title: Trainees' Self-Reported Challenges in Knowledge Translation, Research and Practice.
abstract: BACKGROUND
  Knowledge translation (KT) refers to the process of moving evidence into healthcare policy and practice. Understanding the experiences and perspectives of individuals who develop careers in KT is important for designing training programs and opportunities to enhance capacity in KT research and practice. To date, however, limited research has explored the challenges that trainees encounter as they develop their careers in KT.
  
  
  OBJECTIVE
  The purpose of this study is to identify the challenges that KT trainees face in their KT research or practice.
  
  
  METHODS
  An online survey was conducted with a sample of trainees associated with the Knowledge Translation Trainee Collaborative or the KT Canada Summer Institutes, with written responses thematically analyzed.
  
  
  RESULTS
  A total of 35 individual responses were analyzed, resulting in the identification of six interrelated themes, listed in descending order of prevalence: limited availability of KT-specific resources (54%), difficulty inherent in investigating KT (34%), KT not recognized as a distinct field (23%), colleagues' limited knowledge and understanding of KT (20%), competing priorities and limited time (20%), and difficulties in relation to collaboration (14%).
  
  
  CONCLUSIONS
  KT trainees experience specific challenges in their work: limited understanding of KT in other stakeholder groups; limited structures or infrastructure to support those who do KT; the inherently interdisciplinary and applied nature of KT; and the resultant complexities of scientific inquiry in this field, such as designing and testing multifaceted, multilevel implementation strategies and accounting for contextual factors.
  
  
  CONCLUSIONS
  KT training and capacity-building efforts are needed to better position health systems to routinely adopt knowledge into healthcare policy and practice.
authors.affiliation: Assistant Professor, School of Rehabilitation, Faculty of Medicine, University of Montreal.|Research Scientist, The University of Montreal Hospital Research Centre.|Associate Researcher, Douglas Mental Health University Institute, Montreal, Canada.
authors.forename: Shalini
authors.initials: S
authors.lastname: Lal
authors.affiliation: Assistant Professor, Department of Surgery, Dalhousie University, Halifax, Canada.
authors.forename: Robin
authors.initials: R
authors.lastname: Urquhart
authors.affiliation: Clinical Assistant Professor, Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Cornelissen
authors.affiliation: Assistant Professor, Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Canada.
authors.forename: Kristine
authors.initials: K
authors.lastname: Newman
authors.affiliation: Associate Scientist, Institute for Work & Health, Toronto, Canada.|Doctoral Candidate, School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
authors.forename: Dwayne
authors.initials: D
authors.lastname: Van Eerd
authors.affiliation: Assistant Professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Byron J
authors.initials: BJ
authors.lastname: Powell
authors.affiliation: Director, Physician Quality, Vancouver Coastal Health, Vancouver, Canada.
authors.forename: Vivian
authors.initials: V
authors.lastname: Chan
mesh_terms: D002170:Canada; D003299:Cooperative Behavior; D016206:Databases, Bibliographic / Q000592:standards*; D055318:Evidence-Based Nursing / Q000639:trends*; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D058980:Information Literacy; D019359:Knowledge; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: education/curriculum/learning; evidence-based practice; implementation science; knowledge translation; mentorship; qualitative methodology; research utilization; survey; training