A structured approach to knowledge exchange: Understanding the implementation of a cancer survivor program

Abstract

Purpose-The purpose of this research was to describe the application of a model of knowledge exchange, the Knowledge Exchange-Decision Support (KE-DS) Model, to the Canadian pilot of Cancer Transitions, a psychosocial program for cancer survivors.Method-We compared and contrasted the program planning and implementation processes across three diverse sites offering Cancer Transitions. The KE-DS Model guided the collection and analysis of observations and written data according to specific model components.Results-The use of the KE-DS Model highlighted four pertinent factors that influenced knowledge exchange during planning and implementation processes of this psychosocial program. First, the geographic diversity of where these programs were offered affected strategies for program promotion, recruitment and means of access. Second, the variation of the professional and organizational capacity of the three sites was critical to program planning and delivery. Third, cultural values and norms shaped each site's approach. Fourth, the KE-DS Model identified populations who were included and excluded from participation.Conclusions-The KE-DS Model was useful in elucidating the processes of knowledge exchange during the planning and implementing of an intervention for survivor care. This process information will inform future offerings of Cancer Transitions.

Survivor in the cancer context: a concept analysis

“…Empiric and personal knowing are particularly relevant in the meanings noted among the sources. Being a survivor in many sources resulted in persistent trials and/or the need for support from external sources (Myers et al 1987, Nutkiewicz 2003, Institute of Medicine 2009, World Health Organization 2010, Pierce 2011, Kazanjian et al 2012, Mayo Clinic 2012, Davies 2013, Godwin et al 2013, Graven et al 2013, Ho & Lee 2013, Jones 2013, Kornhaber et al 2013. Some people may have been a survivor based on empiric terms, but did not feel that survivor was part of their identity (Chambers et al 2012, Khan et al 2012.…”

“…, Institute of Medicine 2009,Thon 2009, World Health Organization 2010, Pierce 2011, Centers for Disease Control & Prevention 2012, Chambers et al 2012, Kazanjian et al 2012, Khan et al 2012, Mayo Clinic 2012, Davies 2013, Garrett et al 2013, Godwin et al 2013, Graven et al 2013, Ho & Lee 2013, Jones 2013, Kornhaber et al 2013, Oxford Dictionaries 2013, National Cancer Institute n.d.a,b, Song Meanings n.d.). Positive and negative meanings for the term survivor were identified, highlighting both triumph and continued obstacles (National Cancer Institute n.d.a,b, Song Meanings n.d.,Myers et al 1987, Mishra & Spreitzer 1998, Naples 2003, Wlodarski 2007, Institute of Medicine 2009, World Health Organization 2010, Pierce 2011, Centers for Disease Control & Prevention 2012, Chambers et al 2012,Kazanjian et al 2012, Khan et al 2012, Mayo Clinic 2012, Davies 2013, Garrett et al 2013, Godwin et al 2013, Graven et al 2013, Ho & Lee 2013, Jones 2013, Kornhaber et al 2013, Nutkiewicz 2003. From personal communications, a cancer survivor and his spouse noted that the greatest difficulties for an individual with cancer are often after cancer treatment (A. Thomas, personal communication, 6 December 2013; R. Thomas, personal communication, 6 December 2013).…”

Evaluating a knowledge exchange intervention in cancer survivorship care: a workshop to foster implementation of Online Support Groups

“…Much of the current KE literature is predominately descriptive in nature, considering aspects such as barriers and facilitators to effective KE strategies. This is an important area of research and discussion, and our own previous work contributes to it [13]. KE by its nature is an inherently nonlinear and complex process—understanding a KE strategy in one context does not necessarily translate to understanding it in another [14].…”

“…The model is ideal for those making complex decisions at the program or policy level [19] that “do not fit into neat little boxes that can be informed by technically oriented inputs” [20]. See Kazanjian et al (2010) for a detailed description of the KE-DS Model and Kazanjian et al (2011) for its application to the implementation of a supportive cancer care program [13, 14]. …”

The Phenomena of Organizational Structure Change as Change Factor of Financial Consultant’s Motivation

“…Organizational Structure Change is the development of life-cycle organization concept or theory the concept of organizational life cycle (Kazanjian, 1983). Organization life-cycle concept is a theory that understands the organization at the macro-level of analysis that can be used as a tool to predict the direction of future development and organizational challenges.…”