Observations and Tests in OT Contexts Flashcards
What is knowledge translation?
dynamic iterative process that includes synthesis, dissemination, exchange and ethnically-sound application of knowledge to improve health, provide more effective services and products and strengthen the health care system.
What is synthesis?
contextualizing and integrating individual study findings within the larger body of knowledge on the topic
What is dissemination?
identifying the appropriate audience and tailoring the message to the audience
What is exchange?
Interaction between knowledge user and the researcher, resulting in mutual learning
Why is knowledge translation important?
ensures patients get effective treatment that is not harmful and are provided with the information so they may make informed decisions. Reduces time and costs
What are the two main theories of knowledge translation?
1) Knowledge to action framework
2) Diffusion, dissemination and implementation of innovation framework
Where does the knowledge to action framework start?
identifying the problem and identifying, reviewing and selecting knowledge
What is to be done after obtaining knowledge in the action cycle of the knowledge to action framework?
adapting knowledge to context -> access barriers to knowledge use -> select, tailor and implement interventions -> monitor knowledge use -> evaluate outcomes -> sustain knowledge use
What is in the funnel in the knowledge to action framework?
knowledge creation: knowledge inquiry, synthesis and products tools
What is the principle behind the diffusion of innovation framework?
organisation adapts to the innovation and the innovation is adapted by the innovation
What are the barriers to knowledge translation? Give an example for each
- organisational supports/systems: resources
- system/process factors: workload, team structural, referral process etc.
- service provider cognitive/behavioral factors: knowledge, skills and awareness
- personal characteristics: technology, maturity
- healthcare professionals
- attitudinal factors: perceived competence and authority
- patient factors: language, values, adherence to service
- clinical practice guidelines: utility, access and applicability
What are facilitators for knowledge translation?
- education and intervention for professionals
- IT supports
- workplace alterations
- patient-mediated interventions
What are some strategies in implementing knowledge translation that would not work to change behavior?
- complex clinical guidelines
- continuing education
- educational materials
What are some strategies in implementing knowledge translation that would not work to change knowledge?
- continuing education
- journal clubs
What are some strategies in implementing knowledge translation that would not work to change patient outcomes?
- multi-faceted interventions
