HTHSCI 3C04 Lecture Notes - Lecture 11: Knowledge Translation, Decision-Making, Mass Media
28 Apr 2018
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UNIT XI: Using Research Evidence to Change Practice in an Organization and Knowledge Translation
- Applicability (feasibility)
o Political acceptability
o Social acceptability (by target population)
o Available resources
o Organizational expertise and capacity
- Transferability (generalizability)
o Magnitude of the issue (local need)
o Magnitude of the reach and cost
o Target population (similar to study population)
DECISION
- Need to consider barriers and facilitators
- Innovation characteristics
o Relative advantage: degree to which the innovation is perceived as better than the idea it supersedes
o Compatability: degree to which the innovation is consisten with existing values, needs, experiences
o Complexity: degree to which the innovation is perceived as difficult
o Trialability: degree to which the innovation can be implemented on a small scale to determine advantages/disadvantages
o Observability: degree to which the adopting innovation can be measured
- Practice setting characteristics
o Organizational
▪ Structure: size (full-time equivalent staff); number of divisions (functional differentiation); number of hierarchical
levels (vertical differentiation)
▪ Culture: value placed on using research evidence
▪ Communication channels (internal and external)
▪ Leadership support: centralized vs. decentralized decision making; managerial support towards research
utilization/EIDM; resources
o Environmental
▪ Reporting relationships between senior administration and local board of health
▪ Urbanization: urban vs. rural; financial resources of the city/region
▪ Network embeddedness: collaboration among community organizations; pressure exerted by “peers”; competition (to
attract specialized professionals); prestige
▪ Regulation/legislation
- Individual characteristics
o Number of days spent at conferences or interacting with external colleagues (cosmopolitanism)
o Involvement in research projects
o Access to research consultant
o Position
o Age
o Seniority
o Decision making authority
o Education
o Time: implement new ideas, review evidence
o Availabaility of research
o Critical appraisal skills
IMPLEMENTATION
- Possible outcomes: an individual or organization may choose not to adopt the innovation; to adopt the innovation in whole; or to adopt the
innovationin part or in a modified way
- Professional interventions
o Audit and feedback
o Interactive educational workshops
o Outreach visits
o Academic detailing
o Knowledge broker
o Local opinion leaders
o Patient mediated interventions
o Marketing
o Mass media
o Reminders
o Tailored messages
o Targeted messages
- Financial interventions
o Capitation (set payments per patient)
o Fee-for-service
o Formulary (medications approved for prescribing)
o Institution incentives
o Institution grant/allowance
o Institution penality
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Unit xi: using research evidence to change practice in an organization and knowledge translation. Social acceptability (by target population: available resources, organizational expertise and capacity. Transferability (generalizability: magnitude of the issue (local need, magnitude of the reach and cost, target population (similar to study population) Structure: size (full-time equivalent staff); number of divisions (functional differentiation); number of hierarchical levels (vertical differentiation: culture: value placed on using research evidence, communication channels (internal and external) Involvement in research projects: number of days spent at conferences or interacting with external colleagues (cosmopolitanism, access to research consultant, age, decision making authority, education, time: implement new ideas, review evidence, availabaility of research, critical appraisal skills. Possible outcomes: an individual or organization may choose not to adopt the innovation; to adopt the innovation in whole; or to adopt the innovationin part or in a modified way.
