From: Identifying competencies for integrated knowledge translation: a Delphi study
Competency | ROUND 1 | ROUND 2 | ROUND 3 | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Median (% agree) | Median (% agree) | Median (% Agree) | Median (% agree) | Median (% agree) | Median (% Agree) | Median (% agree) | Median (% agree) | Median (% Agree) | ||
KU | Researcher | Pooled | KU | Researcher | Pooled | KU | Researcher | Pooled | ||
n = 7 (unless otherwise indicated) | n = 19 (unless otherwise indicated) | n = 26 (unless otherwise indicated) | n = 7 (unless otherwise indicated) | n = 15 (unless otherwise indicated) | n = 22 (unless otherwise indicated) | n = 5 (unless otherwise indicated) | n = 13 (unless otherwise indicated) | n = 18 (unless otherwise indicated) | ||
Knowledge User | ||||||||||
Evidence Domain | ||||||||||
1 | Apply different types of knowledge to inform decision-making | Extremely Important (71.4) | Very Important (84.2) | Very Important (80.8) | Very Important (100) | Very Important (80.0) | Very Important (86.4) | |||
2 | Identify decision-makers’ information needs and priorities | Very Important (85.7) | Very Important (84.2) | Very Important (84.6) | Very Important (100) | Very Important (93.3) | Very Important (95.5) | |||
3 | Understand how local healthcare system factors (e.g. health services, health literacy) impact decision making processes | Extremely Important (71.4) | Very Important/ Extremely Important (94.4) *n = 18 | Extremely Important (88.0) *n = 25 | Very Important (57.1) | Very Important (73.3) | Very Important (68.2) | Very Important (100) | Very Important (100) | Very Important (100.0) |
Teamwork Domain | ||||||||||
1 | Build healthy working relationships with other team members | Extremely Important (100) | Extremely Important (94.7) | Extremely Important (96.2) | Very Important (85.7) | Extremely Important (86.7) | Extremely Important (86.4) | |||
2 | Foster productive networks of researchers and decision makers | Important (28.6) | Extremely Important (94.7) | Very Important (76.9) | Very Important (85.7) | Very Important (73.3) | Very Important (77.3) | |||
3 | Create opportunities to learn and share knowledge through informal and formal means | Extremely Important (71.4) | Extremely Important (94.7) | Extremely Important (88.5) | Very Important (85.7) | Very Important (66.7) | Very Important (72.7) | |||
4 | Demonstrate and promote appropriate attitudes and behaviours when working with marginalized or vulnerable populations | Extremely Important (85.7) | Extremely Important (78.9) | Extremely Important (80.8) | Extremely Important (83.3) *n = 6 | Extremely Important (80.0) | Extremely Important (81.0) *n = 21 | |||
5 | Value and contribute to knowledge sharing activities | Extremely Important (85.7) | Extremely Important (89.5) | Extremely Important (88.5) | Very Important (85.7) | Very Important (80.0) | Very Important (81.8) | |||
6 | Advocate for inclusion of appropriate knowledge users in the IKT process | Very Important (71.4) | Very Important (73.3) | Very Important (72.7) | Very Important (100) | Very Important (100) | Very Important (100.0) | |||
KT Activities Domain | ||||||||||
1 | Address barriers and facilitators to applying knowledge to policy/decision-making | Very Important (71.4) | Very Important (89.5) | Very Important (84.6) | Very Important (85.7) | Very Important (80.0) | Very Important (81.8) | |||
2 | Interact with knowledge brokers (an intermediary who links knowledge sources, and knowledge itself to organizations in its network) to assist with developing and/or finding and implementing evidence | Very Important (71.4) | Very Important (78.9) | Very Important (76.9) | Very Important (100) | Very Important (66.7) | Very Important (77.3) | |||
3 | Identify practice gaps and opportunities to use relevant evidence to improve practice | Very Important (100) | Extremely Important (89.5) | Very Important/ Extremely Important (92.3) | Very Important (85.7) | Very Important (80.0) | Very Important (81.8) | |||
4 | Identify and address inconsistencies between research findings and expertise or patient preferences | Extremely Important (85.7) | Very Important (84.2) | Very Important (84.6) | Very Important (71.4) | Very Important (60.0) | Very Important (63.6) | Very Important (100) | Very Important (92.3) | Very Important (94.4) |
5 | Describe how the patient’s values affect the balance between potential advantages and disadvantages of available healthcare/policy options | Very Important (85.7) | Very Important (84.2) | Very Important (84.6) | Very Important (85.7) | Very Important (73.3) | Very Important (77.3) | |||
6 | Appropriately involve the patient in decision-making | Extremely Important (71.4) | Extremely Important (84.2) | Extremely Important (80.8) | Extremely Important (71.4) | Extremely Important (80.0) | Extremely Important (77.3) | |||
7 | Promote the use of research and outcome data to formulate, evaluate and/or revise policy and practices to improve care | Extremely Important (100) | Extremely Important (89.5) | Extremely Important (92.3) | Extremely Important (100) | Very Important (100) | Very Important (100.0) | |||
8 | Adapt and apply the evidence for the local practice context/environment | Extremely Important (85.7) | Extremely Important (100) | Extremely Important (96.2) | Extremely Important (85.7) | Very Important (86.7) | Very Important/ Extremely Important (86.4) | |||
9 | Understand the resource implications (e.g. funding, time) of the IKT process | Very Important (57.1) | Very Important (53.3) | Very Important (54.5) | Very Important (80.0) | Very Important (69.2) | Very Important (72.2) | |||
ROUND 1 | ROUND 2 | ROUND 3 | ||||||||
Median (% agree) | Median (% agree) | Median (% Agree) | Median (% Agree) | Median (% agree) | Median (% agree) | Median (% Agree) | ||||
KU | Researcher | Pooled | KU | Researcher | Pooled | KU | Researcher | Pooled | ||
n = 7 (unless otherwise indicated) | n = 19 (unless otherwise indicated) | n = 26 (unless otherwise indicated) | n = 7 (unless otherwise indicated) | n = 15 (unless otherwise indicated) | n = 22 (unless otherwise indicated) | n = 5 (unless otherwise indicated) | n = 13 (unless otherwise indicated) | n = 18 (unless otherwise indicated) | ||
Researcher | ||||||||||
Evidence Domain | ||||||||||
1 | Understand how different types of knowledge (e.g. research, practice, theory) are generated and used in KT | Extremely Important (100) | Extremely Important (94.7) | Extremely Important (96.2) | Extremely Important (71.4) | Extremely Important (86.7) | Extremely Important (81.8) | |||
2 | Apply appropriate research methodologies to examine the determinants of knowledge use across different settings and stakeholder groups | Extremely Important (100) | Extremely Important (94.7) | Extremely Important (96.2) | Extremely Important (100) | Extremely Important (86.7) | Extremely Important (90.9) | |||
3 | Design and evaluate the impact, effectiveness and sustainability of KT strategies in different settings | Very Important (85.7) | Extremely Important (94.7) | Extremely Important (92.3) | Extremely Important (100) | Extremely Important (73.3) | Extremely Important (81.8) | |||
4 | Respond to questions by stakeholders regarding the evidence generated to inform decision-making | Extremely Important (71.4) | Extremely Important (100) | Extremely Important (92.3) | Extremely Important (100) | Very Important (80.0) | Very Important (86.4) | |||
5 | Apply the most appropriate dissemination tool for communicating with different audiences/stakeholders | Very Important (57.1) | Very Important (84.2) | Very Important (76.9) | Very Important (85.7) | Very Important (73.3) | Very Important (77.3) | |||
6 | Incorporate the most relevant stakeholder perspectives into the research process and implementation cycle | Very Important (100) | Extremely Important (100) | Extremely Important (100.0) | Extremely Important (100) | Extremely Important (86.7) | Extremely Important (90.9) | |||
7 | Select appropriate KT models or frameworks of knowledge dissemination and implementation for the context being considered | Very Important (85.7) | Extremely Important (83.3) *n = 18 | Extremely Important (84.0) *n = 25 | Very Important (85.7) | Extremely Important (73.3) | Very Important (77.3) | |||
8 | Help transform clinical, management or policy questions into research questions | Very Important (85.7) | Extremely Important (94.7) | Very Important/ Extremely Important (92.3) | Very Important (85.7) | Very Important (80.0) | Very Important (81.8) | |||
Teamwork Domain | ||||||||||
1 | Use effective communication strategies within the context being considered | Extremely Important (100) | Extremely Important (100) | Extremely Important (100.0) | Very Important (85.7) | Very Important (73.3) | Very Important (77.3) | |||
2 | Use effective strategies to set priorities and manage/resolve conflict between stakeholders with differing interests | Important (42.9) | Very Important (84.2) | Very Important (73.1) | Very Important (71.4) | Very Important (60.0) | Very Important (63.6) | Very Important (80.0) | Very Important (69.2) | Very Important (72.2) |
3 | Evaluate the impact of knowledge brokering to connect evidence to practice/policy | Very Important (85.7) | Very Important (68.4) | Very Important (73.1) | Very Important (71.4) | Very Important (60.0) | Very Important (63.6) | Very Important (100) | Very Important (61.5) | Very Important (72.2) |
4 | Demonstrate and promote appropriate attitudes and behaviours when working with marginalized or vulnerable populations | Extremely Important (66.7) *n = 6 | Extremely Important (89.5) | Extremely Important (84.0) *n = 25 | Extremely Important (85.7) | Extremely Important (73.3) | Extremely Important (77.3) | |||
5 | Form sustainable working relationships with relevant partners (e.g. government, industry, academia, funders etc) | Extremely Important (85.7) | Extremely Important (94.7) | Extremely Important (92.3) | Extremely Important (100) | Very Important (80.0) | Very Important/ Extremely Important (86.4) | |||
6 | Advocate for appropriate change or action(s) | Very Important (57.1) | Extremely Important (78.9) | Very Important (73.1) | Very Important (57.1) | Very Important (60.0) | Very Important (59.1) | Very Important (80.0) | Very Important (76.9) | Very Important (77.8) |
7 | Form collaborative networks of relevant stakeholders to effectively generate, disseminate, and collate knowledge throughout the KT process | Very Important (100) | Extremely Important (89.5) | Very Important/ Extremely Important (92.3) | Very Important (85.7) | Very Important (66.7) | Very Important (72.7) | |||
8 | Implement actionable strategies to ensure all team members remain accountable for their expected contributions throughout the process | Very Important (71.4) | Very Important (53.3) | Very Important (59.1) | Very Important (60.0) | Very Important (76.9) | Very Important (72.2) | |||
KT Activities Domain | ||||||||||
1 | Identify the most appropriate approach (es) to closing the knowledge-to-action gaps in the context being considered | Very Important (57.1) | Extremely Important (84.2) | Extremely Important (76.9) | Very Important (71.4) | Extremely Important (73.3) | Extremely Important (72.7) | |||
2 | Develop and prioritize the steps in a dissemination plan within the research design | Very Important (71.4) | Very Important (89.5) | Very Important (84.6) | Very Important (71.4) | Very Important (66.7) | Very Important (68.2) | Very Important (100) | Very Important (100) | Very Important (100.0) |
3 | Consider the individual, organizational and system-level barriers and facilitators to knowledge uptake in planning KT activities | Very Important (71.4) | Extremely Important (94.7) | Extremely Important (88.5) | Very Important (71.4) | Extremely Important (86.7) | Extremely Important (81.8) | |||
4 | Create KT plans that are closely linked to the goals of the research project | Very Important (57.1) | Very Important/ Extremely Important (94.4) *n = 18 | Very Important (84.0) *n = 25 | Very Important (100) | Extremely Important (80.0) | Very Important/ Extremely Important (86.4) | |||
5 | Incorporate patient’s values into KT plan by balancing potential advantages and disadvantages of available options | Very Important (85.7) | Extremely Important (89.5) | Very Important (88.5) | Very Important (85.7) | Extremely Important (86.7) | Very Important (86.4) | |||
6 | Conduct stakeholder analyses to understand the target audiences, interest in and capacity to engage with the evidence | Very Important (71.4) | Extremely Important (84.2) | Very Important/ Extremely Important (80.8) | Extremely Important (71.4) | Very Important (60.0) | Very Important (63.6) | Very Important (100) | Very Important (92.3) | Very Important (94.4) |
7 | Work collaboratively with decision/policy makers to synthesize and develop tailored messages for the target audience | Very Important (85.7) | Extremely Important (100) | Extremely Important (96.2) | Very Important (85.7) | Very Important (80.0) | Very Important (81.8) | |||
8 | Create strategies to collect, collate and package evidence in an accessible and relevant manner for policy and practice | Very Important (71.4) | Extremely Important (94.7) | Very Important (88.5) | Very Important (71.4) | Very Important (73.3) | Very Important (72.7) | |||
9 | Develop a systematic and inclusive KT plan that addresses the critical aspects of project implementation and management | Very Important (57.1) | Extremely Important (89.5) | Very Important (80.8) | Important (42.9) | Extremely Important (73.3) | Very Important (63.6) | Very Important (100) | Very Important (100) | Very Important (100.0) |
10 | Identify various roles of KT partners and practitioners in enhancing user engagement | Important (28.6) | Very Important (89.5) | Very Important (73.1) | Very Important (57.1) | Very Important (66.7) | Very Important (63.6) | Very Important (100) | Very Important (84.6) | Very Important (88.9) |
11 | Design KT strategies that include program-level and organizational-level KT | Very Important (57.1) | Extremely Important (89.5) | Very Important (80.8) | Very Important (71.4) | Very Important (73.3) | Very Important (72.7) | |||
12 | Use tools to support knowledge production processes such as: ethics approval, collaboration agreements, and shared decision-making structures | Very Important (71.4) | Very Important (84.2) | Very Important (80.8) | Very Important (85.7) | Very Important/ Extremely Important (71.4) *n = 14 | Very Important (76.2) *n = 21 |