Is it time to drop the ‘knowledge translation’ metaphor? A critical literature review
Identifieur interne : 000103 ( Pmc/Checkpoint ); précédent : 000102; suivant : 000104Is it time to drop the ‘knowledge translation’ metaphor? A critical literature review
Auteurs : Trisha Greenhalgh [Royaume-Uni] ; Sietse Wieringa [Pays-Bas]Source :
- Journal of the Royal Society of Medicine [ 0141-0768 ] ; 2011.
Abstract
The literature on ‘knowledge translation’ presents challenges for the reviewer because different terms have been used to describe the generation, sharing and application of knowledge and different research approaches embrace different philosophical positions on what knowledge is. We present a narrative review of this literature which deliberately sought to highlight rather than resolve tensions between these different framings. Our findings suggest that while ‘translation’ is a widely used metaphor in medicine, it constrains how we conceptualise and study the link between knowledge and practice. The ‘translation’ metaphor has, arguably, led to particular difficulties in the fields of ‘evidence-based management’ and ‘evidence-based policymaking’ – where it seems that knowledge obstinately refuses to be driven unproblematically into practice. Many non-medical disciplines such as philosophy, sociology and organization science conceptualise knowledge very differently, as being (for example) ‘created’, ‘constructed’, ‘embodied’, ‘performed’ and ‘collectively negotiated’ – and also as being value-laden and tending to serve the vested interests of dominant élites. We propose that applying this wider range of metaphors and models would allow us to research the link between knowledge and practice in more creative and critical ways. We conclude that research should move beyond a narrow focus on the ‘know–do gap’ to cover a richer agenda, including: (a) the situation-specific practical wisdom (phronesis) that underpins clinical judgement; (b) the tacit knowledge that is built and shared among practitioners (‘mindlines’); (c) the complex links between power and knowledge; and (d) approaches to facilitating macro-level knowledge partnerships between researchers, practitioners, policymakers and commercial interests.
Url:
DOI: 10.1258/jrsm.2011.110285
PubMed: 22179293
PubMed Central: 3241522
Affiliations:
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PMC:3241522Le document en format XML
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<title-group><article-title>Is it time to drop the ‘knowledge translation’ metaphor? A critical literature review</article-title>
<alt-title alt-title-type="short">Is it time to drop the ‘knowledge translation’ metaphor?</alt-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Greenhalgh</surname>
<given-names>Trisha</given-names>
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<xref ref-type="aff" rid="af1">1</xref>
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<aff id="af1"><label>1</label>
<addr-line>Global Health</addr-line>
,<institution>Policy and Innovation Unit, Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry</institution>
,<addr-line>London E1 2AB</addr-line>
,<country>UK</country>
</aff>
<aff id="af2"><label>2</label>
<institution>HAWeb Implementation Unit</institution>
,<addr-line>Nederlands Huisarts Genootschap/Landelijke Huisartsen Vereniging, Utrecht</addr-line>
,<country>The Netherlands</country>
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<author-notes><corresp id="cor1">Correspondence to: <addr-line>Trisha Greenhalgh</addr-line>
. Email: <email>p.greenhalgh@qmul.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2011</year>
</pub-date>
<volume>104</volume>
<issue>12</issue>
<fpage>501</fpage>
<lpage>509</lpage>
<permissions><copyright-statement>© 2011 The Royal Society of Medicine</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The literature on ‘knowledge translation’ presents challenges for the reviewer because different terms have been used to describe the generation, sharing and application of knowledge and different research approaches embrace different philosophical positions on what knowledge is. We present a narrative review of this literature which deliberately sought to highlight rather than resolve tensions between these different framings. Our findings suggest that while ‘translation’ is a widely used metaphor in medicine, it constrains how we conceptualise and study the link between knowledge and practice. The ‘translation’ metaphor has, arguably, led to particular difficulties in the fields of ‘evidence-based management’ and ‘evidence-based policymaking’ – where it seems that knowledge obstinately refuses to be driven unproblematically into practice. Many non-medical disciplines such as philosophy, sociology and organization science conceptualise knowledge very differently, as being (for example) ‘created’, ‘constructed’, ‘embodied’, ‘performed’ and ‘collectively negotiated’ – and also as being value-laden and tending to serve the vested interests of dominant élites. We propose that applying this wider range of metaphors and models would allow us to research the link between knowledge and practice in more creative and critical ways. We conclude that research should move beyond a narrow focus on the ‘know–do gap’ to cover a richer agenda, including: (a) the situation-specific practical wisdom (phronesis) that underpins clinical judgement; (b) the tacit knowledge that is built and shared among practitioners (‘mindlines’); (c) the complex links between power and knowledge; and (d) approaches to facilitating macro-level knowledge partnerships between researchers, practitioners, policymakers and commercial interests.</p>
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