Knowledge translation



Research in clinical practice is often suggested as a mechanism to enhance transparency in decision- making, to overcome unwanted variation and to improve patient and system outcomes. However, most research-based knowledge fails to translate into practice. The result is that patients do not benefit optimally from research and are therefore exposed to unnecessary risks. 

There are a lot of reasons why these evidence-practice gaps occur; one is that researchers rarely cooperate with the practitioners. Researchers and practitioners speak different languages. Many practitioners do not have the knowledge, skills or time to implement the evidence-based research. 

Many programs and clinical guidelines are designed in optimal circumstances and not in the complex everyday life of clinical practice. This factor especially applies to elderly medical patients.

We work with the Knowledge To Action (KTO) model. KTO is a theoretic model developed to support the ‘black box’ call knowledge translation or implementation. The model contains two phases - a Knowledge creation phase and an Action cycle phase. The core principle of this model is continuous exchange of information between the two phases. 

Our focus 

  • To generate knowledge about implementation of clinical guidelines and evidence-based programs, for elderly medical patients.
  • How to incorporate knowledge about the organisation’s local culture and learning processes, during implementation of clinical guidelines and evidence based health care programs.
  • How to incorporate implementation science when designing evidence-based studies.

On-going studies 

Implementering af FMK – To skridt frem og et tilbage (Implementation of FMK, an electronic medicine chart, Two steps forward and one back), Selina Christensen, Line Due Jensen, Kirsten Laila Vinding and Janne Petersen [Manuscript in preparation] 

Implementering af retningslinjslinjer og programmer i sundhedsvæsenet, Jeanette W. Kirk [Manuscript in preparation] 

Finished studies 

Barriers and facilitators for implementing a new screening tool in an emergency department: a qualitative study applying the Theoretical Domains Framework. Kirk JW, Sivertsen DM, Petersen J, Nilsen P, Petersen HV. J Clin Nurs

Implementing evidence-based practices in an emergency department: contradictions exposed when prioritising a flow culture. Wassar Kirk, J. & Nilsen, P. feb 2016 I : Journal of Clinical Nursing. 25, 3-4, s. 555-65  

The influence of flow culture on nurses' use of research in emergency care: An ethnoraphic study. Wassar Kirk, J. & Nielsen, P. 2015 I : Klinisk Sygepleje. 29, 2, s. 16-35

Problems using FMK at Discharge seen from Hospital Doctors’ Perspective. Title in Danish: Problemer ved brugen af det Fælles Medicinkort (FMK) ved udskrivelse set fra hospitalslægers perspektiv. Selina Christiansen [Master Thesis]​​

Implementation science

The scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice​

Knowledge translation

Knowledge translation describe research into barriers and facilitators to closing the knowledge-to-practice gap and studies of strategies to achieve increased knowledge use​