Accelerating client-driven care: pilot study for a social interaction approach to knowledge translation.
This study piloted a knowledge translation (KT) intervention promoting evidence-based home care through social interaction. A total of 33 providers organized into 5 heterogeneous, geographically defined action groups participated in 5 researcher-facilitated meetings based on the participatory action model. The KT evidence reflects an empowering partnership approach to service delivery. Exploratory investigation included quantitative pre-post measurement of outcomes and qualitative description of data, presented herein. The critical reflections of the groups reveal macro-, meso-, and micro-level barriers to and facilitators of KT as well as recommendations for achieving KT. Insights gleaned from the findings have informed the evolution of the KT intervention to engage all 3 levels in addressing barriers and facilitators, with a conscious effort to transcend "push" and "pull" tendencies and enact transformative leadership. The findings suggest the merit of a more prolonged longitudinal investigation with expanded participation.
McWilliam
Carol L
CL
School of Nursing, University of Western Ontario, London, Canada. cmcwill@uwo.ca
Kothari
Anita
A
Leipert
Beverly
B
Ward-Griffin
Catherine
C
Forbes
Dorothy
D
King
Mary Lou
ML
Kloseck
Marita
M
Ferguson
Karen
K
Oudshoorn
Abram
A
D000328:Adult; D003256:Community Participation; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D005260:Female; D006126:Group Processes; D006286:Health Planning Councils; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D008875:Middle Aged; D009864:Ontario; D010865:Pilot Projects