Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis

Janet E Squires^{1

2}, Alison M Hutchinson^{3

4}, Mary Coughlin², Kainat Bashir⁵, Janet Curran^{6

7}, Jeremy M Grimshaw^{2

8}, Kristin Dorrance⁹, Laura Aloisio², Jamie Brehaut^{2

10}, Jill J Francis^{11

2}, Noah Ivers¹², John Lavis¹³, Susan Michie¹⁴, Michael Hillmer¹⁵, Thomas Noseworthy¹⁶, Jocelyn Vine⁷, Ian D Graham^{2

10}

Affiliations

¹ Department of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada.
² Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
³ Monash Health, Melbourne, VIC, Australia.
⁴ School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia.
⁵ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
⁶ Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada.
⁷ IWK Health Centre, Halifax, NS, Canada.
⁸ Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
⁹ Statistics Canada, Ottawa, ON, Canada.
¹⁰ School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
¹¹ School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
¹² Women's College Hospital, Toronto, ON, Canada.
¹³ McMaster University, Hamilton, ON, Canada.
¹⁴ University College London, London, UK.
¹⁵ Ontario Ministry of Health and Long-Term Care, Toronto, ON, Canada.
¹⁶ University of Calgary, Calgary, AB, Canada.

PMID: 34060269
PMCID: PMC9808341
DOI: 10.34172/ijhpm.2021.32

Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis

Janet E Squires et al. Int J Health Policy Manag. 2022.

. 2022 Aug 1;11(8):1373-1390.

doi: 10.34172/ijhpm.2021.32. Epub 2021 May 1.

Authors

Affiliations

¹ Department of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada.
² Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
³ Monash Health, Melbourne, VIC, Australia.
⁴ School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia.
⁵ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
⁶ Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada.
⁷ IWK Health Centre, Halifax, NS, Canada.
⁸ Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
⁹ Statistics Canada, Ottawa, ON, Canada.
¹⁰ School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
¹¹ School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
¹² Women's College Hospital, Toronto, ON, Canada.
¹³ McMaster University, Hamilton, ON, Canada.
¹⁴ University College London, London, UK.
¹⁵ Ontario Ministry of Health and Long-Term Care, Toronto, ON, Canada.
¹⁶ University of Calgary, Calgary, AB, Canada.

PMID: 34060269
PMCID: PMC9808341
DOI: 10.34172/ijhpm.2021.32

Abstract

Background: Context is recognized as important to successful knowledge translation (KT) in health settings. What is meant by context, however, is poorly understood. The purpose of the current study was to elicit tacit knowledge about what is perceived to constitute context by conducting interviews with a variety of health system stakeholders internationally so as to compile a comprehensive list of contextual attributes and their features relevant to KT in healthcare.

Methods: A descriptive qualitative study design was used. Semi-structured interviews were conducted with health system stakeholders (change agents/KT specialists and KT researchers) in four countries: Australia, Canada, the United Kingdom, and the United States. Interview transcripts were analyzed using inductive thematic content analysis in four steps: (1) selection of utterances describing context, (2) coding of features of context, (3) categorizing of features into attributes of context, (4) comparison of attributes and features by: country, KT experience, and role.

Results: A total of 39 interviews were conducted. We identified 66 unique features of context, categorized into 16 attributes. One attribute, Facility Characteristics, was not represented in previously published KT frameworks. We found instances of all 16 attributes in the interviews irrespective of country, level of experience with KT, and primary role (change agent/KT specialist vs. KT researcher), revealing robustness and transferability of the attributes identified. We also identified 30 new context features (across 13 of the 16 attributes).

Conclusion: The findings from this study represent an important advancement in the KT field; we provide much needed conceptual clarity in context, which is essential to the development of common assessment tools to measure context to determine which context attributes and features are more or less important in different contexts for improving KT success.

Keywords: Context; Implementation; Knowledge Translation.

© 2022 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comment in

Six Honest Serving Matters, Teaching Us All We Need to Know About Context in Knowledge Implementation? Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis".
Eldh AC. Eldh AC. Int J Health Policy Manag. 2022 Aug 1;11(8):1574-1576. doi: 10.34172/ijhpm.2021.152. Epub 2021 Nov 3. Int J Health Policy Manag. 2022. PMID: 34814680 Free PMC article.
Future Directions for Providing Conceptual Clarity Related to Context in Implementation Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis".
Van Pelt A, Beidas RS. Van Pelt A, et al. Int J Health Policy Manag. 2022 Aug 1;11(8):1577-1579. doi: 10.34172/ijhpm.2021.173. Epub 2021 Dec 20. Int J Health Policy Manag. 2022. PMID: 35021615 Free PMC article.
Context Matters in Evidence Implementation Globally Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis".
Gagnon MP. Gagnon MP. Int J Health Policy Manag. 2022 Aug 1;11(8):1580-1583. doi: 10.34172/ijhpm.2021.179. Epub 2021 Dec 27. Int J Health Policy Manag. 2022. PMID: 35021616 Free PMC article.
Policy-Making Context Matters, But Can (and Should) It Be Operationalised? Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis".
Cairney P. Cairney P. Int J Health Policy Manag. 2022 Aug 1;11(8):1584-1586. doi: 10.34172/ijhpm.2022.6819. Epub 2022 Feb 14. Int J Health Policy Manag. 2022. PMID: 35184507 Free PMC article.
Context Matters, So How Do We Get Better at Working With Context in Implementation Research and Practice? Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis".
Harvey G. Harvey G. Int J Health Policy Manag. 2022 Aug 1;11(8):1587-1589. doi: 10.34172/ijhpm.2022.7088. Epub 2022 Mar 2. Int J Health Policy Manag. 2022. PMID: 35247941 Free PMC article.
How and Why Context Matters: A Personal Reflection Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis".
Kitson A. Kitson A. Int J Health Policy Manag. 2022 Aug 1;11(8):1590-1591. doi: 10.34172/ijhpm.2022.6782. Epub 2022 Apr 27. Int J Health Policy Manag. 2022. PMID: 35490256 Free PMC article.
Optimising the Conceptualisation of Context Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis".
Rycroft-Malone J, Rogers L, Burton CR. Rycroft-Malone J, et al. Int J Health Policy Manag. 2022 Oct 19;11(10):2365-2367. doi: 10.34172/ijhpm.2022.6900. Epub 2022 Aug 28. Int J Health Policy Manag. 2022. PMID: 37579347 Free PMC article.
Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Response to Recent Commentaries.
Squires JE, Santos WJ, Graham ID, Brehaut J, Curran JA, Francis JJ, Grimshaw JM, Hillmer M, Ivers N, Lavis J, Michie S, Noseworthy T, Hutchinson AM. Squires JE, et al. Int J Health Policy Manag. 2023;12:7908. doi: 10.34172/ijhpm.2023.7908. Epub 2023 Feb 27. Int J Health Policy Manag. 2023. PMID: 37579435 Free PMC article. No abstract available.

References

1. Lang ES, Wyer PC, Haynes RB. Knowledge translation: closing the evidence-to-practice gap. Ann Emerg Med. 2007;49(3):355–363. doi: 10.1016/j.annemergmed.2006.08.022. - DOI - PubMed
1. Lauer MS, Skarlatos S. Translational research for cardiovascular diseases at the National Heart, Lung, and Blood Institute: moving from bench to bedside and from bedside to community. Circulation. 2010;121(7):929–933. doi: 10.1161/circulationaha.109.917948. - DOI - PMC - PubMed
1. McGlynn EA, Asch SM, Adams J. et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–2645. doi: 10.1056/NEJMsa022615. - DOI - PubMed
1. Schuster MA, McGlynn EA, Brook RH. How good is the quality of health care in the United States? Milbank Q. 1998;76(4):517–563. doi: 10.1111/1468-0009.00105. - DOI - PMC - PubMed
1. Grol R. Successes and failures in the implementation of evidence-based guidelines for clinical practice. Med Care. 2001;39(8 Suppl 2):II46–54. doi: 10.1097/00005650-200108002-00003. - DOI - PubMed

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Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis

Affiliations

Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis

Authors

Affiliations

Abstract

Comment in

References

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