Knowledge mobilization in bridging patient-practitioner-researcher boundaries: A systematic integrative review.
exploring boundaries
health care
integrative review
knowledge mobilization
nursing
patient
practitioner
researcher
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
01
06
2020
revised:
12
08
2020
accepted:
07
09
2020
pubmed:
18
10
2020
medline:
20
5
2021
entrez:
17
10
2020
Statut:
ppublish
Résumé
To review when, how, and in what context knowledge mobilization (KMb) has crossed patient-practitioner-researcher boundaries. KMb is essential in contemporary health care, yet little is known about how patients are engaged. Integrative review. Ten academic databases and grey literature. We followed integrative review methodology to identify publications from 2006-2019 which contributed to understanding of cross-boundary KMb. We extracted data using a bespoke spreadsheet and the Template for Intervention Description and Replication (TIDieR) framework. We used meta-summary to organize key findings. Thirty-three papers collectively provide new insights into 'when' and 'how' KMb has crossed patient-researcher-practitioner boundaries and the impact this has achieved. Knowledge is mobilized to improve care, promote health, or prevent ill health. Most studies focus on creating or re-shaping knowledge to make it more useful. Knowledge is mobilized in small community groups, in larger networks, and intervention studies. Finding the right people to engage in activities is crucial, as activities can be demanding and time-consuming. Devolving power to communities and using local people to move knowledge can be effective. Few studies report definitive outcomes of KMb. Cross-boundary KMb can and does produce new and shared knowledge for health care. Positive outcomes can be achieved using diverse public engagement strategies. KMb process and theory is an emerging discipline, further research is needed on effective cross-boundary working and on measuring the impact of KMb. This review provides new and nuanced understandings of how KMb theory has been used to bridge patient-researcher-practitioner boundaries. We have assessed 'how', 'when', and in what context patients, practitioners and researchers have attempted to mobilize knowledge and identified impact. We have developed a knowledge base about good practice and what can and potentially should be avoided in cross-boundary KMb. 目的: 评估信息流通(KMb)跨越患者-执业医师-研究员界限的时间、方式和背景。 背景: 信息流通在现代医疗保健中至关重要,但仍鲜有关于患者参与方式的研究。 设计: 综合评估 数据来源: 十大学术数据库和灰色文献。 评估方法: 我们采用了综合评估方法,确定2006年至2019年间涉及跨界信息流通的出版资料,利用定制的电子表格以及干预说明和复制模板(TIDieR)框架提取数据,并用荟萃分析法来组织关键发现。 结果: 共有33篇论文提出了关于信息流通跨越患者-研究员-执业医师界限“时间”和“方式”的新论点,并阐释了相应影响。信息流通的目的是提升护理水平、促进健康或预防疾病。大多数研究关注创建或重塑信息使其更加有用。在小型社区团体、大型网络和干预研究中,均存在信息流通。由于干预活动要求极高且耗时较长,因此找到适合的人参与活动极为重要。发展社区力量,利用当地居民进行信息迁移可能会产生一定效果。但少有研究涉及信息流通的确切结果。 结论: 跨界信息流通可以并且会产生新的共享健康护理知识。利用多元化的公众参与策略可以达到积极的效果。信息流通过程和理论是一门新兴学科,需要继续研究其有效的跨界作用机制并衡量信息流通带来的影响。 影响: 本评估就使用信息流通突破患者-研究员-执业医师的界限问题提出了全新的细致解读。我们评估了患者、执业医师和研究员尝试进行信息流通的“方式”、“时间”和背景,并确定了相关影响,我们还创建了一个最佳实践知识库,而在未来,我们完全可以不采用知识库即可实现跨界信息流通。.
Sections du résumé
AIM
OBJECTIVE
To review when, how, and in what context knowledge mobilization (KMb) has crossed patient-practitioner-researcher boundaries.
BACKGROUND
BACKGROUND
KMb is essential in contemporary health care, yet little is known about how patients are engaged.
DESIGN
METHODS
Integrative review.
DATA SOURCES
METHODS
Ten academic databases and grey literature.
REVIEW METHODS
METHODS
We followed integrative review methodology to identify publications from 2006-2019 which contributed to understanding of cross-boundary KMb. We extracted data using a bespoke spreadsheet and the Template for Intervention Description and Replication (TIDieR) framework. We used meta-summary to organize key findings.
RESULTS
RESULTS
Thirty-three papers collectively provide new insights into 'when' and 'how' KMb has crossed patient-researcher-practitioner boundaries and the impact this has achieved. Knowledge is mobilized to improve care, promote health, or prevent ill health. Most studies focus on creating or re-shaping knowledge to make it more useful. Knowledge is mobilized in small community groups, in larger networks, and intervention studies. Finding the right people to engage in activities is crucial, as activities can be demanding and time-consuming. Devolving power to communities and using local people to move knowledge can be effective. Few studies report definitive outcomes of KMb.
CONCLUSION
CONCLUSIONS
Cross-boundary KMb can and does produce new and shared knowledge for health care. Positive outcomes can be achieved using diverse public engagement strategies. KMb process and theory is an emerging discipline, further research is needed on effective cross-boundary working and on measuring the impact of KMb.
IMPACT
CONCLUSIONS
This review provides new and nuanced understandings of how KMb theory has been used to bridge patient-researcher-practitioner boundaries. We have assessed 'how', 'when', and in what context patients, practitioners and researchers have attempted to mobilize knowledge and identified impact. We have developed a knowledge base about good practice and what can and potentially should be avoided in cross-boundary KMb.
目的: 评估信息流通(KMb)跨越患者-执业医师-研究员界限的时间、方式和背景。 背景: 信息流通在现代医疗保健中至关重要,但仍鲜有关于患者参与方式的研究。 设计: 综合评估 数据来源: 十大学术数据库和灰色文献。 评估方法: 我们采用了综合评估方法,确定2006年至2019年间涉及跨界信息流通的出版资料,利用定制的电子表格以及干预说明和复制模板(TIDieR)框架提取数据,并用荟萃分析法来组织关键发现。 结果: 共有33篇论文提出了关于信息流通跨越患者-研究员-执业医师界限“时间”和“方式”的新论点,并阐释了相应影响。信息流通的目的是提升护理水平、促进健康或预防疾病。大多数研究关注创建或重塑信息使其更加有用。在小型社区团体、大型网络和干预研究中,均存在信息流通。由于干预活动要求极高且耗时较长,因此找到适合的人参与活动极为重要。发展社区力量,利用当地居民进行信息迁移可能会产生一定效果。但少有研究涉及信息流通的确切结果。 结论: 跨界信息流通可以并且会产生新的共享健康护理知识。利用多元化的公众参与策略可以达到积极的效果。信息流通过程和理论是一门新兴学科,需要继续研究其有效的跨界作用机制并衡量信息流通带来的影响。 影响: 本评估就使用信息流通突破患者-研究员-执业医师的界限问题提出了全新的细致解读。我们评估了患者、执业医师和研究员尝试进行信息流通的“方式”、“时间”和背景,并确定了相关影响,我们还创建了一个最佳实践知识库,而在未来,我们完全可以不采用知识库即可实现跨界信息流通。.
Autres résumés
Type: Publisher
(chi)
目的: 评估信息流通(KMb)跨越患者-执业医师-研究员界限的时间、方式和背景。 背景: 信息流通在现代医疗保健中至关重要,但仍鲜有关于患者参与方式的研究。 设计: 综合评估 数据来源: 十大学术数据库和灰色文献。 评估方法: 我们采用了综合评估方法,确定2006年至2019年间涉及跨界信息流通的出版资料,利用定制的电子表格以及干预说明和复制模板(TIDieR)框架提取数据,并用荟萃分析法来组织关键发现。 结果: 共有33篇论文提出了关于信息流通跨越患者-研究员-执业医师界限“时间”和“方式”的新论点,并阐释了相应影响。信息流通的目的是提升护理水平、促进健康或预防疾病。大多数研究关注创建或重塑信息使其更加有用。在小型社区团体、大型网络和干预研究中,均存在信息流通。由于干预活动要求极高且耗时较长,因此找到适合的人参与活动极为重要。发展社区力量,利用当地居民进行信息迁移可能会产生一定效果。但少有研究涉及信息流通的确切结果。 结论: 跨界信息流通可以并且会产生新的共享健康护理知识。利用多元化的公众参与策略可以达到积极的效果。信息流通过程和理论是一门新兴学科,需要继续研究其有效的跨界作用机制并衡量信息流通带来的影响。 影响: 本评估就使用信息流通突破患者-研究员-执业医师的界限问题提出了全新的细致解读。我们评估了患者、执业医师和研究员尝试进行信息流通的“方式”、“时间”和背景,并确定了相关影响,我们还创建了一个最佳实践知识库,而在未来,我们完全可以不采用知识库即可实现跨界信息流通。.
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
523-536Informations de copyright
© 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
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