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How does integrated knowledge translation work? A realist review.

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Summary
This summary is machine-generated.

Integrated knowledge translation (IKT) requires infrastructure, role clarity, and power sharing for effective research partnerships. These conditions facilitate the generation and use of relevant healthcare research findings.

Keywords:
InfrastructureIntegrated knowledge translationKnowledge translationPartnered researchPowerRealist reviewResearch co-productionRole clarity

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Area of Science:

  • Health Services Research
  • Knowledge Translation
  • Health Policy

Background:

  • Integrated knowledge translation (IKT), or research co-production, involves equal partnerships between researchers and knowledge users.
  • Evidence shows IKT yields useful, usable, and used research findings.
  • The operational mechanisms of IKT require further elucidation.

Purpose of the Study:

  • To examine the key mechanisms driving the success of IKT in the healthcare sector.
  • To identify necessary contextual conditions for effective IKT.
  • To develop program theories explaining how IKT operates.

Main Methods:

  • A realist review was conducted in two phases, involving knowledge users in preliminary theory development.
  • Inductive testing of preliminary program theories against existing literature.
  • Searched multiple databases (OVID Medline, Embase, PsycINFO, CINAHL, Social Sciences Abstracts, ABI Inform) for empirical articles (2002-2020).

Main Results:

  • Three program theories were developed regarding researcher-knowledge user collaboration in research generation.
  • Key contextual conditions identified: infrastructure, role clarity, and power sharing.
  • Effective partnerships, triggered by infrastructure and role clarity, lead to relevant findings; power sharing enables synergy and use of findings.

Conclusions:

  • Infrastructure, role clarity, and power sharing are critical contextual factors for IKT success in healthcare.
  • Effective partnerships are necessary but insufficient for research use; partnership synergy is key.
  • Presents three program theories and a consolidated mid-range theory to enhance evidence uptake.