Full citation

Ginexi, E. M. & Hilton, T. F. (2006). What’s Next for Translation Research? Evaluation & the Health Professions, 29(3), 334-347.

Format: Peer-reviewed article

Type: Research — Non-experimental

Experience level of reader: Fundamental

Annotation: The author explores some the factors that can impede the application of research-based knowledge, including the relative absence of the kinds of supporting information that knowledge users commonly need for effective planning, budgeting and implementation.

Setting(s) to which the reported activities/findings are relevant: University

Knowledge user(s) to whom the piece of literature may be relevant: Clinicians, Researchers

Knowledge user level addressed by the literature: Organization

This article uses the Commercial Devices and Services version of the NtK Model

Primary Findings

Barriers:

  • One of the factors that can impede the application of research-based knowledge (evidence) is the fact that relevant practitioners, or their entire profession, are not ready to adopt (or able to justify the use of) the new knowledge. This is referred to as ‘technology push.’ (The reverse may also occur, where the practitioner/profession has an identified need that researchers have not acted upon. This is known as ‘practice pull.’)
    Literature review and professional reflections.
    Occurrence of finding within the model: KTA Stage 1, KTA Stage 3, KTA Stage 2, KTA Tip 1.2, KTA Tip 2.2, KTA Tip 3.1
  • Research-based scholarly publications rarely include information that itemizes associated costs and benefits, or facilitates planning and budgeting. Other common absences of information include implementation-related factors such as the availability of practice guidelines, staffing requirements, educational prerequisites, training needs, and performance life cycles. Researchers often have many of the answers, but journals rarely consider the information to be within their scope of coverage.
    Literature review and professional reflections.
    Occurrence of finding within the model: KTA Tip 1.2, KTA Tip 2.2, KTA Tip 3.1, Step 3.4, Step 3.3, Step 3.5
  • Research-based scholarly publications rarely include information that itemizes associated costs and benefits, or facilitates planning and budgeting. Other common absences of information include implementation-related factors such as the availability of practice guidelines, staffing requirements, educational prerequisites, training needs, and performance life-cycles. Researchers often have many of the answers, but journals rarely consider the information to be within their scope of coverage.
    Literature review and professional reflections.
    Occurrence of finding within the model: KTA Tip 3.1, KTA Tip 1.2, KTA Tip 2.2, Step 3.4, Step 3.3, Step 3.5

Secondary Findings

Barrier: Some of the factors that can impede the application of research-based knowledge (evidence) include: a negative or unsupportive political atmosphere; an absence of public awareness regarding its value; and concern about how related implementation and ongoing costs will be funded. (Anderson [1998]; French [2005]; Fuller [2005]; Saxon [2005]; Sindelar [2005])
Occurrence of finding within the model: KTA Step 3.C

Carrier: Some of the factors that can facilitate the successful implementation of research based knowledge (evidence) include: a focused and complementary organizational vision (supported by strong leadership, a positive organizational climate, and an aligned philosophy of care); positive staff buy-in (and motivation); a supportive and receptive client (patient) base; and available organizational capacity (e.g., facilities, equipment and personnel). (Simpson [2002])
Occurrence of finding within the model: KTA Stage 1, KTA Stage 2, KTA Stage 3

Tip: Knowledge users (practitioners) should understand that researchers are often unable to test the applicability of new research-based knowledge across all possible permutations and combinations. In some cases, refinements and enhancements are garnered from increased or broader use of the new research-based knowledge. In other cases, adverse issues associated with the application of new research-based knowledge can trigger a suspension of its use and refinements to the original research protocol. (Glasgow [2003]; Green [2006]; Dishion [1995a, 1995b, 1996, 1997, 2003, 2004])
Occurrence of finding within the model: KTA Stage 1, KTA Stage 2, KTA Stage 3