tailieunhanh - báo cáo khoa học: " Mapping new theoretical and methodological terrain for knowledge translation: contributions from critical realism and the arts"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Mapping new theoretical and methodological terrain for knowledge translation: contributions from critical realism and the arts | Implementation Science BioMed Central Open Access Debate Mapping new theoretical and methodological terrain for knowledge translation contributions from critical realism and the arts Pia C Kontos 1 2 and Blake D Poland2 Address Toronto Rehabilitation Institute 11035-550 University Avenue Toronto Ontario M5G 2A2 Canada and 2Dalla Lana School of Public Health University of Toronto Health Sciences Building 155 College Street Toronto Ontario M5T 3M7 Canada Email Pia C Kontos - Blake D Poland - Corresponding author Published 5 January 2009 Received 3 April 2008 Implementation Science 2009 4 1 doi l748-5908-4-1 Accepted 5 January 2009 This article is available from http content 4 1 1 2009 Kontos and Poland licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Clinical practice guidelines have been a popular tool for the improvement of health care through the implementation of evidence from systematic research. Yet it is increasingly clear that knowledge alone is insufficient to change practice. The social cultural and material contexts within which practice occurs may invite or reject innovation complement or inhibit the activities required for success and sustain or alter adherence to entrenched practices. However knowledge translation KT models are limited in providing insight about how and why contextual contingencies interact the causal mechanisms linking structural aspects of context and individual agency and how these mechanisms influence KT. Another limitation of KT models is the neglect of methods to engage potential adopters of the innovation in critical reflection about aspects of context that influence practice .