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Journal articles on the topic 'Brokering changes'
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van Kammen, Jessika, Carin W. Jansen, Gouke J. Bonsel, Jan A. M. Kremer, Johannes L. H. Evers, and Juriy W. Wladimiroff. "Technology assessment and knowledge brokering: The case of assisted reproduction in The Netherlands." International Journal of Technology Assessment in Health Care 22, no. 3 (July 2006): 302–6. http://dx.doi.org/10.1017/s026646230605118x.
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Objectives:Even when policy makers show interest and evidence-informed and convincing HTA studies are available, use of assessment products is not guaranteed. In this article, we report our experience with knowledge brokering to foster evidence-informed policy making on cost-effective treatment and reimbursement of assisted reproduction in The Netherlands.Methods:From earlier work in the field of knowledge brokering, we foresaw the need for a deliberative strategy to manage the inherent tension between scientific rigor demanded by researchers and responsiveness to real-time needs demanded by policy makers. Therefore, we structured the process in three distinct steps: (i) agreement about the main messages from the research, (ii) analysis of the policy context and of the meaning of the main messages for the actors involved, and (iii) an invitational meeting to make recommendations for action.Results:One of the recommendations that would require changes in ministerial policy was followed up instantly, whereas the other recommendation is still under debate. The Dutch Society of Obstetrics and Gynecology activated the revision of two guidelines. The patient organization uses the new scientific insights in informing members and the public. Closing the loop, The Netherlands Organisation for Health Research and Development (ZonMw) funded research to close knowledge gaps that became apparent in the process.Conclusions:Knowledge brokering is a promising approach to bring HTA into practice. We conclude that the methodologies to feed research results into the policy process are still in an incipient stage and need further development.
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Wye, Lesley, Helen Cramer, Kate Beckett, Michelle Farr, Andrée le May, Jude Carey, Rebecca Robinson, Rachel Anthwal, James Rooney, and Helen Baxter. "Collective knowledge brokering: the model and impact of an embedded team." Evidence & Policy: A Journal of Research, Debate and Practice 16, no. 3 (August 1, 2020): 429–52. http://dx.doi.org/10.1332/174426419x15468577044957.
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Background:The Bristol Knowledge Mobilisation (KM) Team was an unusual collective brokering model, consisting of a multi-professional team of four managers and three academics embedded in both local healthcare policymaking (aka commissioning) and academic primary care. Aims and objectives:They aimed to encourage ‘research-informed commissioning’ and ‘commissioning-informed research’. This paper covers context, structure, processes, advantages, challenges and impact. Methods:Data sources from brokers included personal logs, reflective essays, exit interviews and a team workshop. These were analysed inductively using constant comparison. To obtain critical distance, three external evaluations were conducted, using interviews, observations and documentation. Findings:Stable, solvent organisations; senior involvement with good inter-professional relationships; secure funding; and networks of engaged allies in host organisations supported the brokers. Essential elements were two-way embedding, ‘buddying up’, team leadership, brokers’ interpersonal skills, and two-year, part-time contracts. By working collectively, the brokers fostered cross-community interactions and modelled collaborative behaviour, drawing on each other’s ‘insider’ knowledge, networks and experience. Challenges included too many taskmasters, unrealistic expectations and work overload. However, team-brokering provided a safe space to be vulnerable, share learning, and build confidence. As host organisations benefitted most from embedded brokers, both communities noted changes in attitude, knowledge, skills and confidence. The team were more successful in fostering ‘commissioning-informed research’ with co-produced research grants than ‘research-informed commissioning’. Discussion and conclusions:Although still difficult, the collective support and comradery of an embedded, two-way, multi-professional team made encouraging interactions, and therefore brokering, easier. A team approach modelled collaborative behaviour and created a critical mass to affect cultural change.
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Lam, Alice. "Boundary-crossing careers and the ‘third space of hybridity’: Career actors as knowledge brokers between creative arts and academia." Environment and Planning A: Economy and Space 50, no. 8 (December 11, 2017): 1716–41. http://dx.doi.org/10.1177/0308518x17746406.
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This article examines how boundary-crossing careers influence creative knowledge combination by looking at a group of creative artists whose careers straddle professional arts and academia. Whereas previous research has treated individuals as vehicles for knowledge transmission across intertwined networks, this study emphasizes their active role as knowledge brokers. It examines how work role transitions trigger a dynamic interplay between actors and contexts, and brings about changes in the cognitive frames of individuals and their propensity to connect knowledge across contexts. The study employs Bhabha’s concept of the ‘third space of hybridity’ to denote the agency space where career actors construct hybrid role identities and engage in knowledge brokering. The analysis identifies two categories of hybrid with different boundary-crossing careers and shows how work role transitions influence the topology of the third space where knowledge brokering occurs. The ‘artist-academics’ whose careers span art and academia concurrently experience recurrent micro-role transitions. They are ‘organic’ hybrids operating at the ‘overlapping space’ where knowledge translation and integration occur naturally in everyday work. They are ‘embedded’ knowledge brokers. The ‘artists-in-academia’, who cross over from the art world to academia, experience more permanent macro-role transitions. They are ‘intentional hybrids’ who make conscious efforts to bridge two discrete work domains by creating a separate ‘transitional space’. Their knowledge brokering activities are instrumental in transforming both their own knowledge and that of their work context: they are transformative knowledge brokers. The study advances our understanding of career mobility as a mechanism that facilitates creative knowledge combination by highlighting actor agency and the underlying cognitive-behavioural mechanisms.
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Previtali, M. "GEOPAN AT@S: A BROKERING BASED GATEWAY TO GEOREFERENCED HISTORICAL MAPS FOR RISK ANALYSIS." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLII-2/W5 (August 21, 2017): 583–89. http://dx.doi.org/10.5194/isprs-archives-xlii-2-w5-583-2017.
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Importance of ancient and historical maps is nowadays recognized in many applications (e.g., urban planning, landscape valorisation and preservation, land changes identification, etc.). In the last years a great effort has been done by different institutions, such as Geographical Institutes, Public Administrations, and collaborative communities, for digitizing and publishing online collections of historical maps. In spite of this variety and availability of data, information overload makes difficult their discovery and management: without knowing the specific repository where the data are stored, it is difficult to find the information required. In addition, problems of interconnection between different data sources and their restricted interoperability may arise. This paper describe a new brokering based gateway developed to assure interoperability between data, in particular georeferenced historical maps and geographic data, gathered from different data providers, with various features and referring to different historical periods. The developed approach is exemplified by a new application named GeoPAN Atl@s that is aimed at linking in Northern Italy area land changes with risk analysis (local seismicity amplification and flooding risk) by using multi-temporal data sources and historic maps.
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Wamuchiru, Elizabeth. "Beyond the networked city: situated practices of citizenship and grassroots agency in water infrastructure provision in the Chamazi settlement, Dar es Salaam." Environment and Urbanization 29, no. 2 (May 11, 2017): 551–66. http://dx.doi.org/10.1177/0956247817700290.
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This paper problematizes the liberal ideal of citizenship that, it is argued, limits active participation of poor communities in decision-making around basic urban infrastructure services and enjoyment of their citizenship rights. In place of liberal citizenship, the paper argues in favour of newly emerging forms of citizenship within participatory spheres that enhance access of the poor to urban services through direct participation aimed at socially equitable outcomes. Using the case of the Chamazi community water infrastructure initiative in Dar es Salaam, Tanzania, this paper demonstrates that community grassroots agency is capable of instigating institutional changes and brokering power in seeking social justice in infrastructure provision. This was achieved in Chamazi through socially innovative strategies that took account of principles of inclusiveness and social justice, contributing to long-term improvement of this marginalized community. The daily struggle by the urban poor to access municipal services provides an avenue for redefining the contemporary meaning and practices of urban citizenship within rapidly transforming cities of the global South.
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Brown, Kristin M., Susan J. Elliott, Jennifer Robertson-Wilson, Michelle M. Vine, and Scott T. Leatherdale. "“Now What?” Perceived Factors Influencing Knowledge Exchange in School Health Research." Health Promotion Practice 19, no. 4 (September 19, 2017): 590–600. http://dx.doi.org/10.1177/1524839917732037.
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Increasing the uptake of school health research into practice is pivotal for improving adolescent health. COMPASS, a longitudinal study of Ontario and Alberta secondary students and schools (2012-2021), used a knowledge exchange process to enhance schools’ use of research findings. Schools received annual summaries of their students’ health behaviors and suggestions for action and were linked with a knowledge broker to support them in making changes to improve student health. The current research explored factors that influenced COMPASS knowledge exchange activities. Semistructured interviews were conducted with researchers (n = 13), school staff (n = 13), and public health stakeholders (n = 4). Interestingly, knowledge users focused more on factors that influenced their use of COMPASS findings than factors that influenced knowledge brokering. The factors identified by participants are similar to those that influence implementation of school health interventions (e.g., importance of school champions, competing priorities, inadequate resources). While knowledge exchange offers a way to reduce the gap between research and practice, schools that need the most support may not engage in knowledge exchange; hence, we must consider how to increase engagement of these schools to ultimately improve student health.
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Kam, Jennifer A., Rachyl Pines, and Quinten Bernhold. "Using a theoretical model of communal coping to understand changes in language brokers’ coping patterns: Implications for Latina/o early adolescents’ brokering stress and efficacy." Communication Monographs 85, no. 2 (January 9, 2018): 263–83. http://dx.doi.org/10.1080/03637751.2017.1420387.
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Guimarães, Helena, Catarina Esgalhado, Isabel Ferraz-de-Oliveira, and Teresa Pinto-Correia. "When does Innovation Become Custom? A Case Study of the Montado, Southern Portugal." Open Agriculture 4, no. 1 (March 28, 2019): 144–58. http://dx.doi.org/10.1515/opag-2019-0014.
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AbstractIn theory, if a new idea offers a good solution for a current problem and is properly widespread, then there is an ongoing brokering process, and, at a certain moment in time, an innovation is no longer considered as such. In the present study, we examine the case of the Montado, an agro-silvo-pastoral system in southern Portugal, to reflect on when and how innovations become custom. Integrating data from 2013 and 2017, we identified innovative initiatives that, if expanded, could reverse the current decline of the Montado system. We categorized the identified innovations as 1) social and institutional, 2) regulations and policies, 3) products and markets, and 4) farming techniques and management practices. Innovation is deemed necessary for the preservation of the Montado, yet initiatives that have existed for over 20 years are still considered innovative and an exception to the rule. At least since 2013, innovationbrokering processes have been attempted, leading us to question why these innovations are not becoming custom. By examining categories of innovations, we suggest that for innovations to become custom, changes in social and institutional arrangements need to be reinforced by regulations and policies that support changes in products and markets as well as by the adoption of new farming techniques and management practices. We conclude by suggesting a research agenda that starts aligning the evolution of the Montado system with the desired future as soon as possible.
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Faherty, Ultan, and Simon Stephens. "Innovation in micro enterprises: reality or fiction?" Journal of Small Business and Enterprise Development 23, no. 2 (May 16, 2016): 349–62. http://dx.doi.org/10.1108/jsbed-11-2013-0176.
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Purpose – Although there is significant literature on innovation activities in large and medium-sized enterprises, studies that report on innovation practices in micro enterprises are lacking. The purpose of this paper is to explore three issues: understanding of the term “innovation”, innovation practice(s) and how innovation can be effectively measured. Design/methodology/approach – The 12 case studies presented in this paper involve micro enterprises based in Ireland. Data collected during depth interviews provide insights into understanding, practices, motivations, behaviours and attitudes relating to innovation. Findings – Although awareness of innovation theories, processes and procedures is found to be low, all of the micro enterprises studied engage in a range of innovation activities across products, processes, people and marketing. Innovation is important to the development of the enterprises; however, innovation is not a managed or systematic process, and this is often due to lack of resources. Practical implications – This paper presents six recommendations which are of use to academics, micro enterprises and government support agencies. These recommendations include making changes to the service provided by support agencies, simplifying innovation, developing an innovation brokering facility, and improving the design/delivery of innovation programmes. Originality/value – The paper enriches understanding of the experience of participants through the use of narrative structuring, and augments knowledge on the innovation practices of micro enterprises.
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Suárez, Rodrigo F., Lucia Lovison, and Martinus Potters. "Chilean geo client application for disasters." Proceedings of the ICA 1 (May 16, 2018): 1–5. http://dx.doi.org/10.5194/ica-proc-1-107-2018.
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The global network of the Group on Earth Observation, GEO, connects all kinds of professionals from public and private institutions with data providers, sharing information to face the challenges of global changes and human development and they are creating a Global Earth Observation System of Systems (GEOSS) to connect existing data infrastructures.<br> A GEOSS Architecture Implementation Pilot Project for Disasters in Chile (AIP-8) was created as part of a capacity building initiative and representatives of different national agencies in Chile, along with international experts, formed a GEOSS Capacity Building Working Group (Lovison et al, 2016).<br> Consistent with the objectives of GEOSS AIP-8 Chile, we developed and implemented a prototype service based on web services, mobile applications and other communication channels, which allows connecting different sources of information, aiming to reduce population vulnerability to natural disasters such as: earthquakes, flooding, wild fires and tsunamis, which is presented here.<br> The GEO Chile client application is a JavaScript application using GEODAB brokering services, GIS technology and disaster information provided by national and international disaster services, including public and private organizations, where cartography becomes fundamental as a tool to provide realism and ubiquity to the information. Seven hotpots are targeted: Calbuco, Copahue and Villarrica volcanoes areas, Valparaíso city, which is frequently a victim of wildfires in the zone where population meets forest and Iquique, Illapel and Talcahuano, areas frequently struck by earthquakes and tsunamis.
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Russo Spena, Tiziana, and Mele Cristina. "Practising innovation in the healthcare ecosystem: the agency of third-party actors." Journal of Business & Industrial Marketing 35, no. 3 (November 23, 2019): 390–403. http://dx.doi.org/10.1108/jbim-01-2019-0048.
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Purpose Over recent years, few industries have seen such dramatic changes as the healthcare industry. The potential connectivity of digital technologies is completely transforming the healthcare ecosystem. This has resulted in companies increasingly investing in digital transformations to exploit data across channels, operations and patient outreach, by building on a practice approach and actor-network theory and being informed by service-dominant logic, this study aims to contribute by advancing the agential role of third-party actors to prompt innovation and shape service ecosystems. Design/methodology/approach This research is grounded in an epistemological contextualism. To gain situated knowledge and address the role of context in knowledge, understanding and meaning the authors adopted a qualitative methodology to study actors in their different contexts. The empirical research was based on case theory. The authors also took guidance from practice scholars about how to investigate actors’ practices. The unit of analysis moves from dyadic relationships to focus on practices across different networks of actors. Findings This study expands on the conceptualization of triad as proposed by Siltaloppi and Vargo (2017) by moving from the form of triadic relationships – brokerage, mediation and coalition – to the agency of e-health third-parties; and their practices to innovate in the healthcare ecosystem. This study focuses on the actors and the performativity of actions and grounding the conceptual view on an empirical base. Practical implications Third-party actors bring about innovative ways of doing business in the healthcare ecosystem. Their actions challenge the status quo and run counter to long-time practices. Third-parties support the complex set of interconnections between different healthcare actors for the provision of new service co-creation opportunities. Considering how these e-health third-parties performs has implications for health managers, patients and other actors. Originality/value This study focuses on the actors and the performativity of actions and grounding the conceptual view on an empirical base. The agency of third-party actors is their ability to act among others and to connect multiple social and material structures to boost innovation. They prompt innovation and shape service ecosystems by brokering, mediating and coalescing among a great variety of resources, practices and institutions.
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Chapman, Kelly, Fabio Boschetti, Elizabeth Fulton, Pierre Horwitz, Tod Jones, Pascal Scherrer, and Geoff Syme. "Knowledge that Acts: Evaluating the Outcomes of a Knowledge Brokering Intervention in Western Australia’s Ningaloo Region." Environmental Management 60, no. 5 (August 19, 2017): 896–907. http://dx.doi.org/10.1007/s00267-017-0917-1.
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Hall, Damon M., Andrea Feldpausch-Parker, Tarla Rai Peterson, Jennie C. Stephens, and Elizabeth J. Wilson. "Social-ecological system resonance: a theoretical framework for brokering sustainable solutions." Sustainability Science 12, no. 3 (February 9, 2017): 381–92. http://dx.doi.org/10.1007/s11625-017-0424-6.
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Haigh, Tonya, Lois Wright Morton, Maria Carmen Lemos, Cody Knutson, Linda Stalker Prokopy, Yun Jia Lo, and Jim Angel. "Agricultural Advisors as Climate Information Intermediaries: Exploring Differences in Capacity to Communicate Climate." Weather, Climate, and Society 7, no. 1 (January 1, 2015): 83–93. http://dx.doi.org/10.1175/wcas-d-14-00015.1.
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Abstract Although agricultural production faces chronic stress associated with extreme precipitation events, high temperatures, drought, and shifts in climate conditions, adoption of climate information into agricultural decision making has been relatively limited. Agricultural advisors have been shown to play important roles as information intermediaries between scientists and farmers, brokering, translating, and adding value to agronomic and economic information of use in agricultural management decision making. Yet little is known about the readiness of different types of agricultural advisors to use weather and climate information to help their clients manage risk under increasing climate uncertainty. More than 1700 agricultural advisors in four midwestern states (Nebraska, Indiana, Iowa, and Michigan) completed a web-based survey during the spring of 2012 about their use of weather and climate information, public or private sector employment, and roles as information intermediaries in three advising specializations: agronomic, conservation, and financial. Key findings reveal that advisors who specialize in providing agronomic information are positively inclined toward acting as weather and climate information intermediaries, based on influence and willingness to use climate information in providing many types of operational and tactical advice. Advisors who provide conservation advice appear to be considering weather and climate information when providing tactical and strategic land-use advice, but advisors who provide financial advice seem less inclined to act as climate information intermediaries. These findings highlight opportunities to increase the capacity of different types of advisors to enable them to be effective weather and climate information intermediaries.
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Guido, Zack, Valerie Rountree, Christina Greene, Andrea Gerlak, and Adrian Trotman. "Connecting Climate Information Producers and Users: Boundary Organization, Knowledge Networks, and Information Brokers at Caribbean Climate Outlook Forums." Weather, Climate, and Society 8, no. 3 (June 30, 2016): 285–98. http://dx.doi.org/10.1175/wcas-d-15-0076.1.
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Abstract Boundary organizations, knowledge networks, and information brokers have been suggested as mechanisms that help integrate information into decision-making and enhance interactions between the producers and users of climate information. While these mechanisms have been discussed in many studies in disparate fields of research, there has been little empirical research describing how they relate and support each other within studies on climate services. In this paper, two Caribbean Regional Climate Outlook Forums (CariCOFs) convened in 2014 are studied. CariCOFs facilitate the production of regional seasonal climate information and the dissemination of it to a diverse climate and socioeconomic region. Network analysis, key informant interviews, and small group discussions were used to answer two questions: 1) what are the barriers to using seasonal climate forecasts (SCFs) by CariCOF participants and 2) what are the iterative processes of information exchange that address these barriers? The barriers to using SCF include difficulty in demonstrating the value of the forecast to potential users, difficulty in interpreting and explaining the forecast to others, and challenges associated with the scientific language used in the information. To address these constraints, the convener of the CariCOF acts as a boundary organization by enabling interactions between participants representing diverse sectoral and geographic settings. This develops a network that helps build shared scientific understanding and knowledge about how different sectors experience climate risk. These interactions guide information brokering activities that help individuals communicate and translate climate information to facilitate understanding at local levels.
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Manno, Maria Vittoria Maffei, and Carlos Mendes Rosa. "DEPENDÊNCIA DA INTERNET: SINAL DE SOLIDÃO E INADEQUAÇÃO SOCIAL?" POLÊM!CA 18, no. 2 (October 17, 2018): 119–32. http://dx.doi.org/10.12957/polemica.2018.37793.
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Resumo: Este artigo objetiva caracterizar prováveis motivos e apontar algumas consequências da utilização exagerada da internet como veículo de agenciamento das subjetividades na atual cultura. Procura mostrar como as relações interpessoais e as formas de interagir se modificaram com o advento das tecnologias digitais, transformando de forma significativa a expressão das individualidades; como um sentimento de inadequação social pode facilmente levar à procura de uma forma de socialização mais fácil, através do espaço virtual, arcando, porém, com o risco de tornar o sujeito dependente das redes sociais. Reflete acerca da motivação que leva à superexposição dos sujeitos no cenário contemporâneo e as mudanças que tais comportamentos ocasionam nos relacionamentos sociais e afetivos.Palavras-chave: Internet. Solidão. Relacionamento. Psicanálise.Abstract: This article aims to characterize likely reasons and point out some consequences of excessive use of the internet as a vehicle for brokering of subjectivities in the current culture. It seeks to show how the interpersonal relations and ways to interact have changed with the advent of digital technologies, alteringconsiderably the expression of individuality; as a feeling of social inadequacy can easily lead to the search for a form of socializing easier, through the virtual space, bearing, however, with the risk of becoming dependent on the social networks. It reflects about the motivation that leads to the overexposure of the subjects in the contemporary setting and the modifications that these behaviors cause in social and affective relationships.Keywords: Internet. Loneliness. Relationship. Psychoanalysis.
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Aantjes, Carolien J., Joseph Simbaya, Tim K. C. Quinlan, and Joske F. G. Bunders. "From end of life to chronic care: the provision of community home-based care for HIV and the adaptation to new health care demands in Zambia." Primary Health Care Research & Development 17, no. 06 (August 30, 2016): 599–610. http://dx.doi.org/10.1017/s146342361600030x.
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AimWe present the evolution of primary-level HIV and AIDS services, shifting from end of life to chronic care, and draw attention to the opportunities and threats for the future of Zambia’s nascent chronic care system.BackgroundAlthough African governments struggled to provide primary health care services in the context of a global economic crisis, civil society organisations (CSO) started mobilising settlement residents to respond to another crisis: the HIV and AIDS pandemic. These initiatives actively engaged patients, families and settlement residents to provide home-based care to HIV-infected patients. After 30 years, CHBC programmes continue to be appropriate in the context of changing health care needs in the population.MethodsThe study took place in 2011 and 2012 and was part of a multi-country study. It used a mixed method approach involving semi-structured interviews, focus group discussions, structured interviews, service observations and a questionnaire survey.FindingsOur research revealed long-standing presence of extensive mutual support amongst residents in many settlements, the invocation of cultural values that emphasise social relationships and organisation of people by CSO in care and support programmes. This laid the foundation for a locally conceived model of chronic care capable of addressing the new care demands arising from the country’s changing burden of disease. However, this capacity has come under threat as the reduction in donor funding to community home-based care programmes and donor and government interventions, which have changed the nature of these programmes in the country. Zambia’s health system risks losing valuable capacity for fulfilling its vision ‘to bring health care as close to the family as possible’ if government strategies do not acknowledge the need for transformational approaches to community participation and continuation of the brokering role by CSO in primary health care.
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Bélanger, Nathalie, and Eliane Dulude. "Investigating the challenges and opportunities of a bilingual equity knowledge brokering network: A critical and reflective perspective from university partners." Policy Futures in Education, September 2, 2021, 147821032110414. http://dx.doi.org/10.1177/14782103211041484.
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Public education systems are often large, diverse, fragmented, and historically very hard to change. While previous reforms targeted primarily school staff, large-scale policies now include a broader audience including non-system organizations (e.g., knowledge brokering organizations) that may influence directly or indirectly policy implementation. Arguing that knowledge brokering organizations can contribute to policy implementation by bridging equity policy and research and practice at the local level, we put forward that their networks and relationships with districts, schools, and community organizations can bring about substantial changes to the organization and practices of schools on equity issues, even though they may face obstacles in implementing change due to particular contexts. We aim to better understand the role of knowledge brokering networks and of the university partners who act as knowledge brokers to bridge Ontario Ministry of Education policy goals with equity research and practice. As knowledge brokers working in a bilingual province-wide equity knowledge brokering network, we use our experiences as a particular case of a non-system role in system-wide reforms. We build on these experiences to question and self-reflect on our role as knowledge brokers who accompanied practitioners and community coalition leaders towards equity and inclusion over a 2-year period. By analyzing knowledge brokering functions, we show the challenges and opportunities we faced as knowledge brokers in guiding local equity and inclusion initiatives: 1) the roles we carried out during interactions and practices that could take on different meanings as knowledge producers and mobilizers; 2) we point out how and why these knowledge brokering functions and our roles within a bilingual province-wide network needed to adapt to local realities by providing for a more flexible planning process that allowed for sufficient time to identify local needs and to produce, if necessary, the knowledge that incorporated cultural context considerations or particularities.
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Rosella, Laura C., Catherine Bornbaum, Kathy Kornas, Michael Lebenbaum, Leslea Peirson, Randy Fransoo, Carla Loeppky, Charles Gardner, and David Mowat. "Evaluating the Process and Outcomes of a Knowledge Translation Approach to Supporting Use of the Diabetes Population Risk Tool (DPoRT) in Public Health Practice." Canadian Journal of Program Evaluation 33, no. 1 (June 27, 2018). http://dx.doi.org/10.3138/cjpe.31160.
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Abstract: To support the use of the Diabetes Population Risk Tool (DPoRT) in public health settings, a knowledge brokering (KB) team used and evaluated the Population Health Planning Knowledge-to-Action model. Participants (n = 24) were from four health-related organizations. Data sources included document reviews, surveys, fo-cus groups, interviews, and observational notes. Site-specific data were analyzed and then triangulated across sites using an evaluation matrix. The KB team facilitated DPoRT use through planned and iterative strategies. Outcomes included changes in skill, knowledge, and organizational practices. The Population Health Planning Knowledge-to-Action model and team-based KB strategy supported DPoRT use in public health settings.Résumé: Pour appuyer l’utilisation de l’outil Diabetes Population Risk Tool (DPoRT) dans les milieux de santé publique, une équipe de courtage de connaissances (KB) a utilisé et évalué le modèle Population Health Planning Knowledge-to-Action. Les sources de données comprenaient des documents, des sondages, des groupes de dis-cussion, des entrevues et des notes d’observation. L’équipe de KB a facilité l’utilisation de DPoRT. Les résultats comprenaient les changements dans les compétences, les connaissances et les pratiques organisationnelles. Le modèle Population Health Planning Knowledge-to-Action et la stratégie KB basée sur l’équipe ont appuyé l’utilisation de DPoRT.
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van Rinsum, Celeste E., Sanne M. P. L. Gerards, Geert M. Rutten, Ien A. M. van de Goor, Stef P. J. Kremers, and Liesbeth Mercken. "Lifestyle coaches as a central professional in the health care network? Dynamic changes over time using a network analysis." BMC Health Services Research 21, no. 1 (March 19, 2021). http://dx.doi.org/10.1186/s12913-021-06252-3.
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Abstract Background Overweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese children (and their parents) as well as adults in initiating and maintaining healthier lifestyle behaviours. It is currently unclear whether this novel professional in the Dutch health care system functions as a linchpin in networks that evolve around lifestyle-related health problems. The aim of the present study is to investigate the formation and development of networks of lifestyle coaches and their positions within these networks. Methods In this longitudinal study, key professionals and professionals within relevant organisations in the Coaching on Lifestyle (CooL) care networks were asked to fill in three online questionnaires. Respondents were asked to indicate whether they collaborated with each of the specified professionals in the context of CooL. The overall network structures and the central role of the lifestyle coaches were examined by using network analysis. Results The results showed that the networks in three out of four regions were relatively centralised, but that none of the networks were dense, and that the professionals seemed to collaborate less with others over time. Half of the lifestyle coaches had a high number of collaborations and a central position within their networks, which also increased over time. In half of the regions, the lifestyle coaches had increased their role as consultants, while their role as gatekeeper and liaison decreased over time. In most regions, the sector of lifestyle coaches had a central position in their networks in just one measurement. Other central sectors were the local sports organisation, public health services, youth health care and the municipal government. Conclusions Overall, we cannot conclude that more central and denser networks were formed during the study period. In addition, the lifestyle coaches were not often positioned as a central sector within these networks. Entrepreneurial, network and brokering competences are required for lifestyle coaches to build up denser networks. Trial registration NTR6208; date registered: 13–01-2017; retrospectively registered; Netherlands Trial Register.
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Evans, Karen, Tymon Zielinski, S. Chiba, Carlos Garcia-Soto, Henn Ojaveer, Chul Park, Renison Ruwa, et al. "Transferring Complex Scientific Knowledge to Useable Products for Society: The Role of the Global Integrated Ocean Assessment and Challenges in the Effective Delivery of Ocean Knowledge." Frontiers in Environmental Science 9 (June 10, 2021). http://dx.doi.org/10.3389/fenvs.2021.626532.
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The ocean provides essential services to human wellbeing through climate regulation, provision of food, energy and livelihoods, protection of communities and nurturing of social and cultural values. Yet despite the ocean’s key role for all life, it is failing as a result of unsustainable human practices. The first global integrated assessment of the marine environment, produced by the United Nations under The Regular Process for Global Reporting and Assessment of the State of the Marine Environment, including Socioeconomic Aspects (the World Ocean Assessment), identified an overall decline in ocean health. The second assessment, launched in April 2021, although recognising some bright spots and improvements, stresses ongoing decline in the ocean as a result of many unabated anthropogenic stressors on the ocean. This highlights that society, as a whole, does not fully recognise or value the importance of the ocean to their lives and impacts on the ocean caused by human activities. Further, recognition of the need for immediate and effective solutions for mitigating impacts and enabling ecosystem recovery, and the associated societal changes required is lacking. The United Nations 2030 Agenda for Sustainable Development and the United Nations Decade of Ocean Science for Sustainable Development 2021–2030 both recognize that sustainability is both a desired and essential pathway for ensuring the ocean can continue to provide the services society depends on. The World Ocean Assessment has an important role to play in increasing awareness of the ocean, the changes occurring in the ocean, the human activities causing those changes and the progress being made in reducing and mitigating the impacts of human activities on the marine environment. This paper outlines the knowledge brokering role that the Regular Process provides on ocean issues to all aspects of society from policy makers, ocean managers, ocean users to the public. It identifies the challenges faced by the Regular Process in successfully carrying out that role and lessons learned in achieving widespread uptake and recognition. Within the Decade of Ocean Science for Sustainable Development, solutions in the form of instructions or guidelines for the use of the assessment can be developed and implemented.
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Eisenhauer, David C. "Cooperation without Consensus: Brokering Resiliency with Boundary Objects." Weather, Climate, and Society, May 11, 2021. http://dx.doi.org/10.1175/wcas-d-20-0149.1.
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AbstractThis paper presents a case study of how boundary objects were deployed to support a collaborative knowledge production process that resulted in the creation of climate change knowledge usable to municipal governments in the New Jersey shore region. In doing so, a case is made that boundary objects are useful throughout the collaborative process in overcoming ambiguity and disagreement. This points to boundary objects possessing a wider array of capabilities than frequently theorized in the climate policy literature. Effectively designing and using boundary objects, however, requires carefully considering how they interface and interact with one another.
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Minian, Nadia, Sheleza Ahad, Anna Ivanova, Scott Veldhuizen, Laurie Zawertailo, Arun Ravindran, Claire de Oliveira, et al. "The effectiveness of generic emails versus a remote knowledge broker to integrate mood management into a smoking cessation programme in team-based primary care: a cluster randomised trial." Implementation Science 16, no. 1 (March 20, 2021). http://dx.doi.org/10.1186/s13012-021-01091-6.
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Abstract Background Knowledge brokering is a knowledge translation approach that has been gaining popularity in Canada although the effectiveness is unknown. This study evaluated the effectiveness of generalised, exclusively email-based prompts versus a personalised remote knowledge broker for delivering evidence-based mood management interventions within an existing smoking cessation programme in primary care settings. Methods The study design is a cluster randomised controlled trial of 123 Ontario Family Health Teams participating in the Smoking Treatment for Ontario Patients programme. They were randomly allocated 1:1 for healthcare providers to receive either: a remote knowledge broker offering tailored support via phone and email (group A), or a generalised monthly email focused on tobacco and depression treatment (group B), to encourage the implementation of an evidence-based mood management intervention to smokers presenting depressive symptoms. The primary outcome was participants’ acceptance of a self-help mood management resource. The secondary outcome was smoking abstinence at 6-month follow-up, measured by self-report of smoking abstinence for at least 7 previous days. The tertiary outcome was the costs of delivering each intervention arm, which, together with the effectiveness outcomes, were used to undertake a cost minimisation analysis. Results Between February 2018 and January 2019, 7175 smokers were screened for depression and 2765 (39%) reported current/past depression. Among those who reported current/past depression, 29% (437/1486) and 27% (345/1277) of patients accepted the mood management resource in group A and group B, respectively. The adjusted generalised estimating equations showed that there was no significant difference between the two treatment groups in patients’ odds of accepting the mood management resource or in the patients’ odds of smoking abstinence at follow-up. The cost minimisation analysis showed that the email strategy was the least costly option. Conclusions Most participants did not accept the resource regardless of remote knowledge broker strategy. In contexts with an existing KT infrastructure, decision-makers should consider an email strategy when making changes to a programme given its lower cost compared with other strategies. More research is required to improve remote knowledge broker strategies. Trial registration ClinicalTrials.gov, NCT03130998. Registered April 18, 2017, (Archived on WebCite at www.webcitation.org/6ylyS6RTe)
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Klaus, Sarah, and Iram Siraj. "Improving Roma participation in European early childhood education systems through cultural brokering." London Review of Education, March 1, 2020. http://dx.doi.org/10.18546/lre.18.1.04.
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The Roma are Europe's largest minority ethnic group, yet too few Roma achieve a level of education that enables them to secure employment or positive life chances. Gaps in their attainment compared to other ethnic groups start to appear in the earliest years, with Roma participating in early education at half the rate of their peers. The European Commission has established expectations to increase participation rates, but change is painfully slow. Institutionalized discrimination and poverty underpin many structural factors, such as shortages of preschool places and unaffordable fees and costs, that are in a large part responsible for the low participation of Roma in early education. Yet multiple reports highlight cultural barriers as an additional significant challenge for Roma families, and recommend employing Roma as teaching assistants to bridge cultural differences. This article presents evidence from two qualitative studies that explore the impact of employing Roma in early childhood settings. The first, a survey conducted in the 21 European countries with the largest Roma populations, establishes current hiring trends and motivations for hiring Roma early childhood education staff, and estimates that at least 40,000 additional Roma staff are needed to ensure their proportionate representation in the workforce. The second uses case study methodology to capture learning from Serbia and the UK, where introducing Roma assistants is helping to bridge cultural barriers to Roma participation in early education. The article concludes with the observation that the social inclusion of Roma will also require interventions that start well before children enter formal education.