Protocol of A Scoping Review On Knowledge Translation Competencies
Protocol of A Scoping Review On Knowledge Translation Competencies
Abstract
Background: Knowledge translation (KT) activities can reduce the gap between “what is known” and “what is done”.
Several factors hinder or facilitate KT activities including individual characteristics and organizational attributes; we will
focus on individual healthcare professional modifiable characteristics. The purpose of this scoping review is to
summarize knowledge on KT competencies for knowledge users, knowledge brokers, and knowledge producers/
researchers to support evidence-based practice (EBP) and inform policy and research in health. Our objectives are to
explore the relevant theoretical and empirical literature; map the publications for key themes and research gaps of KT
competencies, and interventions for enhancing KT competencies; summarize and disseminate findings; produce an
action plan and research agenda; and develop self-assessment tools (the KT Pathways) for professional development
for our three target audiences.
Methods: The scoping review method will guide our study by following six stages: formulating the research question;
identifying relevant studies; selecting the literature; charting the data; collating, summarizing, and reporting the results;
and developing a KT plan and consulting stakeholders involved in the fields of KT, EBP, evidence-informed policy-making,
and/or research. We will include empirical and theoretical/conceptual peer-reviewed and grey literature in health that
examine knowledge user, knowledge broker and knowledge producer KT competencies. Publications written in the
English language and published after 2003 only will be considered. Our multidisciplinary research team will collaborate
using technology (i.e., WebEx for discussions and a Web 2.0 website for storing documents). Our KT plan consists of an
Advisory Group and dissemination plan of the findings.
Discussion: We expect the identified KT competencies to contribute to the KT science by providing positive outcomes in
practice, policy, education, and future research. Incorporation of the core KT competencies may enhance safety,
effectiveness of clinical care, and quality of health outcomes; contribute to and facilitate collaboration among practitioners,
knowledge users, knowledge brokers, researchers, employers, and educators; improve education of healthcare professionals
and inform policy-making process; benefit practitioners by guiding their KT professional development to become effective
at moving evidence into practice and policy; guide suitable interventions and strategies to enhance KT activities in the
health sector; and direct future research.
Keywords: Knowledge translation, competencies, knowledge, skills, attitudes, scoping review, evidence-based practice
© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
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Mallidou et al. Systematic Reviews (2017) 6:93 Page 2 of 8
healthcare and patient outcomes (http://tinyurl.com/ anxiety and contextualize research findings in various
j4skdzl), while in 2005 the WHO established an contexts [31]. Organizational factors including workplace
evidence-informed policy network (EVIPNet) to pro- culture, resources, and support are also fundamental for
mote the systematic use of health research findings in KT activities and EBP [9, 10, 12, 13].
policy-making (http://www.who.int/evidence/about/en). Focusing on at the individual level of healthcare profes-
Knowledge translation (KT) process has the potential sional (modifiable) characteristics, we argue that
to reduce this gap between “what is known” and “what is competency-based education and other multifactorial inter-
done”. Although a paradigm shift toward valuing KT, ventions may trigger positive attitude toward research and
evidence-based practice (EBP), and evidence-informed enhance knowledge and skills. In general, focus on
policy-making has improved the use of evidence in the competency-based education for healthcare professionals is
last few years, variations in practice and policy still exist important and transparent that allows for innovative and
[26, 27]. Also, despite efforts to support KT and promote student-centered learning and teaching processes, and faci-
EBP and evidence-informed policy-making, using nu- litates new opportunities to emerge for redesigning health
merous KT frameworks [7, 33], knowledge translation systems [14]. The importance of developing knowledge,
activities are not yet systematically used worldwide. skills, and attitudes (i.e., competencies) is also emphasized
A number of factors have been examined that hinder or in the Lancet commission report “Health Professionals for a
facilitate KT activities including individual characteristics New Century: Transforming Education to Strengthen Health
and organizational attributes. For practitioners, having a Systems in an Interdependent World” [14]. The connection
positive attitude toward research and possessing basic between education and health systems and the need for
knowledge and skills related to KT activities is critical, yet transformative professional education are also highlighted
inadequate for changing behavior [25]. In a systematic to promote new approaches for optimizing health systems.
review, Estabrooks et al. [11] found that use of research Educational systems must produce well-equipped gradu-
findings in practice is associated with individual healthcare ates, who will meet patient and population needs by sharing
practitioner beliefs and attitudes toward research. Inter- learning activities and strengthening research competencies
ventions to strengthen healthcare professionals’ attitudes to build upon the knowledge base about innovations and
and beliefs toward KT activities may trigger intention to EBP and evidence-informed policy-making. Another
systematically incorporate the best available evidence into positive contribution of competency-based education is its
routine clinical practice. For policy-makers, factors at the potential to transfer knowledge and skills learned at school
individual level that significantly predict research use in into the needs of society [20].
certain public health decision-making contexts include As such, we are attempting to compile a set of core KT
research skills and intention to use research findings in competencies [27] for knowledge users, knowledge
the near future (i.e., the next 12 months) [34]. For re- brokers, and knowledge producers (researchers) to sup-
searchers, requirements by funding agencies to include port EBP and evidence-informed policy in health (for a
KT activities as part of their research-funding applications, brief description of these terms please see Additional file
partly to demonstrate accountability for public dollars 1). Incorporation of KT competencies into the education
spent, have increased in recent years that facilitate EBP and health systems (e.g., job expectations, performance
and evidence-informed policy-making [18, 30]. For know- appraisals, promotion procedures) may positively influ-
ledge brokers, personal attributes are important for KT ence KT activities and KT learning needs of these three
activities and tasks [3]. People with a certain type of per- groups of audience. As a result, we expect to note devel-
sonality (e.g., flexible, curious, self-confident, imaginative, opment of comprehensive training programs, implemen-
intuitive, inquisitive), analytical skills, and capability in tation of research findings, consistency and quality of
managing human intellect can work well in facilitating KT healthcare, and reduction of health system expenses [26].
activities [4]. Lomas [23] describes knowledge broker (KB) The definitions of the primary concepts used in this
attributes and skills in more details including the ability to protocol of the scoping review are analytically described
clearly communicate, understand organizational and work in Additional file 1.
environment cultures, assess research findings in various
formats, facilitate, mediate, and negotiate among stake- Purpose and objectives
holders. In addition, the findings of a study on knowledge The purpose of the proposed scoping review is to
brokering in public health include personal characteristics summarize existing knowledge on KT competencies for
that are central in a KB’s role to implement knowledge three discrete audiences (i.e., knowledge users, knowledge
and change behaviors. Particularly, the authors describe brokers, and knowledge producers) in health to support
KBs as “skilled in terms of appraising evidence”, encou- EBP and inform policy and research. Our primary re-
raging people who work with them, inspiring respect and search question is “What are the core KT competencies of
trust, supportive, approachable, and able to mitigate knowledge users, knowledge brokers, and knowledge
Mallidou et al. Systematic Reviews (2017) 6:93 Page 3 of 8
producers/researchers and the interventions and/or review; not a systematic review that is usually registered
strategies to teach and reinforce those competencies?” Our with PROSPERO.
secondary research question is “Is it possible these identi-
fied core KT competencies to include in self-assessment Formulating the research question
tools for professional development for each of the three The research question for this scoping review will be
target audiences to succeed in the KT field?” Particularly, finalized in consultation with relevant stakeholders, who
our main objectives are to: have already been involved in the initial steps of this re-
view and contributed to the discussion and the proposal
! Systematically explore the extent of relevant writing process. The research question and objectives
theoretical and empirical literature (e.g., range, have been shaped as it is stated in the previous section.
focus, nature of sources, volume) on KT
competencies for knowledge users, knowledge Identifying relevant studies
brokers, and knowledge producers in health. We will further expand the targeted search strategy that
! Map the publications by identifying definitions (e.g., was initially developed in consultation with a research li-
key themes) of knowledge users’, knowledge brarian (member of our research team) and refine the pa-
brokers’, and knowledge producers’ KT rameters of our search strategy. For the purposes of this
competencies; research gaps; and potential scoping review, we will systematically search the academic
interventions for boosting KT competencies. (peer-reviewed) and grey literature to identify relevant
! Summarize and disseminate review findings to the publications (for details, see Additional file 2). Using
three groups in relevant fields (e.g., health research, subject headings and keywords, our comprehensive and
nursing, medicine, occupational therapy, health policy). systematic search strategy will include searches in and of:
! Produce an action plan and a research agenda for
three distinct areas: designing future primary studies a. Health, healthcare, and a variety of interdisciplinary
on areas that are needed, conducting systematic electronic databases with this focus such as
reviews on topics that already adequate knowledge PubMED, Ovid MEDLINE, Cochrane Library,
exists, and integrating KT activities and Scopus, EMBASE (Ovid), Cumulative Index to
recommendations for policy about the use of the Nursing and Allied Health Literature (CINAHL)
three groups’ KT competencies in the health sector. EBSCO, NEOS Library Consortium Catalogue, and
! Develop self-assessment tools (the KT Pathways) for Theses Canada.
professional development for our three target audiences b. Grey literature sources such as existing networks
to succeed in the KT field. These tools will include core (e.g., InspireNet), relevant organizations (e.g.,
KT competencies identified through the current scoping Canadian Institutes of Health Research; Canadian
review, along with relevant resources to support the Foundation for Healthcare Improvement—formerly
development of the identified KT competencies. Canadian Health Services Research Foundation),
conferences, government, NGOs, health research
Methods websites (e.g., National Collaborating Centre for
To address the purpose and objectives of the proposed Methods and Tools, World Health Organization),
study, we will use the scoping review method described and databases specific to grey literature (e.g., KT
by Arksey and O’Malley [1] and further developed by Clearinghouse, Evidence-Informed Health Care Re-
Levac et al. [21]. This method includes six stages: (a) for- newal or EIHR portal).
mulating the research question; (b) identifying relevant c. Hand-searching of relevant specialized key journals
studies; (c) selecting the literature (an iterative process); (e.g., Implementation Science).
(d) charting the data; (e) collating, summarizing, and d. Reference lists in publications identified in (a), (b),
reporting the results; and (f ) developing a KT plan and and (c).
consulting interested stakeholders. We will also follow e. Personal contacts of working group and stakeholder
the PRISMA-P checklist [29]. As part of the integrated groups.
knowledge translation approach, we will further involve
and consult knowledge users, knowledge brokers, policy- Search terms will include controlled vocabulary and
makers, and researchers involved in doing, facilitating, various keywords and terms related to (1) KT keywords
and/or producing KT, EBP, or evidence-informed policy- such as knowledge translation, knowledge utilization/use,
making and research throughout the research process to research use; (2) KT competencies such as knowledge,
provide various perspectives, meaning, and applicability skills, and attitudes related to knowledge translation in
of the review findings. We have not registered this pro- health or healthcare. Because of the lack of indexed sub-
posal with PROSPERO, because this study is a scoping ject headings, and a large amount of literature expected to
Mallidou et al. Systematic Reviews (2017) 6:93 Page 4 of 8
be related but not on-topic, the search terms will primarily in press) will not be applied. Other relevant KT articles
be used for the title and abstract search. Search limits will will be held in a separate folder to be reviewed as
be applied in language (English only), publication date (be- background documents to support the analysis of our
tween 2003 to present to focus the search in accordance knowledge synthesis study.
with the relatively recent and prominent development of
the KT field), and publication status (e.g., in review,
Classifying the literature
accepted, in press). Search results will be imported into a
We will classify the publications into empirical and theore-
bibliographic manager (i.e., Mendeley) and duplicates will
tical peer-reviewed papers (including reports and reviews),
be removed.
and in grey literature using spreadsheets. We will develop a
data extraction instrument for this study using standard
Selecting the literature
formats (Additional file 3). Charting will be an iterative
In this iterative process, retrieved search results will be
process at the beginning of the data extraction stage. Data
reviewed for inclusion or exclusion. Refining the search
will be entered into Microsoft Excel spreadsheets in tabular
strategy might take place at the update of the literature
format. Prior to commencing the full data extraction, at
search. At least two investigators will independently
least two investigators will independently extract data from
screen the titles and abstracts of all publications
a sample of publications (e.g., ten) to determine the
retrieved, based on pre-determined inclusion criteria.
consistency, accuracy, and completeness of their approach
Publications identified as potentially relevant to this re-
with the purpose of the review; and to refine the form for
view will be retrieved in full text and reviewed against
capturing all the details of quantitative and qualitative study
the same inclusion criteria. Disagreements regarding a
designs. Data to be extracted include study design, theore-
publication inclusion will be resolved through discussion
tical framework, participant characteristics (demographics),
between the two reviewers or third party adjudication.
KT competencies (i.e., knowledge, skills, and attitudes),
study findings, and intervention/strategy details. Discre-
Inclusion/exclusion criteria
pancies in data extraction will be discussed and resolved by
Inclusion
consensus.
All empirical and theoretical/conceptual peer-reviewed
publications in health as well as documents from the grey
literature that examine knowledge user, knowledge broker, Synthesizing and summarizing findings
and knowledge producer KT competencies will be consi- Theoretical and empirical literature will be summarized
dered for inclusion. Specifically, each publication has to: as a traditional integrative review [6, 24, 32]. We will
identify commonalities in constructs across studies, map
a) Be an empirical or theoretical/conceptual peer-reviewed them, and collate the data extracted from empirical
publication in the health sector, or a document from studies. Then, we will summarize publications and their
the grey literature; characteristics in a table (e.g., frequency and type of
b) Include both concepts and/or sub-concepts of publications, variables used and defined, study design,
knowledge translation or any other similar term (e.g., type of intervention, measured outcomes, use of theoret-
knowledge utilization, knowledge use, knowledge ical framework) that will constitute our map of the
transfer) and competency (i.e., knowledge, skills, literature. The grey literature will be also summarized in
attitudes) or any component of competencies that refer an integrative review. Then, we will combine the
to knowledge user, knowledge broker, or knowledge findings from both kinds of the literature (academic and
producer competencies in KT; and grey) accordingly using narrative and descriptive
c) Have an abstract and purpose clearly stated (for summaries as well as an interpretive synthesis [8].
empirical and conceptual publications only); grey The KT competencies will be summarized from both
literature will still be reviewed in the absence of an the academic and grey literature in a holistic approach
abstract. in terms of knowledge users, brokers, and producers/re-
searchers; but they will be grouped separately in three
If several publications are based on the same dataset, categories according to the component of competencies
all relevant to KT competency publications will be (i.e., knowledge, skills, attitudes). The rationale for this
included. approach is that there are limited number of primary
studies that separately examine KT competencies for
Exclusion knowledge users, knowledge brokers, and knowledge
Publications written in non-English language and pub- producers/researchers. However, based on this know-
lished before 2003 will not be included. Restrictions ac- ledge synthesis, we will develop the KT Pathways (a self-
cording to status of publication (e.g., in review, accepted, assessment tool) for each stakeholder separately.
Mallidou et al. Systematic Reviews (2017) 6:93 Page 5 of 8
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The authors declare that they have no competing interests. health systems in an interdependent world. Lancet. 2010;376(9756),
1923–1958. doi:http://dx.doi.org/10.1016/S0140-6736(10)61854-5
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Not applicable. This study protocol (for a scoping review) does not require doi:10.1111/j.1553-2712.2007.tb02369.x.
any ethics approval or consent to participate, because our manuscript does
17. Greiner AC, Knebel E. Health professions education: a bridge to quality.
not contain any individual person’s data, human subjects, or human material.
Washington, DC: National Academies Press; 2003.
18. Holmes BSG, Schellenberg M. Translating evidence into practice: the
Publisher’s Note role of health research funders. Implement Sci. 2012;7(39):1.
Springer Nature remains neutral with regard to jurisdictional claims in doi:10.1186/1748-5908-7-39.
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1
School of Nursing, University of Victoria, 3800 Finnerty (Ring) Road, Victoria, 20. Koenen A-K, Dochy F, Berghmans I. A phenomenographic analysis of the
BC V8P 5C2, Canada. 2School of Nursing, University of Victoria, PO Box 1700 implementation of competence-based education in higher education. Teach
STN CSC, Victoria, BC V8W 2Y2, Canada. 3Alberta Innovates & University of Teach Educ. 2015;50:1–12. doi:http://dx.doi.org/10.1016/j.tate.2015.04.001.
Alberta, 1500 10104-103 Avenue, Edmonton, AB T5J 4A7, Canada. 4Sunny Hill 21. Levac D, Colquhoun H, O'Brien K. Scoping studies: advancing the
Health Centre for Children, 3644 Slocan Street, Vancouver, BC V5M 3E8, methodology. Implement Sci. 2010;5(1):69.
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