Implementation and Transfer of Knowledge

A review

The lecture duration is 17min.

0.5 CPD Points, 0.5 CEUs, 0.5 CME credits approval pending.
Accredited by CPDUK, CBRN and Provider Pending.

You can watch this lecture for free! For premium features, including a CPD/CME accredited certificate, to use time-coded note taking or get downloadable slides, you will need a fair price subscription.

Sign In or Sign Up For Free to access this lecture.
Kay Townsend
Programme Lead for preregistration BSc Nursing programmes at the University of Southampton, Southampton, England
Lecture Summary

Implementing and transferring knowledge into practice is essential for change to occur, but this is not always easy or successful. The presentation uses the Promoting Action on Research Implementation in Health Services framework (PARIHS) to think about implementation in terms of evidence, context and facilitation. The evidence being implemented is more than that underpinning cost-effective interventions and should take account of the patient and family experience, and the expertise, personal knowledge and experience of practitioners. Being able to manage and shape the context (and culture) influences the success of implementation. Successful implementation is more likely if interventions are active rather than persuasive (eg media campaigns) and include some practical and relational restructuring so that the norms and expectations of groups are changed. Interventions that use educational outreach and provide feedback are more likely to change behaviour. How this is managed by a skilled facilitator will also affect the success of implementation. Skilled facilitators are flexible and adaptable to the circumstances (context) and act in many roles, for example coach, knowledge broker, consultant. Using tools such as Normalization Process Theory or PARIHS to assess the context is a key step required before planning implementation of knowledge in practice, as is evaluation and feedback to those being asked to implement knowledge.

Target Audience

Oncology nurses
Trainee oncology doctors
General practitioners

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Identify three aspects of implementation evidence into practice: evidence, context and facilitation
  • Describe the value of assessing culture and context before implementation
  • Describe the role and value of facilitation in implementation

None.