Facilitators and barriers to brokering between research and care by senior clinical-scientists in general practice and elderly care medicine

Bartelink, M. L.; Baggen, Yvette; Stevens, Diede; Smalbrugge, Martin; Scherpbier, Nynke; Damoiseaux, Roger; Groot, Esther de

doi:10.1080/14739879.2019.1570349

Cited by 10 publications

(31 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Organizational support (access to resources, administrative, technical, and nancial support) can positively in uence the initiation and sustainability of the KBs role within an organization [31,74,81,[84][85][86]96]. Indeed, our ndings suggest that several forms of organizational support can impact the success of KBs roles.…”

Section: Organizational Levelmentioning

confidence: 71%

Perceived Barriers and Facilitators to Using Knowledge Brokers in Canadian Rehabilitation Settings: A Qualitative Study

Gaid

Ahmed

Thomas

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Knowledge translation experts advocate for employing knowledge brokers (KBs) to promote the uptake of research evidence in health care settings. However, little is known about factors influencing the utilization of KBs, thereby limiting their employment within healthcare organizations. This research aimed to identify factors likely to hinder or promote the optimal use of KBs within rehabilitation settings in Canada.Methods: Qualitative study using semi-structured telephone interviews with individuals performing KB activities in rehabilitation settings across Canada. The interview topic guide was informed by the Consolidated Framework for Implementation Research (CFIR) and consisted of 20 questions covering five domains (characteristics of individuals, inner setting, process, outer settings, and innovation characteristics). All interviews lasted 60 to 90 minutes, were digitally recorded, and transcribed verbatim. We conducted qualitative descriptive analysis combining deductive coding guided by the CFIR. Two independent analysts coded and rated all interviews, then met to review, deliberate and modify the codes as appropriate. A matrix was created by listing the salient codes for each CFIR construct to identify factors (facilitators and barriers) at the individual, organisational, and process level most likely to impact the KB’s success/failure.Results: Twenty-three participants, from five Canadian provinces were interviewed. At the individual level, the majority of participants reported having strong communication skills, being confident about performing KBs activities, and possessing solid clinical experience and prior research skills. At the organizational level, most respondents indicated constantly networking and engaging with clinical teams and different stakeholders, and having an acceptable level of guidance from their managers. Very few participants felt that they received sufficient organizational support (i.e., clerical support and IT support). At the process level, all participants indicated needing evaluation tools to better gauge their performance, and the majority mentioned that they would benefit from having additional training tailored to their roles as KBs.Conclusions: Individual, organisational and process level factors likely to hinder or promote the optimal use of KBs within Canadian rehabilitation settings include skillsets and networking abilities; culture, resources, and leadership support; and the need for specific training for KBs and for evaluation tools to monitor their performance.

show abstract

Section: Organizational Levelmentioning

confidence: 71%

Perceived Barriers and Facilitators to Using Knowledge Brokers in Canadian Rehabilitation Settings: A Qualitative Study

Gaid

Ahmed

Thomas

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous research indicated that dedicating nancial support for research activities can facilitate brokering activities. [40] In part, additional nancial support for KBs may be possible by encouraging collaborations between KBs and researchers in order to take advantage of funded research investigating brokering activities. [40] However, it is important for research projects to consider early on the sustainability of the KBs role for organisations to plan as needed to maintain the KBs role in the longterm.…”

Section: Discussionmentioning

confidence: 99%

“…[14,[32][33][34][35][36][37][38] Professionals who act as intermediaries in facilitating knowledge exchange between researchers and clinicians are referred to as human agents, [39] change agents [20] or opinion leaders, [11] while the most commonly used term in literature is brokers or knowledge brokers. [40] Knowledge brokers (KBs) are de ned as one of the human forces which bring people together to build relationships, identify practice needs, and share ideas to improve job productivity. [41] A recent systematic review reported that knowledge brokers can increase practitioners' adoption of evidencebased guidelines by 2.76 times (95% CI, 2.…”

Section: Introductionmentioning

confidence: 99%

“…While there is evidence that KBs help reduce research-practice gap, [19,41,45,[47][48][49][50][51][52][53][58][59][60][61][62] studies have found that there is a the lack of knowledge about the personal and professional characteristics of KBs in the rehabilitation context, [55] their speci c work activities, [40,63] and the type of training that they have received to perform their role. [41,55,60,[64][65][66][67] This scarcity of research can limit health care organizations' ability to advance KBs practice [45,68].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Profiling Knowledge Brokers in the Rehabilitation Sector Across Canada: A Descriptive Study

Gaid

Ahmed

Thomas

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Knowledge brokers (KBs) can help promote the uptake of the latest research evidence into clinical practice. Little is known about who they are, the type of work they do, and their training. Establishing a portrait of Canadian KBs working in the rehabilitation sector may inform health care organizations and knowledge translation specialists on how best to advance KBs practices. The overall goal was to describe the profile of KBs working to promote the uptake of evidence within rehabilitation settings in Canada. Specifically, this study aimed to describe the sociodemographic and professional characteristics, work activities, and training of KBs.Methods: A cross-sectional online survey was administered to KBs working in rehabilitation settings across Canada. The survey included 20 questions covering sociodemographic and professional characteristics, work activities, and training opportunities. Response frequency and percentage were calculated for all categorical variables, and the weighted-average “WA” for each role was calculated across participants. Descriptive analysis was conducted for all open-ended questions. Results: Of 475 participants accessing the website, 198 completed the survey questionnaire, including 99 clinicians, 35 researchers, and 26 managers. While over two-third of respondents had completed a graduate degree, only 38% reported receiving KBs-related training. The respondents’ primary roles corresponded to a linking agent (WA=1.84), followed by capacity builder (WA=1.76), information manager (1.71), facilitator (WA=1.41), and evaluator (WA=1.32). Conclusions: KBs are mostly expert clinicians who tend to perform brokering activities part-time targeting their peers. Participants mostly perform linking agents, capacity builder, and information roles. Moreover, few participants received formal training to perform brokering activities.

show abstract

“…14 participants were interviewed in their (clinical or research) workplace; three participants were interviewed at their homes between June and August 2017. During the interviews, additional data were collected as this research is part of a larger research project (Bartelink et al 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Clinician-Scientists in-and-between Research and Practice: How Social Identity Shapes Brokerage

Groot

Baggen

Moolenaar

et al. 2020

Minerva

Self Cite

View full text Add to dashboard Cite

Clinician-scientists (CSs) are vital in connecting the worlds of research and practice. Yet, there is little empirical insight into how CSs perceive and act upon their in-and-between position between these socio-culturally distinct worlds. To better understand and support CSs’ training and career development, this study aims to gain insight into CSs’ social identity and brokerage. The authors conducted semi-structured, in-depth interviews with 17, purposively sampled, CSs to elicit information on their social identity and brokerage. The CSs differ in how they perceive their social identity. Some CSs described their social identity strongly as either a research or clinical identity (dominant research or clinical identity). Other CSs described combined research and clinical identities, which might sometimes be compartmentalised, intersected or merged (non-dominant-identity). In the types of brokerage that they employ, all CSs act as representatives. CSs with a non-dominant identity mostly act as liaison and show considerable variability in their repertoire, including representative and gatekeeper. CSs with a dominant identity have less diversity in their brokerage types. Those with a dominant research identity typically act as a gatekeeper. Combining lenses of social identity theory and brokerage types helps understand CSs who have a dual position in-and-between the worlds of clinical practice and research. Professional development programs should explicitly address CSs’ professional identities and subsequent desired brokerage. Research and policy should aim to clarify and leverage the position of CSs in-and-between research and practice.

show abstract

Facilitators and barriers to brokering between research and care by senior clinical-scientists in general practice and elderly care medicine

Cited by 10 publications

References 16 publications

Perceived Barriers and Facilitators to Using Knowledge Brokers in Canadian Rehabilitation Settings: A Qualitative Study

Perceived Barriers and Facilitators to Using Knowledge Brokers in Canadian Rehabilitation Settings: A Qualitative Study

Profiling Knowledge Brokers in the Rehabilitation Sector Across Canada: A Descriptive Study

Clinician-Scientists in-and-between Research and Practice: How Social Identity Shapes Brokerage

Contact Info

Product

Resources

About