scholarly journals From dissemination to engagement: learning over time from a national research intermediary centre (Four Fs)

2021 ◽  
Author(s):  
Tara Lamont ◽  
Elaine Maxwell
Keyword(s):  
Critical Distance ◽  
Decision Makers ◽  
Knowledge Brokering ◽  
Theoretical Frameworks ◽  
Care Services ◽  
Health Decision ◽  
Knowledge Brokers ◽  
New Evidence ◽  
Hybrid Teams ◽  
Over Time

Background: There has been little applied learning from organisations engaged in making evidence useful for decision makers. More focus has been given either to the work of individuals as knowledge brokers or to theoretical frameworks on embedding evidence. More intelligence is needed on the practice of knowledge intermediation.Aims and objectives: This paper describes the evolution of approaches by one UK Centre to promote and embed evidence in health and care services. This is not a formal evaluation, given the lack of critical distance by authors who led work at the Centre, but a reflective analysis which may be helpful for other evidence intermediary bodies.Conclusions: We analyse the founding conditions and theoretical context at the start of our activity and describe four activities we developed over time. These were filter (screening research for relevance and quality); forge (engaging stakeholders in interpreting evidence); fuse (knowledge brokering with hybrid teams); and fulfil (sustained interaction with implementation partners). We reflect on the tensions between rigour and relevance in the evidence we shared and the way in which our approaches evolved from a programme of evidence outputs to greater focus on sustained engagement and deliberative activities to make sense of evidence and reach wider audiences. Over the lifetime of the Centre, we moved from linear and relational modes towards systems type approaches to embed and mobilise evidence.<br />Key messages<br /><ul><li>There is little shared learning on the practice of evidence use by knowledge intermediaries.</li><br /><li>Our account of a national evidence centre for health decision makers shows the shift towards more engaged and embedded approaches.</li><br /><li>We identify four central activities – filter, forge, fuse and fulfil – and how they evolved over time.</li><br /><li>We note the value of sustained engagement with stakeholders in shaping new evidence narratives relevant to practice.</li></ul>

A network case of knowledge brokering

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Joelle Rodway ◽  
Stephen MacGregor ◽  
Alan Daly ◽  
Yi-Hwa Liou ◽  
Susan Yonezawa ◽  
...  
Keyword(s):  
Social Network ◽  
Learning Community ◽  
Knowledge Exchange ◽  
Point Of View ◽  
Network Activity ◽  
Centrality Measures ◽  
Knowledge Brokering ◽  
Content Type ◽  
Knowledge Brokers ◽  
Over Time

PurposeThe purpose of this paper is two-fold: (1) to offer a conceptual understanding of knowledge brokering from a sociometric point-of-view; and (2) to provide an empirical example of this conceptualization in an education context.Design/methodology/approachWe use social network theory and analysis tools to explore knowledge exchange patterns among a group of teachers, instructional coaches and administrators who are collectively seeking to build increased capacity for effective mathematics instruction. We propose the concept of network activity to measure direct and indirect knowledge brokerage through the use of degree and betweenness centrality measures. Further, we propose network utility—measured by tie multiplexity—as a second key component of effective knowledge brokering.FindingsOur findings suggest significant increases in both direct and indirect knowledge brokering activity across the network over time. Teachers, in particular, emerge as key knowledge brokers within this networked learning community. Importantly, there is also an increase in the number of resources exchanged through network relationships over time; the most active knowledge brokers in this social ecosystem are those individuals who are exchanging multiple forms of knowledge.Originality/valueThis study focuses on knowledge brokering as it presents itself in the relational patterns among educators within a social ecosystem. While it could be that formal organizational roles may encapsulate knowledge brokering across physical structures with an education system (e.g. between schools and central offices), these individuals are not necessarily the people who are most effectively brokering knowledge across actors within the broader social network.

scholarly journals The NCCMT’s dynamic model for evidence-informed public health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Clark ◽  
S Neil-Sztramko ◽  
M Dobbins
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Research Evidence ◽  
Decision Makers ◽  
Local Data ◽  
Public Health Decision ◽  
Health Decision Making ◽  
Political Preferences ◽  
Health Decision ◽  
Structured Approach

Abstract Issue It is well accepted that public health decision makers should use the best available research evidence in their decision-making process. However, research evidence alone is insufficient to inform public health decision making. Description of the problem As new challenges to public health emerge, there can be a paucity of high quality research evidence to inform decisions on new topics. Public health decision makers must combine various sources of evidence with their public health expertise to make evidence-informed decisions. The National Collaborating Centre for Methods and Tools (NCCMT) has developed a model which combines research evidence with other critical sources of evidence that can help guide decision makers in evidence-informed decision making. Results The NCCMT's model for evidence-informed public health combines findings from research evidence with local data and context, community and political preferences and actions and evidence on available resources. The model has been widely used across Canada and worldwide, and has been integrated into many public health organizations' decision-making processes. The model is also used for teaching an evidence-informed public health approach in Masters of Public Health programs around the globe. The model provides a structured approach to integrating evidence from several critical sources into public health decision making. Use of the model helps ensure that important research, contextual and preference information is sought and incorporated. Lessons Next steps for the model include development of a tool to facilitate synthesis of evidence across all four domains. Although Indigenous knowledges are relevant for public health decision making and should be considered as part of a complete assessment the current model does not capture Indigenous knowledges. Key messages Decision making in public health requires integrating the best available evidence, including research findings, local data and context, community and political preferences and available resources. The NCCMT’s model for evidence-informed public health provides a structured approach to integrating evidence from several critical sources into public health decision making.

scholarly journals A mixed methods examination of knowledge brokers and their use of theoretical frameworks and evaluative practices

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Kristine Newman ◽  
Ryan DeForge ◽  
Dwayne Van Eerd ◽  
Yan Wei Mok ◽  
Evelyn Cornelissen
Keyword(s):  
Mixed Methods ◽  
Theoretical Frameworks ◽  
Knowledge Brokers

scholarly journals Response to Fuson, Clements, and Sarama Commentary on Litkowski, Duncan, Logan, and Purpura (2020)

AERA Open ◽  
2021 ◽  
Vol 7 ◽  
pp. 233285842110271
Author(s):  
David J. Purpura ◽  
Ellen C. Litkowski ◽  
Robert J. Duncan ◽  
Jessica A. R. Logan
Keyword(s):  
Young Children ◽  
Grade Level ◽  
High Quality ◽  
Equity Issues ◽  
Quality Instruction ◽  
New Evidence ◽  
Over Time

In response to Fuson et al.’s commentary on Litkowski et al. (2020), we clarify and expand on three areas: (1) the need for prekindergarten standards, (2) the value in developmental survey work, and (3) the importance of understanding curriculum translation and uptake. Specifically, we note that standards need to be appropriate for grade-level and it is time for more aligned prekindergarten standards. Developmental survey work is critical for ensuring that standards and expectations are accurate and adjusted to meet current needs and can be used address equity issues in instruction. Furthermore, we agree that intervention and curriculum work are needed, but there should be explicit emphasis on enhancing uptake and use of high-quality instruction. Ultimately, we need a system of assessment and instruction that is continually updated and improved, that integrates and modifies new evidence over time to ensure that we are striving for—and attaining—the best results for young children.

Understanding knowledge brokerage and its transformative potential: a Bourdieusian perspective

2021 ◽  
Author(s):  
Sarah Chew ◽  
Natalie Armstrong ◽  
Graham P. Martin
Keyword(s):  
Qualitative Data ◽  
Healthcare Research ◽  
Ethnographic Study ◽  
Knowledge Brokering ◽  
Research And Practice ◽  
Documentary Sources ◽  
Transformative Potential ◽  
Knowledge Brokerage ◽  
Knowledge Brokers ◽  
Institutional Boundaries

Background: Knowledge brokering is promoted as a means of enabling exchange between fields and closer collaboration across institutional boundaries. Yet examples of its success in fostering collaboration and reconfiguring boundaries remain few.Aims and objectives: We consider the introduction of a dedicated knowledge-brokering role in a partnership across healthcare research and practice, with a view to examining the interaction between knowledge brokers’ location and attributes and the characteristics of the fields across which they work.Methods: We use qualitative data from a four-year ethnographic study, including observations, interviews, focus groups, reflective diaries and other documentary sources. Our analysis draws on Pierre Bourdieu’s conceptual framework.Findings: In efforts to transform the boundaries between related but disjointed fields, a feature posited as advantageous – knowledge brokers’ liminality – may in practice work to their disadvantage. An unequal partnership between two fields, where the capitals (the resources, relationships, markers of prestige and forms of knowledge) valued in one are privileged over the other, left knowledge brokers without a prior affiliation to either field adrift between the two.Discussion and conclusions: Lacking legitimacy to act across fields and bridge the gap between them, knowledge brokers are likely to seek to develop their skills on one side of the boundary, focusing on more limited and conservative activities, rather than advance the value of a distinctive array of capitals in mediating between fields. We identify implications for the construction and deployment of knowledge-brokering interventions towards collaborative objectives.<br />Key messages<br /><ul><li>Knowledge brokers are vaunted as a means of translating knowledge and removing barriers between fields;</li><br /><li>Their position ‘in between’ fields is important, but their influence in those fields may be limited;</li><br /><li>Lacking the resources and relationships to work across fields, they may align with only one;</li><br /><li>Both the structure of fields and the prior knowledge and habitus of brokers will influence knowledge brokerage’s success.</li></ul>

scholarly journals Development of the ACTIVE framework to describe stakeholder involvement in systematic reviews

2019 ◽  
Vol 24 (4) ◽  
pp. 245-255 ◽  
Author(s):  
Alex Pollock ◽  
Pauline Campbell ◽  
Caroline Struthers ◽  
Anneliese Synnot ◽  
Jack Nunn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Health Professionals ◽  
Public Involvement ◽  
Review Process ◽  
Data Extraction ◽  
Stakeholder Involvement ◽  
Decision Makers ◽  
Literature Searching ◽  
Health Decision

Objectives Involvement of patients, health professionals, and the wider public (‘stakeholders’) is seen to be beneficial to the quality, relevance and impact of research and may enhance the usefulness and uptake of systematic reviews. However, there is a lack of evidence and resources to guide researchers in how to actively involve stakeholders in systematic reviews. In this paper, we report the development of the ACTIVE framework to describe how stakeholders are involved in systematic reviews. Methods We developed a framework using methods previously described in the development of conceptual frameworks relating to other areas of public involvement, including: literature searching, data extraction, analysis, and categorization. A draft ACTIVE framework was developed and then refined after presentation at a conference workshop, before being applied to a subset of 32 systematic reviews. Data extracted from these systematic reviews, identified in a systematic scoping review, were categorized against pre-defined constructs, including: who was involved, how stakeholders were recruited, the mode of involvement, at what stage there was involvement and the level of control or influence. Results The final ACTIVE framework described whether patients, carers and/or families, and/or other stakeholders (including health professionals, health decision makers and funders) were involved. We defined: recruitment as either open or closed; the approach to involvement as either one-time, continuous or combined; and the method of involvement as either direct or indirect. The stage of involvement in reviews was defined using the Cochrane Ecosystem stages of a review. The level of control or influence was defined according to the roles and activities of stakeholders in the review process, and described as the ACTIVE continuum of involvement. Conclusions The ACTIVE framework provides a structure with which to describe key components of stakeholder involvement within a systematic review, and we have used this to summarize how stakeholders have been involved in a subset of varied systematic reviews. The ACTIVE continuum of involvement provides a new model that uses tasks and roles to detail the level of stakeholder involvement. This work has contributed to the development of learning resources aimed at supporting systematic review authors and editors to involve stakeholders in their systematic reviews. The ACTIVE framework may support the decision-making of systematic review authors in planning how to involve stakeholders in future reviews.

scholarly journals Supporting the development of scientific understanding when constructing an evolving explanation

2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Ann M. Novak ◽  
David F. Treagust
Keyword(s):  
Scientific Explanation ◽  
Project Based Learning ◽  
Incremental Development ◽  
Freshwater Organisms ◽  
Freshwater System ◽  
New Evidence ◽  
Scientific Ideas ◽  
Over Time

AbstractWe explore how students developed an integrated understanding of scientific ideas and how they applied their understandings in new situations. We examine the incremental development of 7th grade students’ scientific ideas across four iterations of a scientific explanation related to a freshwater system. We demonstrate that knowing how to make use of scientific ideas to explain phenomena needs to be learned just as developing integrated understanding of scientific ideas needs to be learned. Students participated in an open-ended, long-term project-based learning unit, constructing one explanation over time to address, “How healthy is our stream for freshwater organisms and how do our actions on land potentially impact the water quality of the stream?” The explanation developed over several weeks as new data were collected and analyzed. Students discussed evidence by revisiting scientific ideas and including new scientific ideas. This research investigates two questions: (1) As students engage in writing a scientific explanation over time, to what extent do they develop integrated understanding of appropriate scientific ideas? and (2) When writing about new evidence, do these earlier experiences of writing explanations enable students to make use of new scientific ideas in more sophisticated ways? In other words, do earlier experiences allow students to know how to make use of their ideas in these new situations? The results indicated statistically significant effects. Through various iterations of the explanation students included richer discussion using appropriate scientific ideas. Students were also able to make better use of new knowledge in new situations.

scholarly journals Effectiveness of COVID-19 Vaccines against Delta (B.1.617.2) Variant: A Systematic Review and Meta-Analysis of Clinical Studies

Vaccines ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 23
Author(s):  
Ali Pormohammad ◽  
Mohammad Zarei ◽  
Saied Ghorbani ◽  
Mehdi Mohammadi ◽  
Saeideh Aghayari Sheikh Neshin ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Severe Infection ◽  
Vaccination Rate ◽  
Decision Makers ◽  
Morbidity Rate ◽  
Short Term ◽  
Mortality And Morbidity ◽  
Public Health Decision ◽  
Health Decision

The high transmissibility, mortality, and morbidity rate of the SARS-CoV-2 Delta (B.1.617.2) variant have raised concerns regarding vaccine effectiveness (VE). To address this issue, all publications relevant to the effectiveness of vaccines against the Delta variant were searched in the Web of Science, Scopus, EMBASE, and Medline (via PubMed) databases up to 15 October 2021. A total of 15 studies (36 datasets) were included in the meta-analysis. After the first dose, the VE against the Delta variant for each vaccine was 0.567 (95% CI 0.520–0.613) for Pfizer-BioNTech, 0.72 (95% CI 0.589–0.822) for Moderna, 0.44 (95% CI 0.301–0.588) for AstraZeneca, and 0.138 (95% CI 0.076–0.237) for CoronaVac. Meta-analysis of 2,375,957 vaccinated cases showed that the Pfizer-BioNTech vaccine had the highest VE against the infection after the second dose, at 0.837 (95% CI 0.672–0.928), and third dose, at 0.972 (95% CI 0.96–0.978), as well as the highest VE for the prevention of severe infection or death, at 0.985 (95% CI 0.95–0.99), amongst all COVID-19 vaccines. The short-term effectiveness of vaccines, especially mRNA-based vaccines, for the prevention of the Delta variant infection, hospitalization, severe infection, and death is supported by this study. Limitations include a lack of long-term efficacy data, and under-reporting of COVID-19 infection cases in observational studies, which has the potential to falsely skew VE rates. Overall, this study supports the decisions by public health decision makers to promote the population vaccination rate to control the Delta variant infection and the emergence of further variants.

scholarly journals Prediction of prevalence of type 2 diabetes in Rwanda using the metropolis-hasting sampling

2021 ◽  
Vol 21 (2) ◽  
pp. 702-709
Author(s):  
Angelique Dukunde ◽  
Jean Marie Ntaganda ◽  
Juma Kasozi ◽  
Joseph Nzabanita
Keyword(s):  
Physical Activity ◽  
Mathematical Model ◽  
Type 2 Diabetes ◽  
Monte Carlo ◽  
Transition Matrix ◽  
Decision Makers ◽  
World Health ◽  
Health Decision ◽  
The Masses

In this work, we predict the prevalence of type 2 diabetes among adult Rwandan people. We used the Metropolis-Hasting method that involved calculating the metropolis ratio. The data are those reported by World Health Organiation in 2015. Considering Suffering from diabetes, Overweight, Obesity, Dead and other subject as states of mathematical model, the transition matrix whose elements are probabilities is generated using Metropolis-Hasting sampling. The numerical results show that the prevalence of type 2 diabetes increases from 2.8% in 2015 to reach 12.65% in 2020 and to 22.59% in 2025. Therefore, this indicates the urgent need of prevention by Rwandan health decision makers who have to play their crucial role in encouraging for example physical activity, regular checkups and sensitization of the masses. Keywords: Non communicable diseases; type 2 diabetes; Markov Chain Monte Carlo method; Metropolis-Hasting method; Transition probabilities.rds: 

Building resilience for food service businesses in times of crisis: a Four-F action plan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ananya Bhattacharya ◽  
Ambika Zutshi ◽  
Ali Bavik
Keyword(s):  
Crisis Management ◽  
Dynamic Capabilities ◽  
Planning Process ◽  
Action Plan ◽  
Food Service ◽  
Decision Makers ◽  
Theoretical Frameworks ◽  
Content Type ◽  
Theoretical Concepts ◽  
Service Businesses

Purpose This paper aims to propose a “Four-F (finding facts, fostering alternates, fulfilling implementation and feasibility testing)” action plan to global food service businesses (FSB) such as restaurants (dine-in/take away) to build resilience during times of global crises. The 2019 Coronavirus disease and FSBs apply as working examples elaborating the proposed Four-F action plan with several managerial implications for the internal and external stakeholders of FSBs. Design/methodology/approach The method involves reviewing and coding 108 articles using the PRISMA approach, then applying findings to develop the Four-F action plan integrating multiple theoretical concepts (such as stakeholder, crisis management and dynamic capabilities). Findings There are two key findings. First, though all four crisis phases should be considered by decision-makers as part of their contingency planning process, the pre and post-crisis stages need higher attention. Second, the Four-F action plan provides specific recommendations to FSBs stakeholders (consumers, suppliers and government) for each crisis phase (pre-crisis, crisis emergence, crisis occurrence and post-crisis). Originality/value To the best of the authors’ knowledge, this is the first paper that has incorporated multiple theoretical frameworks (stakeholder theory, crisis management and dynamic capabilities) within the FSBs context and provided the Four-F action plan for decision-makers to understand and manage crisis phases.

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