TY - JOUR ID - 4042 TI - Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Squires, Janet E. AU - Hutchinson, Alison M. AU - Coughlin, Mary AU - Bashir, Kainat AU - Curran, Janet AU - Grimshaw, Jeremy M. AU - Dorrance, Kristin AU - Aloisio, Laura AU - Brehaut, Jamie AU - Francis, Jill J. AU - Ivers, Noah AU - Lavis, John AU - Michie, Susan AU - Hillmer, Michael AU - Noseworthy, Thomas AU - Vine, Jocelyn AU - Graham, Ian D. AD - Department of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada AD - Monash Health, Melbourne, VIC, Australia AD - Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada AD - Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada AD - Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada AD - Statistics Canada, Ottawa, ON, Canada AD - School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia AD - Women’s College Hospital, Toronto, ON, Canada AD - McMaster University, Hamilton, ON, Canada AD - University College London, London, UK AD - Ontario Ministry of Health and LongTerm Care, Toronto, ON, Canada AD - University of Calgary, Calgary, AB, Canada AD - IWK Health Centre, Halifax, NS, Canada Y1 - 2022 PY - 2022 VL - 11 IS - 8 SP - 1373 EP - 1390 KW - Context KW - Knowledge Translation KW - Implementation DO - 10.34172/ijhpm.2021.32 N2 - Background  Context is recognized as important to successful knowledge translation (KT) in health settings. What is meant by context, however, is poorly understood. The purpose of the current study was to elicit tacit knowledge about what is perceived to constitute context by conducting interviews with a variety of health system stakeholders internationally so as to compile a comprehensive list of contextual attributes and their features relevant to KT in healthcare. Methods  A descriptive qualitative study design was used. Semi-structured interviews were conducted with health system stakeholders (change agents/KT specialists and KT researchers) in four countries: Australia, Canada, the United Kingdom, and the United States. Interview transcripts were analyzed using inductive thematic content analysis in four steps: (1) selection of utterances describing context, (2) coding of features of context, (3) categorizing of features into attributes of context, (4) comparison of attributes and features by: country, KT experience, and role. Results  A total of 39 interviews were conducted. We identified 66 unique features of context, categorized into 16 attributes. One attribute, Facility Characteristics, was not represented in previously published KT frameworks. We found instances of all 16 attributes in the interviews irrespective of country, level of experience with KT, and primary role (change agent/KT specialist vs. KT researcher), revealing robustness and transferability of the attributes identified. We also identified 30 new context features (across 13 of the 16 attributes). Conclusion  The findings from this study represent an important advancement in the KT field; we provide much needed conceptual clarity in context, which is essential to the development of common assessment tools to measure context to determine which context attributes and features are more or less important in different contexts for improving KT success. UR - https://www.ijhpm.com/article_4042.html L1 - https://www.ijhpm.com/article_4042_dc13e70cba81e11c8094e414506ac82e.pdf ER -