Knowledge translation in the healthcare sector. A structured literature review

Knowledge translation can be understood as the ability to translate concepts between different contexts by stakeholders who have different skills, aims, and even feelings in their relation to such concepts. Knowledge translation tools allow for the effective transfer of existing knowledge as well as the emergence of new knowledge of value to some or all of the stakeholders involved in the process. Knowledge translation is particularly challenging in healthcare and medicine, where different practitioners (e.g. physicians, biologists, engineers, researchers) and professionals need methodologies and tools to communicate and share knowledge among them and with patients in an effective manner. To better understand this phenomenon, we conducted a Structured Literature Review (SLR). The concepts knowledge, translation and either healthcare or medicine were used as search terms in the title, abstract or keywords on Scopus, which highlighted more than 2,000 contributions in the medical literature and only 22 in Business and Management. Our review of these documents revealed a need in the healthcare sector for better managerial and organisational practices to cope with the various challenges related to the sharing of knowledge among stakeholders. At the same time, the business and management communities appear to have made significant progress in addressing the same issues. We therefore decided to concentrate our analysis on the works published by the business and management community as a mean to highlight future research directions for the healthcare management sector. Thus, our research identifies areas of relevance which are currently underdeveloped, provides insights on both theoretical and empirical developments and offers a critique of the approaches, research frameworks and methods used, as well as emerging trends in these domains. Despite a lack of an agreed definition of the term Knowledge Translation, our findings highlight a growing interest in the topic, with most of thecontributions published after 2015. Scholars have approached the term from a variety of perspectives depending on the nature of the stakeholders of relevance to their studies. Whilst there does not seem to be a predominant framework, the literature reveals several tools and techniques that are effective in enhancing Knowledge Translation in different contexts.New research opportunities in this domain emerge in terms of underinvestigated areas within the healthcare sector.info:eu-repo/semantics/publishedVersio

Knowledge translation in the healthcare sector. a structured literature review

Knowledge translation can be understood as the ability to translate concepts between different contexts by stakeholders who have different skills, aims, and even feelings in their relation to such concepts. Knowledge translation tools allow for the effective transfer of existing knowledge as well as the emergence of new knowledge of value to some or all of the stakeholders involved in the process. Knowledge translation is particularly challenging in healthcare and medicine, where different practitioners (e.g. physicians, biologists, engineers, researchers) and professionals need methodologies and tools to communicate and share knowledge among them and with patients in an effective manner. To better understand this phenomenon, we conducted a Structured Literature Review (SLR). The concepts knowledge, translation and either healthcare or medicine were used as search terms in the title, abstract or keywords on Scopus, which highlighted more than 2,000 contributions in the medical literature and only 22 in Business and Management. Our review of these documents revealed a need in the healthcare sector for better managerial and organisational practices to cope with the various challenges related to the sharing of knowledge among stakeholders. At the same time, the business and management communities appear to have made significant progress in addressing the same issues. We therefore decided to concentrate our analysis on the works published by the business and management community as a mean to highlight future research directions for the healthcare management sector. Thus, our research identifies areas of relevance which are currently underdeveloped, provides insights on both theoretical and empirical developments and offers a critique of the approaches, research frameworks and methods used, as well as emerging trends in these domains. Despite a lack of an agreed definition of the term Knowledge Translation, our findings highlight a growing interest in the topic, with most of the contributions published after 2015. Scholars have approached the term from a variety of perspectives depending on the nature of the stakeholders of relevance to their studies. Whilst there does not seem to be a predominant framework, the literature reveals several tools and techniques that are effective in enhancing Knowledge Translation in different contexts. New research opportunities in this domain emerge in terms of underinvestigated areas within the healthcare sector

The Evidence for the Economic Value of eHealth in the United States Today: A Systematic Review

The United States healthcare system continues to face increasing costs, with year-over-year projected cost increases that now exceed the rate of increase of the gross domestic product. The rapid expansion and integration of eHealth within the United States healthcare system is driven primarily by a perceived ability to increase access in a cost-efficient manner. However, there is little economic research that addresses the large diversity of eHealth products being integrated into this healthcare landscape. The goal of this study is to evaluate the published economic evidence for eHealth in the United States, analyse how well it supports the growth of the current eHealth environment, and suggest what evidence is needed. This systematic literature review, conducted through the PubMed and The Cochrane Library databases, found that few studies addressed today’s eHealth environment. The current landscape is broader and less tailored to the traditional telemedicine initiatives represented by existing studies. We suggest more rigour in the design and scope of economic studies and that current eHealth technologies be identified for analysis. These studies must be comprehensive from the healthcare system’s perspective and conducted for relevant initiatives and patient groups to allow for evidence-based discussions on the cost-effectiveness of eHealth

Prescription for health

"A publication of the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry."Mode of access: Internet.Services for individuals -- Services for children and adolescents -- Services for health-care providers -- Services for other professionals. -- Services for individuals or organizationsimplementing public health programs -- Other useful sources for CDC information -- About the CDC2006734

Innovator, 2000-07-10

The Innovator was a student newspaper published at Governors State University between March 1972 and October 2000. The newspaper featured student reporting, opinions, news, photos, poetry, and original graphics

Investigating comorbid mood disorders in people with inflammatory rheumatological conditions: a mixed methods study

Background Mood problems in people with rheumatoid arthritis (RA) are under-recognised and treated, contributing to increased mortality. Comorbid depression is associated with increased disease activity and reduced quality of life (QoL), though the impact of anxiety is unclear. Understanding patients' preferences regarding case-finding for mood problems and determining the impact of anxiety in RA, could support the development of an intervention to improve the management of comorbid mood problems. There is a lack of literature reporting the prevalence of mood problems in other inflammatory rheumatological conditions (IRCs). Methods Using mixed methods, I have conducted a qualitative study, to explore RA patients' perspectives of comorbid mood problems and a systematic review, to determine the impact of anxiety in RA. Through a cohort study, using Read codes from primary care data, I have established the incidence and prevalence of mood problems in different IRCs. I have also analysed patients' responses to case-finding questions for mood problems within questionnaires, to determine the proportion with IRCs who self-report mood symptoms. Results People with RA feel able to disclose mood symptoms within a nurse-led review. Anxiety is associated with worse QoL and increased disease activity in RA. Self-reported symptoms of mood problems are common in different IRCs, though they are less frequently recorded in primary care records, suggesting potential under-recognition of mood problems in people with IRCs. Conclusions Comorbid mood problems in people with IRCs are common, yet under-recognised, and can negatively impact on outcomes, supporting the requirement for case-finding within a nurse-led review

Collaborative behaviours and professional culture traits in real-time interprofessional clinical simulation

Interprofessional education (IPE) has been proposed as a method of creating a collaborative practice ready workforce in healthcare. Postulated benefits of the technique include improving communication between professional groups, which in turn should help to prevent serious untoward events and ultimately improve patient outcomes. Critics of the method have cited poorly designed IPE as a method of reinforcing physician power, and argued there is a paucity of data linking undergraduate IPE to tangible benefits in a patient-facing setting. Simulation has been increasingly used as a method for delivery of IPE, with positive outcomes cited by students and educators alike. Virtual Patients and avatars have been recently used as a delivery method for healthcare education, but there is a paucity of data regarding their use in IPE. Simulation is not a panacea for IPE, many simulations focus on the acute phase of care naturally excluding healthcare professions who are not involved in those situations. Findings from acute simulations may not apply to sub-acute scenarios. Method A sub-acute real-time virtual patient simulation was designed then delivered to educators (n=6) and undergraduate students (n=33) from the professions of medicine, nursing, pharmacy and physiotherapy. Qualitative data was gathered according to a constructivist paradigm using unstructured observation of in-simulation behaviour, focus groups and semi-structured interviews. Results Data was analysed according to Braun and Clarke’s method of thematic analysis. Five themes were identified: technology, education, collaboration, intrinsic behaviours and stereotyping. The simulation was educationally successful with participants citing improved recognition of the skills of other professional groups, and improved physiological and pharmacological knowledge. The real-time aspect of the simulation improved clinical reasoning and forced students to make prescribing decisions, which was cited as beneficial for future practice. The sub-acute nature of the simulation resulted in participants hyper-observing their VP to the detriment of patient care. Good levels of collaboration, team working and appropriate communication were facilitated but students were observed to subconsciously selfstereotype. Conclusions Sub-acute real-time virtual patient simulation appears to be a valid method of enabling students to learn with and from one another. It conveys benefit over traditional educational methods such as classroom-based, problem-based and experiential learning as students are given full responsibility for patient care with little supervision. Self-stereotyping amongst students suggests that students convey stereotypical messages about their own profession to others. This may aid team-building in the undergraduate setting, but if these stereotypical views are transferred to advanced practice, there may be detrimental consequences for team formation and patient care

Felt senses of self and no-self in therapy

The thesis develops Gendlin's concept of the felt sense in two directions, and introduces parallel concepts of self. It starts by examining western and eastern cultural contexts, neuroscientific conceptualisations and linguistic issues as they relate to self, using the lens of Gendlin's two ways of relating to the world ̶ interpreting according to the unit model and thinking beyond patterns, to point out conceptual confusions. Buddhist philosophy and practice are discussed as methods of undoing such conceptual confusions in order to relieve suffering, with self as an independent, stable, substantial entity being the primary example of such a confusion. Dualism is identified as the basic misconception from which suffering ensues. Non-duality is investigated as a spiritual endstate, an integral part of the goals of humanistic therapies and an intrinsic element in 'carrying forward', then compared with Gendlin's implicit intricacy, Sartre's Being-in-itself and intersubjective theories. A small qualitative study investigates what happens when felt senses of self are intentionally produced or accessed by focusing. A continuum of experiences is described, ranging from self to no-self, with trauma proving a major block to both self and no-self experiencings. The felt sense is re-defined in two ways, as an extending boundary and as a direct referent. A sense of self is also considered both as a boundary drawing exercise, and a direct referent. Self may function in either of these forms on a relative level, constructively or destructively, according to circumstances and conditions, while on an ontological level no such single entity may be proven to exist. The conclusion is drawn that self and no-self form a kind of twisting human thread, which shows, at any one moment, just one side of a duality. These sides are conceptually, rather than actually, distinct