Life as a knowledge broker in public health

Program objective – Knowledge brokers (KBs), like clinical librarians (CLs), are information professionals involved in the promotion of evidence-informed decision-making (EIDM). As with CLs, the impact of literature-evaluating KBs on the health sector is sparse, and there is limited consensus on their role. To provide guidance to information professionals and organizations regarding the KB role, this paper describes a typical “day in the life” of a KB in delivering a program to promote EIDM among Canadian public health professionals. Setting – The KB program was implemented in a randomized controlled trial evaluating knowledge transfer and exchange strategies. Participants – Public health managers at various levels within Canadian public health units or regional health authorities. Program – The KB identified decision makers’ (DMs) evidence needs; facilitated access to and use of high-quality evidence; assisted in decision making; and facilitated EIDM skill development. Results – The KB role, activities and related tasks, lessons learned, and challenges are described. Conclusion – Central themes included the importance of relationship development, ongoing support, customized approaches, and individual and organizational capacity development. The novelty of the KB role in public health provided a unique opportunity to assess the need for and reaction to the role and its associated activities.

[1]  Matthew Zook The knowledge brokers: venture capitalists, tacit knowledge and regional development , 2004 .

[2]  Andrew B. Hargadon Brokering knowledge: Linking learning and innovation , 2002 .

[3]  Karen Golden-Biddle,et al.  Towards systematic reviews that inform health care management and policy-making , 2005, Journal of health services research & policy.

[4]  M. Dobbins,et al.  A knowledge transfer strategy for public health decision makers. , 2004, Worldviews on evidence-based nursing.

[5]  Paul Walsh,et al.  Knowledge broker network based on communication between humans , 2004 .

[6]  J. Lavis,et al.  How can research organizations more effectively transfer research knowledge to decision makers? , 2003, The Milbank quarterly.

[7]  J. Lavis Research, public policymaking, and knowledge‐translation processes: Canadian efforts to build bridges , 2006, The Journal of continuing education in the health professions.

[8]  E. Wenger,et al.  Communities of Practice: The Organizational Frontier , 2000 .

[9]  A Kitson,et al.  Enabling the implementation of evidence based practice: a conceptual framework. , 1998, Quality in health care : QHC.

[10]  C. Kimble,et al.  Knowledge Networks: Innovation Through Communities of Practice , 2003 .

[11]  Jan Barnsley,et al.  A framework for the dissemination and utilization of research for health-care policy and practice. , 2002, The online journal of knowledge synthesis for nursing.

[12]  Gary D Byrd,et al.  Evaluating the effectiveness of clinical medical librarian programs: a systematic review of the literature. , 2004, Journal of the Medical Library Association : JMLA.

[13]  A. Weightman,et al.  The value and impact of information provided through library services for patient care: a systematic review. , 2005, Health information and libraries journal.

[14]  Etienne Wenger,et al.  Communities of Practice: Learning, Meaning, and Identity , 1998 .

[15]  Mohanbir Sawhney,et al.  Innovation and Virtual Environments: Towards Virtual Knowledge Brokers , 2006 .

[16]  N. Sewankambo,et al.  Using knowledge brokering to promote evidence-based policy-making: The need for support structures. , 2006, Bulletin of the World Health Organization.

[17]  J. Lomas The in-between world of knowledge brokering , 2007, BMJ : British Medical Journal.

[18]  J. Harrison,et al.  Clinical librarianship in the UK: temporary trend or permanent profession? Part II: present challenges and future opportunities. , 2004, Health information and libraries journal.

[19]  C. Beverley,et al.  Clinical librarianship: a systematic review of the literature. , 2003, Health information and libraries journal.

[20]  G H Land,et al.  Evidence-based decision making in public health. , 1999, Journal of public health management and practice : JPHMP.