Translational Scholarship and a Palliative Approach: Enlisting the Knowledge-As-Action Framework

Area of Science:

• Health Services Research
• Knowledge Translation
• Implementation Science

Background:

• The persistent
• know-do gap
• hinders effective implementation of evidence-based practices.
• Traditional approaches often separate knowing from doing, failing to capture the dynamic nature of knowledge translation (KT).

Purpose of the Study:

• To describe the application of the Knowledge-As-Action Framework, a novel approach to KT.
• To illustrate how this framework addresses the complexities inherent in knowledge translation processes.
• To demonstrate the interconnectedness of key dimensions within KT projects.

Main Methods:

• Application of the Knowledge-As-Action Framework as a heuristic device.
• Utilizing a kite metaphor to conceptualize the KT process.
• Analysis of a KT demonstration project integrating a palliative approach across three clinical sites.

Main Results:

• The Knowledge-As-Action Framework facilitated a responsive approach to KT complexities.
• The kite metaphor effectively illustrated the dynamic and interconnected nature of KT.
• The demonstration project highlighted the interplay of local context, processes, people, knowledge, fluctuating realities, and values.

Conclusions:

• The Knowledge-As-Action Framework offers a valuable tool for understanding and navigating complex KT initiatives.
• Conceptualizing knowledge and action as inseparable is crucial for successful evidence implementation.
• The framework's dimensions provide a comprehensive lens for analyzing KT projects.