Collaboration and Co-Production of Knowledge in Healthcare: Opportunities and Challenges

Document Type : Editorial


1 School of Healthcare Sciences, Bangor University, Bangor, UK

2 School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia

3 Centre for Nursing Research Monash Health, Melbourne, VIC, Australia

4 School of Epidemiology, Public Health and Preventive Medicine & Ottawa Hospital Research Institute, Ottawa, ON, Canada

5 School of Nursing, University of Ottawa, Ottawa, ON, Canada


Over time there has been a shift, at least in the rhetoric, from a pipeline conceptualisation of knowledge implementation, to one that recognises the potential of more collaboration, co-productive approaches to knowledge production and use. In this editorial, which is grounded in our research and collective experience, we highlight both the potential and challenge with collaboration and co-production. This includes issues about stakeholder engagement, governance arrangements, and capacity and capability for working in a coproductive way. Finally, we reflect on the fact that this approach is not a panacea, but is accompanied by some philosophical and practical challenges.


Commentary Published on this Paper

  • “Seeing” the Difference: The Importance of Visibility and Action as a Mark of “Authenticity” in Co-production; Comment on “Collaboration and Co-production of Knowledge in Healthcare: Opportunities and Challenges”

          Abstract | PDF


Authors' Response to the Commentary

  • Defining Integrated Knowledge Translation and Moving Forward: A Response to Recent Commentaries

          Abstract | PDF


Main Subjects

  1. Greenhalgh T, Wierenga S. Is it time to drop the knowledge translation metaphor? A critical literature review. Journal of Royal Society of Medicine. 2011;104:501-509. doi:10.1258/jrsm.2011.110285
  2. Glasziou P, Altman DG, Bossuyt P, et al. Reducing waste from incomplete or unusable reports of biomedical research. Lancet. 2014;383(9913):267-276. doi:10.1016/s0140-6736(13)62228-x
  3. Rycroft-Malone J. From knowing to doing- from the academy to practice. Int J Health Policy Manag. 2014;2(1):45-46. doi:10.15171/ijhpm.2014.08
  4. Nowotny H, Scott P, Gibbons M. Rethinking Science: Knowledge in an Age of Uncertainty. Cambridge: Polity Press; 2001.
  5. Van de Ven A. Engaged Scholarship: A Guide for Organizational and Social Research. Oxford: Oxford University Press; 2007.
  6. Scott A, Skea J, Robinson J, Shove E. Designing ‘interactive’ environmental research for wider social relevance (Special Briefing No.3). ESRC Global Environmental Change Programme, University of Sussex; 1999
  7. Jagosh J, Macaulay AC, Pluye P, et al. Uncovering the benefits of participatory research: implications of a realist review for health research and practice. Milbank Q. 2012;90(2):311-346. doi:10.1111/j.1468-0009.2012.00665.x
  8. Strauss SE, Tetroe JM, Graham ID. Knowledge Translation in Healthcare. Chichester: Wiley Blackwell; 2013
  9. Graham ID, Tetroe JM, Pearson A, eds. Turning Knowledge into Action: Pratical Guidance on How to Do Integrated Knowledge Translation Research. Wolters Kluwer-Joanna Briggs Institute Synthesis Series in Healthcare. Book 21. Philadelphia; Lippincott, Williams and Wilkins; 2014 
  10. Armitage D, Berkes F, Dale A, Kocho-Schellenberg E, Patton E. Co-management and the co-production of knowledge: Learning to adapt in Canada's Arctic. Glob Environ Change. 2011;21(3):995-1004. doi:10.1016/j.gloenvcha.2011.04.006
  11. Graham ID, Harrison MB, Cerniuk B, Bauer S. A community-researcher alliance to improve chronic wound care. Healthcare Policy. 2007;2(4):72-78. doi:10.12927/hcpol.2007.18876
  12. Rycroft-Malone J, Burton C, Wilkinson J, et al. Collective action for knowledge mobilisation: a realist evaluation of the collaborations for leadership in applied health research and care. Health Serv Deliv Res. 2015;3(44). doi:10.12927/hcpol.2007.18876
  13. Bucknall T.  Bridging the know-do gap in health care through integrated knowledge translation. Worldviews Evid Based Nurs. 2012;9(4):193-194. doi:10.1111/j.1741-6787.2012.00263.x