Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Response to Recent Commentaries

Document Type : Correspondence

Authors

1 Department of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada

2 Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada

3 School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada

4 Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada

5 IWK Health Centre, Halifax, NS, Canada

6 School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia

7 Ontario Ministry of Health and Long-Term Care, Toronto, ON, Canada

8 Dalla Lana School of Public Health, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

9 Women’s College Research Institute, Toronto, ON, Canada

10 Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada

11 University College London, London, UK

12 Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada

13 School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia

14 Barwon Health, Geelong, VIC, Australia

Keywords


Many authors commenting on our paper about stakeholder perceptions of context1 have recommended the use of complexity theory2-6 as a frame for understanding context as a complex system comprising many interrelated parts of a larger implementation system7. This larger system can be seen as composed of multiple elements (e.g., context, knowledge translation (KT) or implementation strategies (e.g., facilitation), and interventions (e.g., evidence-informed practices, programs, or policies) that may moderate and influence one another. The interrelationships between these elements mean that changes in one element can influence change in many other elements of the system7. ...(Read more...)

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  2. Cairney P. Policy-Making Context Matters, But Can (and Should) It Be Operationalised?; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis”. Int J Health Policy Manag. 2022.
  3. Rycroft-Malone J, Rogers L, Burton CR. Optimising the Conceptualisation of Context; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis”. Int J Health Policy Manag. 2022;11(10):2365-2367.
  4. Harvey G. Context Matters, So How Do We Get Better at Working With Context in Implementation Research and Practice?; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis”. Int J Health Policy Manag. 2022.
  5. Gagnon M-P. Context Matters in Evidence Implementation Globally; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis”. Int J Health Policy Manag. 2021.
  6. Pfadenhauer LM. Conceptualizing Context and Intervention as a System in Implementation Science: Learning From Complexity Theory; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis”. Int J Health Policy Manag. 2021.
  7. Braithwaite J, Churruca K, Ellis LA, et al. Complexity science in healthcare. Sydney: Australian Institute of Health Innovation, Macquarie University. 2017.
  8. Squires JE, Graham I, Bashir K, et al. Understanding context: A concept analysis. J Adv Nurs. 2019;75(12):3448-3470.
  9. Squires JE, Aloisio LD, Grimshaw JM, et al. Attributes of context relevant to healthcare professionals' use of research evidence in clinical practice: a multi-study analysis. Implement Sci. 2019;14(1):52.
  10. Van Pelt A, Beidas RS. Future Directions for Providing Conceptual Clarity Related to Context in Implementation; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis”. Int J Health Policy Manag. 2022;11(8):1577-1579.
  11. Mackenzie N, Knipe S. Research dilemmas: Paradigms, methods and methodology. Issues Educ Res. 2006;16(2):193-205.
  12. Michie S, Johnston M, Abraham C, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14(1):26-33.
  13. Eldh AC. Six Honest Serving Matters, Teaching Us All We Need to Know About Context in Knowledge Implementation? Comment on" Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis". Int J Health Policy Manag. 2021.
  14. Flottorp SA, Oxman AD, Krause J, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013;8:35.
  15. Kitson A. How and Why Context Matters: A Personal Reflection; Comment on “Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis”. Int J Health Policy Manag. 2022.

Articles in Press, Accepted Manuscript
Available Online from 21 January 2023
  • Receive Date: 17 January 2023
  • Accept Date: 18 January 2023
  • First Publish Date: 21 January 2023