KBNet Exploring Knowledge Use Handout

6/4/16
KBNet—Knowledge Broker Demonstration Project
KBNetModule1:
Becomingaknowledgebroker
Week3:
Exploringknowledgeuse
Part1:
Typesandcategories
ofknowledgeuse
Presentedby:MelanieMcKinney,PT,DPT,PCS
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Typesofknowledgeuse
(Graham,2006)
CONCEPTUAL:
Knowledge
AVtude
Understanding
INSTRUMENTAL:
Behavior
PracXce
STRATEGIC:
Power
Profitgoals
“Research-as-ammuniXon”
+
Categoriesofknowledgeuse
(Halletal1975)
Correspondswithcategories:
• Knowing
• AcquiringinformaXon
Correspondswithcategories:
• Planning
• Sharing
• Performing
• Assessment
• StatusreporXng
Allcategoriesmayrepresent
strategicusedependingonthe
intentoftheacXvity(e.g.,
sharingasama_erofshaping
policy)
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TIMETOREFLECT:
• Consideryouruseofknowledgeatworktodayorrecently.
• Traceyourdecision-makingoracXonstotheknowledgesource(e.g.,conXnuingeducaXon
course,arXcle,guideline,expertopinion).
• Howwouldyouqualifyyouruseoftheknowledge?(includingtypeandcategoryofuse).
• Canyouthinkofoneexampleofeachtypeorcategoryofuseforthe
sameordifferenttopics?
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KBNetModule1:ExploringKnowledgeUse
MelanieMcKinney,PT,DPT,PCS
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6/4/16
KBNet—Knowledge Broker Demonstration Project
KBNetModule1:
Becomingaknowledgebroker
Week3:
Exploringknowledgeuse
Part2:
Stagesandlevels
ofknowledgeuse
Presentedby:MelanieMcKinney,PT,DPT,PCS
11
Stagesofknowledgeuse
(Rivard,2010)
AWARENESS
INTEREST
INTENT
USE
Rogers’DiffusionofInnovaXons(Rogers,2003)
Knowledge
Persuasion
Decision
ImplementaXon
ConfirmaXon
Becomes
aware
Develops
aVtude
Adoptsor
rejects
Usesand
sustainsuse
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Levelsofknowledgeuse
(Hall,1975)
DECISION POINTS
RepresentDECISIONSusersmakeand/or
ACTIONSuserstake
thatmovestheuserfromonelevelofusetothenext.
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Levelsofknowledgeuse
(Hall,1975)
LEVEL0:NON-USE
DECISIONPOINTA:TAKESACTIONTOLEARNMOREDETAILED
INFORMATIONABOUTTHEINNOVATION
LEVELI:ORIENTATION
AWARENESS
INTEREST
DECISIONPOINTB:MAKESADECISIONTOUSETHEINNOVATIONBY
ESTABLISHINGATIMETOBEGIN
LEVELII:PREPARATION
INTENT
Adaptedfrom:HallGE,etal.LevelsofuseoftheinnovaXon:aframeworkfor
analyzinginnovaXonadopXon.JTeachEduc.1975;26(1):52-56.
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Levelsofknowledgeuse
(Hall,1975)
USE
DECISIONPOINTC:BEGINSUSEOFTHEINNOVATION
LEVELIII:MECHANICALUSE
ProbingeachkeyfuncXoncategorymayfurthertheunderstandingof
DECISIONPOINTD-1:AROUTINEPATTERNOFUSEISESTABLISHED.
anindividualuser’sbehaviorrelaXvetoagiveninnovaXon.
LEVELIVA:ROUTINE
Levelofuseacrosscategoriesmayvaryforeachuser.
DECISIONPOINTD-2:CHANGESUSEOFTHEINNOVATIONBASEDON
FORMALORINFORMALEVALUATIONINORDERTOINCREASECLIENT
Hall,1975
OUTCOMES
LEVELIVB:REFINEMENT
Forexample:
DECISIONPOINTE:INITIATESCHANGESINUSEOFINNOVATIONBASEDON
ForthesameinnovaXon,ausermayidenXfya
INPUTOFANDINCOORDINATIONWITHWHATCOLLEAGUESAREDOING
higherlevelofuseinonecategory(suchasKnowledge)
LEVELV:INTEGRATION
DECISIONPOINTF:BEGINSEXPLORINGALTERNATIVESTOORMAJOR
thaninanothercategory(suchasPerforming).
MODIFICATIONSOFTHEINNOVATIONPRESENTLYINUSE
LEVELVI:RENEWAL
KTstrategiesmayvarydependenton
boththecategoryandthelevelofuse.
Adaptedfrom:HallGE,etal.LevelsofuseoftheinnovaXon:aframeworkfor
analyzinginnovaXonadopXon.JTeachEduc.1975;26(1):52-56.
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Levelsofknowledgeuse
(Hall,1975)
USE
FrequentlyusersmaynotreachbeyondLevelIVA
DECISIONPOINTC:BEGINSUSEOFTHEINNOVATION
LEVELIII:MECHANICALUSE
DECISIONPOINTD-1:AROUTINEPATTERNOFUSEISESTABLISHED.
LEVELIVA:ROUTINE
DECISIONPOINTD-2:CHANGESUSEOFTHEINNOVATIONBASEDON
FORMALORINFORMALEVALUATIONINORDERTOINCREASECLIENT
OUTCOMES
LEVELIVB:REFINEMENT
DECISIONPOINTE:INITIATESCHANGESINUSEOFINNOVATIONBASEDON
INPUTOFANDINCOORDINATIONWITHWHATCOLLEAGUESAREDOING
LEVELV:INTEGRATION
DECISIONPOINTF:BEGINSEXPLORINGALTERNATIVESTOORMAJOR
MODIFICATIONSOFTHEINNOVATIONPRESENTLYINUSE
LEVELVI:RENEWAL
Adaptedfrom:HallGE,etal.LevelsofuseoftheinnovaXon:aframeworkfor
analyzinginnovaXonadopXon.JTeachEduc.1975;26(1):52-56.
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EXPLORINGKNOWLEDGEUSE:
CONSIDERFOREACHSELECTEDTOPIC:
WHOARETHEPOTENTIALUSERSOFTHEKNOWLEDGE?
HOWISEACHPOTENTIALUSERLIKELYTOUSETHEINFORMATION?
ConsidertheimpactofthepotenXaluser’sroleonknowledgeuse
(e.g.,administrator,clinician,parent/family,paXent,physician).
• Roleinconceptualusecategories?
• Roleininstrumentalusecategories?
• Roleinstrategicusecategories?
WHATISTHEPOTENTIALUSER’SCURRENTLEVELOF/CATEGORY
OFUSE:
• Knowledgeandunderstandingwithregardtotheselectedtopic?
• Interest?
• IntenXontouse?
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• Use?
EXAMPLE: 22
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EXAMPLE: WHOAREPOTENTIALUSERS?:
• Pediatricprimarycareprovider/
careconsultants
• Therapyclinician
• Parent/caregiver
• Workplaceadministrator(therapy,
pediatricianpracXce,NICU/Newborn
nursery/Followupclinic)
HOWISEACHPOTENTIALUSER
LIKELYTOUSETHEINFORMATION?
WHATISTHEUSER’SCURRENTLEVEL
OF/CATEGORYOFUSE?
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EXAMPLE: Clinician
user
CONCEPTUAL:
Knowledge
AVtude
Understanding
INSTRUMENTAL:
Behavior
PracXce
STRATEGIC:
Power
Profitgoals
“Research-as-ammuniXon”
KBNetModule1:ExploringKnowledgeUse
MelanieMcKinney,PT,DPT,PCS
EX:Cliniciansseek,select,
andstudyevidenceonearly
screeningandreferral
toguidehis/herpracXce.
CURRENTLEVELOFKNOWING?
EX:Cliniciansmayeducate
referralsources
andcaregiversonthe
evidenceforearlyscreening
andreferralforinfantswith
torXcollis.
CURRENTLEVELOFSHARING?
EX:Ensurethatinfantsreferred
withthediagnosisof
torXcollishavepriority
schedulingthroughpolicyand
procedure.
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CURRENTLEVELOFPLANNING?
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TIMETOREFLECT:
• Consideryouruseofknowledgeatworktodayorrecently.
• TraceyourdecisionmakingandacXonstotheknowledgesource(e.g.,conXnuingeducaXon
course,arXcle,guideline,expertopinion).
• Inpart1weconsideredhowyouwouldqualifyyouruseoftheknowledge.
• NowconsiderhowwouldyouquanTfyyouruseoftheknowledge?
(includingstageandlevelofuse).
• Canyouthinkoftopicsforwhichyouareatdifferentstagesorlevelsofuse?
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References:Part1andPart2:ExploringKnowledgeUse
GrahamI,etal.LostinknowledgetranslaXon?:Timeforamap?JConTnEducHealth.2006;26:13-24.
HallGE,LoucksSF,RutherfordWL,NewloveBW.LevelsofuseoftheinnovaXon:aframeworkforanalyzinginnovaXonadopXon.
JTeachEduc.1975;26(1):52-56.
MenonA,Korner-BitenskyN,KastnerM,McKibbonKA,StrausS.StrategiesforrehabilitaXonprofessionalstomove
evidence-basedknowledgeintopracXce:asystemaXcreview.JRehabilMed.2009;41:1024-32.
MrazekR,OrrD.The“LevelofUse”indexasatooltoassessprofessionalgrowthanddevelopmentofgraduatestudentsstudying
theeducaXonalapplicaXonsofemergenttechnologies.SocietyforInformaXonTechnology&TeacherEducaXon
InternaXonalConference.2008;1:1-11.
RivardLM,RussellDJ,RoxboroughL,KetelaarM,etal.PromoXngtheuseofmeasurementtoolsinpracXce:amixed-methodsstudy
oftheacXviXesandexperiencesofphysicaltherapistknowledgebrokers.PhysTher.2010;90:1580-90.
RogersDM.DiffusionofinnovaTons.NewYork,NY:TheFreePress;2003.
SudsawadP.KnowledgetranslaXon:introducXontomodels,strategies,andmeasures.NaXonalCenterforDisseminaXonof
DisabilityResearch.2007.Availableat:h_p://www.ktdrr.org/ktlibrary/arXcles_pubs/ktmodels/kXntro.pdfAccessedApril5,2013.
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