Characteristics of facilitators in knowledge translation: An integrative review

Elledge, Carole; Avworo, Ayoade; Cochetti, Josefina; Carvalho, Clarissa Gutiérrez; Grota, Patti G.

doi:10.1016/j.colegn.2018.03.002

Cited by 38 publications

(45 citation statements)

References 27 publications

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“…However, as has been noted elsewhere [3,13,14], personal characteristics were also seen as critical, and therefore may warrant further emphasis in conceptualizations of internal facilitation. Indeed, it has been argued that IFs' emotional intelligence may be a central, and often underemphasized, component of their performance within this role [15]. These skills were seen to be especially important in the current study as they related to conflict management, and suggest that specific training and guidance within this domain may be indicated.…”

Section: Discussionmentioning

confidence: 61%

“…The interview guide was informed by i-PARIHS facilitation recommendations and included the following areas: project management and improvement; team and process; and influencing and negotiating skills [see Supplementary File]. Personal characteristics were also included, given literature discussing their key role within facilitation [3,13,15]. An expert in facilitation (MJR) reviewed these skill areas and provided critical feedback during interview construction.…”

Section: Data Collectionmentioning

confidence: 99%

“…Indeed, these three skill areas were among the facilitator attributes discussed in reviews of the theory-and research-based facilitation literature [13,14]. Although perhaps emphasized less often than task-related skills [15], personal characteristics such as being motivated, flexible, and assertive have also been identified as important facets of facilitation [3,13].…”

Section: Introductionmentioning

confidence: 99%

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External facilitators’ perceptions of internal facilitation skills during implementation of collaborative care for mental health teams: a qualitative analysis informed by the i-PARIHS framework

Connolly

Sullivan

Ritchie

et al. 2020

BMC Health Serv Res

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Background: Facilitation is a key strategy that may contribute to successful implementation of healthcare innovations. In blended facilitation, external facilitators (EFs) guide and support internal facilitators (IFs) in directing implementation processes. Developers of the i-PARIHS framework propose that successful facilitation requires project management, team/ process, and influencing/negotiating skills. It is unclear what IF skills are most important in real-world settings, which could inform recruitment and training efforts. As prior qualitative studies of IF skills have only interviewed IFs, the perspectives of their EF partners are needed. Furthermore, little is known regarding the distribution of implementation tasks between IFs and EFs, which could impact sustainability once external support is removed. In the context of an implementation trial, we therefore: 1) evaluated IFs' use of i-PARIHS facilitation skills, from EFs' perspectives; 2) identified attributes of IFs not encompassed within the i-PARIHS skills; and 3) investigated the relative contributions of IFs and EFs during facilitation. Methods: Analyses were conducted within a hybrid type II trial utilizing blended facilitation to implement the collaborative chronic care model within mental health teams of nine VA medical centers. Each site committed one team and an IF to weekly process design meetings and additional implementation activities over 12 months. Three EFs worked with three sites each. Following study completion, the EFs completed semi-structured qualitative interviews reflecting on the facilitation process, informed by the i-PARIHS facilitation skill areas. Interviews were analyzed via directed content analysis. Results: EFs emphasized the importance of IFs having strong project management, team/process, and influencing/ negotiating skills. Prior experience in these areas and a mental health background were also benefits. Personal characteristics (e.g., flexible, assertive) were described as critical, particularly when faced with conflict. EFs discussed the importance of clear delineation of EF/IF roles, and the need to shift facilitation responsibilities to IFs.

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Section: Discussionmentioning

confidence: 61%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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External facilitators’ perceptions of internal facilitation skills during implementation of collaborative care for mental health teams: a qualitative analysis informed by the i-PARIHS framework

Connolly

Sullivan

Ritchie

et al. 2020

BMC Health Serv Res

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“…Salient codes were those discussed by the majority of respondents (more than 50%) [72,73]. Two raters independently rated the codes, then met and compared their rating until consensus on all ratings was achieved.…”

Section: Code Ratingmentioning

confidence: 99%

Perceived Barriers and Facilitators to Using Knowledge Brokers in Canadian Rehabilitation Settings: A Qualitative Study

Gaid

Ahmed

Thomas

et al. 2020

Preprint

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Background: Knowledge translation experts advocate for employing knowledge brokers (KBs) to promote the uptake of research evidence in health care settings. However, little is known about factors influencing the utilization of KBs, thereby limiting their employment within healthcare organizations. This research aimed to identify factors likely to hinder or promote the optimal use of KBs within rehabilitation settings in Canada.Methods: Qualitative study using semi-structured telephone interviews with individuals performing KB activities in rehabilitation settings across Canada. The interview topic guide was informed by the Consolidated Framework for Implementation Research (CFIR) and consisted of 20 questions covering five domains (characteristics of individuals, inner setting, process, outer settings, and innovation characteristics). All interviews lasted 60 to 90 minutes, were digitally recorded, and transcribed verbatim. We conducted qualitative descriptive analysis combining deductive coding guided by the CFIR. Two independent analysts coded and rated all interviews, then met to review, deliberate and modify the codes as appropriate. A matrix was created by listing the salient codes for each CFIR construct to identify factors (facilitators and barriers) at the individual, organisational, and process level most likely to impact the KB’s success/failure.Results: Twenty-three participants, from five Canadian provinces were interviewed. At the individual level, the majority of participants reported having strong communication skills, being confident about performing KBs activities, and possessing solid clinical experience and prior research skills. At the organizational level, most respondents indicated constantly networking and engaging with clinical teams and different stakeholders, and having an acceptable level of guidance from their managers. Very few participants felt that they received sufficient organizational support (i.e., clerical support and IT support). At the process level, all participants indicated needing evaluation tools to better gauge their performance, and the majority mentioned that they would benefit from having additional training tailored to their roles as KBs.Conclusions: Individual, organisational and process level factors likely to hinder or promote the optimal use of KBs within Canadian rehabilitation settings include skillsets and networking abilities; culture, resources, and leadership support; and the need for specific training for KBs and for evaluation tools to monitor their performance.

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“…The specifics of what is actually required varies between authors but can generally be categorized into four domains that traverse the EBP process from the beginning to the end. 7 The first group are the skills necessary for planning an EBP project; the second are those required to lead the change; the third are skills related to monitoring and ongoing support; and the final skill is the ability to assess outcomes (Table 1).…”

Section: Conflict Of Interest: None To Reportmentioning

confidence: 99%

The Role of the Facilitator

Duff

2020

Journal of PeriAnesthesia Nursing

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Characteristics of facilitators in knowledge translation: An integrative review

Cited by 38 publications

References 27 publications

External facilitators’ perceptions of internal facilitation skills during implementation of collaborative care for mental health teams: a qualitative analysis informed by the i-PARIHS framework

External facilitators’ perceptions of internal facilitation skills during implementation of collaborative care for mental health teams: a qualitative analysis informed by the i-PARIHS framework

Perceived Barriers and Facilitators to Using Knowledge Brokers in Canadian Rehabilitation Settings: A Qualitative Study

The Role of the Facilitator

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