Article type
Year
Abstract
Background: Health care policy decisions are often made without careful consideration of best available research evidence. A knowledge brokering intervention may be useful in addressing the disconnect between research evidence and policy decision.
Objectives: This study aims to construct a conceptual model for knowledge brokering intervention using information obtained by conducting a systematic review.
Methods: Randomized controlled trials evaluating the effectiveness of knowledge brokering intervention were searched in MEDLINE, EMBASE and the Cochrane library. Observational and descriptive studies of knowledge brokering intervention were identified using MEDLINE, EMBASE, CINAHL, Implementation Science and Google Scholar. A narrative synthesis was carried out to summarize the evidence.
Results: Two randomized controlled trials (RCT), two cross-sectional surveys, two case-studies, four qualitative studies and two mixed methods studies were identified. Based on limited number of RCTs with poor methodological quality, the knowledge brokering intervention appears to be effective in improving evidence use in clinical and policy decision. The methodological quality of observational and descriptive studies varied widely. Even though the knowledge brokering intervention was explained with similar theoretical concepts, there were significant heterogeneities in the description of knowledge broker’s role.The knowledge brokers tend to; (a) Build network with decision makers and researchers, and assess their needs, (b) Access, appraises and summarize relevant research evidence, (c) Adapt the evidence to local context and advocate the use, (d) Monitor evidence use and identify new challenges, (e) Summarize priorities of decision makers and generate research question and (f) Communicate research needs to researchers. Using these description of knowledge broker’s role, a conceptual model for knowledge brokering intervention was constructed (Fig. 1).
Conclusions: An intervention using knowledge brokering intervention appear to be effective in improving evidence use in health care policy decision. A conceptual model for knowledge brokering intervention was constructed using information summarized by conducting a systematic review.
Objectives: This study aims to construct a conceptual model for knowledge brokering intervention using information obtained by conducting a systematic review.
Methods: Randomized controlled trials evaluating the effectiveness of knowledge brokering intervention were searched in MEDLINE, EMBASE and the Cochrane library. Observational and descriptive studies of knowledge brokering intervention were identified using MEDLINE, EMBASE, CINAHL, Implementation Science and Google Scholar. A narrative synthesis was carried out to summarize the evidence.
Results: Two randomized controlled trials (RCT), two cross-sectional surveys, two case-studies, four qualitative studies and two mixed methods studies were identified. Based on limited number of RCTs with poor methodological quality, the knowledge brokering intervention appears to be effective in improving evidence use in clinical and policy decision. The methodological quality of observational and descriptive studies varied widely. Even though the knowledge brokering intervention was explained with similar theoretical concepts, there were significant heterogeneities in the description of knowledge broker’s role.The knowledge brokers tend to; (a) Build network with decision makers and researchers, and assess their needs, (b) Access, appraises and summarize relevant research evidence, (c) Adapt the evidence to local context and advocate the use, (d) Monitor evidence use and identify new challenges, (e) Summarize priorities of decision makers and generate research question and (f) Communicate research needs to researchers. Using these description of knowledge broker’s role, a conceptual model for knowledge brokering intervention was constructed (Fig. 1).
Conclusions: An intervention using knowledge brokering intervention appear to be effective in improving evidence use in health care policy decision. A conceptual model for knowledge brokering intervention was constructed using information summarized by conducting a systematic review.
PDF