HL, Sibbald S, Witteman H. Creating a knowledge translation trainee collaborative: from conceptualization to lessons learned in the first year. Implement Sci. 2011;6:98.CrossRefPubMedPubMedCentral
40.
41.
go back to reference Roos NP, O'Grady K, Singer SM, Turczak S, Tapp C. Making evidence on health policy issues accessible to the media. Healthcare Policy. 2012;8(2):37–45.CrossRefPubMedPubMedCentral Roos NP, O'Grady K, Singer SM, Turczak S, Tapp C. Making evidence on health policy issues accessible to the media. Healthcare Policy. 2012;8(2):37–45.CrossRefPubMedPubMedCentral
42.
go back to reference Canadian Institutes of Health Research: CIHR Internal Assessment - Report for the 2011 International Review. 2011. Canadian Institutes of Health Research: CIHR Internal Assessment - Report for the 2011 International Review. 2011.
43.
44.
go back to reference Sibley KM, Straus SE, Webster F, Jaglal SB. Moving balance and mobility evidence in to action: a primer in knowledge translation. Gait Posture. 2011;33(4):527–31.CrossRefPubMed Sibley KM, Straus SE, Webster F, Jaglal SB. Moving balance and mobility evidence in to action: a primer in knowledge translation. Gait Posture. 2011;33(4):527–31.CrossRefPubMed
45.
go back to reference Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsay CR, Vale L, Whitty P, Eccles MP, Matowe L, Shirran L, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess Rep. 2004:8(6). Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsay CR, Vale L, Whitty P, Eccles MP, Matowe L, Shirran L, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess Rep. 2004:8(6).
46.
go back to reference Bowen S, Graham ID. Integrated knowledge translation. In: Knowledge Translation in Health Care. edn. West Sussex: John Wiley & Sons, Ltd; 2013. pp. 14-23. Bowen S, Graham ID. Integrated knowledge translation. In: Knowledge Translation in Health Care. edn. West Sussex: John Wiley & Sons, Ltd; 2013. pp. 14-23.
47.
go back to reference Bowen S, Martens P. Demystifying knowledge translation: learning from the community. J Health Serv Res Policy. 2005;10(4):203–11.CrossRefPubMed Bowen S, Martens P. Demystifying knowledge translation: learning from the community. J Health Serv Res Policy. 2005;10(4):203–11.CrossRefPubMed
Metadata
Title
A descriptive qualitative examination of knowledge translation practice among health researchers in Manitoba, Canada
Authors
Kathryn M. Sibley
Patricia L. Roche
Courtney P. Bell
Beverley Temple
Kristy D.M. Wittmeier
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2573-9

Other articles of this Issue 1/2017

BMC Health Services Research 1/2017 Go to the issue