Adapting knowledge to local context

Harrison, Margaret B.; Graham, Ian; Fervers, Béatrice; Hoek, Joan van den

doi:10.1002/9781118413555.ch10

Cited by 17 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This research examines factors that facilitate behavior change among clinicians, particularly in the area of implementing clinical practice guidelines (e.g., (Straus, Tetroe, Graham, & Wiley online, 2009)). A core insight from this research is that guidelines may not “fit” with new clinical environments, whether due to resources such as staff skills and available equipment (Toman, Harrison, & Logan, 2001), or due to local acceptability of recommendations (Harrison, Graham, & Fervers, 2009), or due to local institutional arrangements (Fervers et al, 2006). These types of mismatches were also evident in Flint, where social factors such as poverty, religious faith, cultural history and tradition needed to be reconciled with biomedical information and advice.…”

Section: Discussionmentioning

confidence: 99%

“…As we saw in Flint, clinical settings must “adapt” biomedical information such as guidelines to make it actionable in a local context (Graham et al, 2006). Adaptation involves assessment of the value and usefulness of a guideline to one's setting (Harrison, et al, 2009), selecting relevant knowledge (Ward et al, 2012), tailoring or customizing information to one's local context (Graham, et al, 2006), reformatting or repackaging information (Fervers, et al, 2006), and/or linking guidelines to everyday language (Ward, et al, 2012). Parallels are also evident in our participants' acts of translation, as in efforts to tailor advice regarding diet and exercise to one's setting.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Localizing chronic disease management: Information work and health translations

Kaziunas

Ackerman

Veinot

2013

Proc of Assoc for Info

View full text Add to dashboard Cite

Based on interviews with people who had diabetes, high blood pressure, and kidney disease in Flint, Michigan, we found people actively doing information work to manage their health in the face of poverty, potentially violent conditions, high stress, and a distrust of institutionalized medicine. More specifically, we observed people translating information into the context of their everyday lives. We present various translations of health information in the form of local strategies for chronic illness management. Study findings highlight initial implications to support health information services on a community level.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Localizing chronic disease management: Information work and health translations

Kaziunas

Ackerman

Veinot

2013

Proc of Assoc for Info

View full text Add to dashboard Cite

show abstract

“…We posit that processes and tools for monitoring medical student diversity markers and the identification of locally relevant underrepresented groups must be developed and employed. Given the specificities of each medical school and their contexts (e. g. local patterns of immigration and hence underrepresentation), the collection and interpretation of findings within the local context is essential [30]. …”

Section: Framework For Developing Diversity-related Admissions Best Pmentioning

confidence: 99%

Facilitating admissions of diverse students: A six-point, evidence-informed framework for pipeline and program development

Young¹,

Thomas²,

Varpio³

et al. 2017

Perspect Med Educ

View full text Add to dashboard Cite

IntroductionSeveral national level calls have encouraged reconsideration of diversity issues in medical education. Particular interest has been placed on admissions, as decisions made here shape the nature of the future physician workforce. Critical analysis of current practices paired with evidence-informed policies may counter some of the barriers impeding access for underrepresented groups.MethodsWe present a framework for diversity-related program development and evaluation grounded within a knowledge translation framework, and supported by the initiation of longitudinal collection of diversity-related data. We provide an illustrative case study for each component of the framework. Descriptive analyses are presented of pre/post intervention diversity metrics if applicable and available.ResultsThe framework’s focal points are: 1) data-driven identification of underrepresented groups, 2) pipeline development and targeted recruitment, 3) ensuring an inclusive process, 4) ensuring inclusive assessment, 5) ensuring inclusive selection, and 6) iterative use of diversity-related data. Case studies ranged from wording changes on admissions websites to the establishment of educational and administrative offices addressing needs of underrepresented populations.ConclusionsWe propose that diversity-related data must be collected on a variety of markers, developed in partnership with stakeholders who are most likely to facilitate implementation of best practices and new policies. These data can facilitate the design, implementation, and evaluation of evidence-informed diversity initiatives and provide a structure for continued investigation into ‘interventions’ supporting diversity-related initiatives.

show abstract

“…Variation in clinical practice undoubtedly affects the quality of services and care received by patients [ 1 ]. To mitigate and promote the standardisation of supply of services and care, clinical practice guidelines have been proposed [ 2 , 3 ] to support the clinical judgement of health professionals [ 4 ]. The Canadian Action Network for the Advancement, Dissemination and Adoption of Practices in Treatment of Smoking (CANADAPTT), established in 2008, produced the Canadian Smoking Cessation Clinical Guideline (CSCCG) based on clinical experience in the Canadian context [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Environmental Factors Influencing Adoption of Canadian Guidelines on Smoking Cessation in Dental Healthcare Settings in Quebec: A Qualitative Study of Dentists’ Perspectives

2016

View full text Add to dashboard Cite

Background: This study aimed to understand dentists’ perspective of the environmental determinants which positively or negatively influence the implementation of Canadian smoking cessation clinical practice guidelines (5As: Ask-Advise-Assess-Assist-Arrange) in private dental clinics in Quebec. Methods: This study used a qualitative design and an integrative conceptual framework composed of three theoretical perspectives. Data collection was conducted in individual semi-directed interviews with 20 private dentists lasting between 35 and 45 min. The audio-recorded data were transcribed verbatim, followed by a directed content analysis. Results: Some of the barriers identified to counselling in smoking cessation were lack of time, patient attitude, lack of prescription of nicotine replacement therapies, lack of reimbursement, and the lack of training of the dental team. Enablers cited by participants were the style of dentist’s leadership, the availability of community, human and material resources, the perception of counselling as a professional duty, and the culture of dental medicine. In addition to these variables, dentists’ attitude and behaviour were affected by different organisations giving initial or continual training to dentists, governmental policies, and the compatibility of Canadian smoking cessation guidelines with the practice of dentistry. Conclusion: Our findings will inform the development of smoking cessation interventions in dental healthcare settings.

show abstract

Adapting knowledge to local context

Cited by 17 publications

References 17 publications

Localizing chronic disease management: Information work and health translations

Localizing chronic disease management: Information work and health translations

Facilitating admissions of diverse students: A six-point, evidence-informed framework for pipeline and program development

Environmental Factors Influencing Adoption of Canadian Guidelines on Smoking Cessation in Dental Healthcare Settings in Quebec: A Qualitative Study of Dentists’ Perspectives

Contact Info

Product

Resources

About

Adapting knowledge to local context

Cited by 17 publications

References 17 publications

Localizing chronic disease management: Information work and health translations

Localizing chronic disease management: Information work and health translations

Facilitating admissions of diverse students: A&nbsp;six-point, evidence-informed framework for pipeline and program development

Environmental Factors Influencing Adoption of Canadian Guidelines on Smoking Cessation in Dental Healthcare Settings in Quebec: A Qualitative Study of Dentists’ Perspectives

Contact Info

Product

Resources

About

Facilitating admissions of diverse students: A six-point, evidence-informed framework for pipeline and program development