KT Knowledge Transfer

Collection of articles on KT is available here.

Clinician Maladaptive Anxious Avoidance in the Context of Implementation of Evidence-Based Interventions: A Commentary.
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Becker-Haimes EM, Klein CC, Frank HE, Oquendo MA, Jager-Hyman S, Brown GK, et al.
Front Health Serv. 2022 Jun;2:833214.
This paper posits that a clinician’s own anxious reaction to delivering specific evidence-based interventions (EBIs) should be better accounted for within implementation science frameworks. A key next step for implementation science is to delineate the causal processes most likely to influence successful implementation of evidence-based interventions (EBIs). This is critical for being able to develop tailored implementation strategies that specifically target mechanisms by which implementation succeeds or fails. First, we review the literature on specific EBIs that may act as negatively valenced stimuli for clinicians, leading to a process of clinician maladaptive anxious avoidance that can negatively impact EBI delivery. In the following sections, we argue that there are certain EBIs that can cause emotional distress or discomfort in a clinician, related to either: (1) a clinicians’ fear of the real or predicted short-term distress the EBI can cause patients, or (2) fears that the clinician will inadvertently cause the patient harm and/or face liability. This distress experienced by the clinician can perpetuate a cycle of maladaptive anxious avoidance by the clinician, contributing to lack of or suboptimal EBI implementation. We illustrate how this cycle of maladaptive anxious avoidance can influence implementation by providing several examples from leading EBIs in the psychosocial literature. To conclude, we discuss how leveraging decades of treatment literature aimed at mitigating maladaptive anxious avoidance can inform the design of more tailored and effective implementation strategies for EBIs that are negatively valenced.

Researchers’ Public Engagement in the Context of Interdisciplinary Research Programs: Learning and Reflection from Boundary Crossing
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Hendriks F, Bromme R.
Science Communication. 2022 Nov 17;10755470221137052.
Outreach activities might facilitate researchers? boundary crossing not only between science and society but also between disciplines. This offers opportunities for learning and reflection on the individual and the organizational level, resulting in what we call retroactive effects. We questioned N = 75 researchers of two interdisciplinary research programs. Researchers reported positive retroactive effects on their enjoyment of and skills for engaging in outreach activities (OA) and partly agreed that OA had benefited interdisciplinary communication and networking within the research program. However, doctoral researchers were hesitant toward public engagement, compared with postdoctoral researchers and professors. This research allows implications for fostering the role of researchers in institutional communication efforts.

Implementation Science Toolkit for Clinicians: Improving Adoption of Evidence in Practice.
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Reynolds SS, Granger BB.
Dimens Crit Care Nurs. 2023 Feb 1;42(1):33–41.
BACKGROUND: Clinicians are often familiar with quality improvement (QI) and evidence-based practice (EBP) processes, which provides guidance into what evidence should be implemented; however, these processes do not address how to successfully implement evidence. OBJECTIVE: Clinicians would benefit from a deeper understanding of implementation science, along with practical tools for how to use these principles in QI and EBP projects. METHODS: We provide a brief background of the principles of implementation science, an overview of current implementation science models and a toolkit to facilitate choosing and using common implementation science strategies. In addition, the toolkit provides guidance for measuring the success of an implementation science project and a case study showing how implementation science strategies can be used successfully in clinical practice. CONCLUSIONS: Using an implementation science toolkit for designing, conducting, and evaluating a QI or EBP project improves the quality and generalizability of results.