Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review
Abstract Background Knowledge translation (KT) strategies are widely used to facilitate the implementation of EBIs into healthcare practices. However, it is unknown what and how KT strategies are used to facilitate the sustainability of EBIs in institutional healthcare settings. Objectives This scop...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-12-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13012-023-01320-0 |
| _version_ | 1797397795103047680 |
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| author | Rachel Flynn Christine Cassidy Lauren Dobson Joyce Al-Rassi Jodi Langley Jennifer Swindle Ian D. Graham Shannon D. Scott |
| author_facet | Rachel Flynn Christine Cassidy Lauren Dobson Joyce Al-Rassi Jodi Langley Jennifer Swindle Ian D. Graham Shannon D. Scott |
| author_sort | Rachel Flynn |
| collection | DOAJ |
| description | Abstract Background Knowledge translation (KT) strategies are widely used to facilitate the implementation of EBIs into healthcare practices. However, it is unknown what and how KT strategies are used to facilitate the sustainability of EBIs in institutional healthcare settings. Objectives This scoping review aimed to consolidate the current evidence on (i) what and how KT strategies are being used for the sustainability of EBIs in institutional healthcare settings; (ii) the reported KT strategy outcomes (e.g., acceptability) for EBI sustainability, and (iii) the reported EBI sustainability outcomes (e.g., EBI activities or component of the intervention continue). Methods We conducted a scoping review of five electronic databases. We included studies describing the use of specific KT strategies to facilitate the sustainability of EBIs (more than 1-year post-implementation). We coded KT strategies using the clustered ERIC taxonomy and AIMD framework, we coded KT strategy outcomes using Tierney et al.’s measures, and EBI sustainability outcomes using Scheirer and Dearing’s and Lennox’s taxonomy. We conducted descriptive numerical summaries and a narrative synthesis to analyze the results. Results The search identified 3776 studies for review. Following the screening, 25 studies (reported in 27 papers due to two companion reports) met the final inclusion criteria. Most studies used multi-component KT strategies for EBI sustainability (n = 24). The most common ERIC KT strategy clusters were to train and educate stakeholders (n = 38) and develop stakeholder interrelationships (n = 34). Education was the most widely used KT strategy (n = 17). Many studies (n = 11) did not clearly report whether they used different or the same KT strategies between EBI implementation and sustainability. Seven studies adapted KT strategies from implementation to sustainability efforts. Only two studies reported using a new KT strategy for EBI sustainability. The most reported KT strategy outcomes were acceptability (n = 10), sustainability (n = 5); and adoption (n = 4). The most commonly measured EBI sustainability outcome was the continuation of EBI activities or components (n = 23), followed by continued benefits for patients, staff, and stakeholders (n = 22). Conclusions Our review provides insight into a conceptual problem where initial EBI implementation and sustainability are considered as two discrete time periods. Our findings show we need to consider EBI implementation and sustainability as a continuum and design and select KT strategies with this in mind. Our review has emphasized areas that require further research (e.g., KT strategy adaptation for EBI sustainability). To advance understanding of how to employ KT strategies for EBI sustainability, we recommend clearly reporting the dose, frequency, adaptations, fidelity, and cost of KT strategies. Advancing our understanding in this area would facilitate better design, selection, tailored, and adapted use of KT strategies for EBI sustainability, thereby contributing to improved patient, provider, and health system outcomes. |
| first_indexed | 2024-03-09T01:16:18Z |
| format | Article |
| id | doaj.art-1aa48a24e4174788a9cfc66827e5c5e3 |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-03-09T01:16:18Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-1aa48a24e4174788a9cfc66827e5c5e32023-12-10T12:26:58ZengBMCImplementation Science1748-59082023-12-0118111710.1186/s13012-023-01320-0Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping reviewRachel Flynn0Christine Cassidy1Lauren Dobson2Joyce Al-Rassi3Jodi Langley4Jennifer Swindle5Ian D. Graham6Shannon D. Scott7School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College of CorkSchool of Nursing, Faculty of Health, Dalhousie UniversityFaculty of Nursing, Level 3, Edmonton Clinic Health Academy, University of AlbertaSchool of Nursing, Faculty of Health, Dalhousie UniversitySchool of Nursing, Faculty of Health, Dalhousie UniversityFaculty of Nursing, Level 3, Edmonton Clinic Health Academy, University of AlbertaSchool of Epidemiology and Public Health, University of OttawaFaculty of Nursing, Level 3, Edmonton Clinic Health Academy, University of AlbertaAbstract Background Knowledge translation (KT) strategies are widely used to facilitate the implementation of EBIs into healthcare practices. However, it is unknown what and how KT strategies are used to facilitate the sustainability of EBIs in institutional healthcare settings. Objectives This scoping review aimed to consolidate the current evidence on (i) what and how KT strategies are being used for the sustainability of EBIs in institutional healthcare settings; (ii) the reported KT strategy outcomes (e.g., acceptability) for EBI sustainability, and (iii) the reported EBI sustainability outcomes (e.g., EBI activities or component of the intervention continue). Methods We conducted a scoping review of five electronic databases. We included studies describing the use of specific KT strategies to facilitate the sustainability of EBIs (more than 1-year post-implementation). We coded KT strategies using the clustered ERIC taxonomy and AIMD framework, we coded KT strategy outcomes using Tierney et al.’s measures, and EBI sustainability outcomes using Scheirer and Dearing’s and Lennox’s taxonomy. We conducted descriptive numerical summaries and a narrative synthesis to analyze the results. Results The search identified 3776 studies for review. Following the screening, 25 studies (reported in 27 papers due to two companion reports) met the final inclusion criteria. Most studies used multi-component KT strategies for EBI sustainability (n = 24). The most common ERIC KT strategy clusters were to train and educate stakeholders (n = 38) and develop stakeholder interrelationships (n = 34). Education was the most widely used KT strategy (n = 17). Many studies (n = 11) did not clearly report whether they used different or the same KT strategies between EBI implementation and sustainability. Seven studies adapted KT strategies from implementation to sustainability efforts. Only two studies reported using a new KT strategy for EBI sustainability. The most reported KT strategy outcomes were acceptability (n = 10), sustainability (n = 5); and adoption (n = 4). The most commonly measured EBI sustainability outcome was the continuation of EBI activities or components (n = 23), followed by continued benefits for patients, staff, and stakeholders (n = 22). Conclusions Our review provides insight into a conceptual problem where initial EBI implementation and sustainability are considered as two discrete time periods. Our findings show we need to consider EBI implementation and sustainability as a continuum and design and select KT strategies with this in mind. Our review has emphasized areas that require further research (e.g., KT strategy adaptation for EBI sustainability). To advance understanding of how to employ KT strategies for EBI sustainability, we recommend clearly reporting the dose, frequency, adaptations, fidelity, and cost of KT strategies. Advancing our understanding in this area would facilitate better design, selection, tailored, and adapted use of KT strategies for EBI sustainability, thereby contributing to improved patient, provider, and health system outcomes.https://doi.org/10.1186/s13012-023-01320-0Knowledge translation strategiesSustainabilityEvidence-based interventionsImplementationHealthcare |
| spellingShingle | Rachel Flynn Christine Cassidy Lauren Dobson Joyce Al-Rassi Jodi Langley Jennifer Swindle Ian D. Graham Shannon D. Scott Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review Implementation Science Knowledge translation strategies Sustainability Evidence-based interventions Implementation Healthcare |
| title | Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review |
| title_full | Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review |
| title_fullStr | Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review |
| title_full_unstemmed | Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review |
| title_short | Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review |
| title_sort | knowledge translation strategies to support the sustainability of evidence based interventions in healthcare a scoping review |
| topic | Knowledge translation strategies Sustainability Evidence-based interventions Implementation Healthcare |
| url | https://doi.org/10.1186/s13012-023-01320-0 |
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