title: Understanding context in knowledge translation: a concept analysis study protocol.
abstract: OBJECTIVE
  To conduct a concept analysis of clinical practice contexts (work environments) that facilitate or militate against the uptake of research evidence by healthcare professionals in clinical practice. This will involve developing a clear definition of context by describing its features, domains and defining characteristics.
  
  
  BACKGROUND
  The context where clinical care is delivered influences that care. While research shows that context is important to knowledge translation (implementation), we lack conceptual clarity on what is context, which contextual factors probably modify the effect of knowledge translation interventions (and hence should be considered when designing interventions) and which contextual factors themselves could be targeted as part of a knowledge translation intervention (context modification).
  
  
  METHODS
  Concept analysis.
  
  
  METHODS
  The Walker and Avant concept analysis method, comprised of eight systematic steps, will be used: (1) concept selection; (2) determination of aims; (3) identification of uses of context; (4) determination of defining attributes of context; (5) identification/construction of a model case of context; (6) identification/construction of additional cases of context; (7) identification/construction of antecedents and consequences of context; and (8) definition of empirical referents of context. This study is funded by the Canadian Institutes of Health Research (January 2014).
  
  
  CONCLUSIONS
  This study will result in a much needed framework of context for knowledge translation, which identifies specific elements that, if assessed and used to tailor knowledge translation activities, will result in increased research use by nurses and other healthcare professionals in clinical practice, ultimately leading to better patient care.
authors.affiliation: School of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, Canada; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.
authors.forename: Janet E
authors.initials: JE
authors.lastname: Squires
authors.forename: Ian D
authors.initials: ID
authors.lastname: Graham
authors.forename: Alison M
authors.initials: AM
authors.lastname: Hutchinson
authors.forename: Stefanie
authors.initials: S
authors.lastname: Linklater
authors.forename: Jamie C
authors.initials: JC
authors.lastname: Brehaut
authors.forename: Janet
authors.initials: J
authors.lastname: Curran
authors.forename: Noah
authors.initials: N
authors.lastname: Ivers
authors.forename: John N
authors.initials: JN
authors.lastname: Lavis
authors.forename: Susan
authors.initials: S
authors.lastname: Michie
authors.forename: Anne E
authors.initials: AE
authors.lastname: Sales
authors.forename: Michelle
authors.initials: M
authors.lastname: Fiander
authors.forename: Shannon
authors.initials: S
authors.lastname: Fenton
authors.forename: Thomas
authors.initials: T
authors.lastname: Noseworthy
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Vine
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Grimshaw
mesh_terms: D002170:Canada; D000066506:Heuristics; D057170:Translational Research, Biomedical
keywords: concept analysis; context; knowledge translation; nurses; work organization