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The Healthcare Knowledge Integrity Framework: A conceptual map of the synergy, mediators, and threats to integrity within the healthcare research/practice continuum

Date and Location

Session: 

O1.16.5

Date

Friday 20 September 2013 - 15:30 - 17:00
Presenting author and contact person

Presenting author

James Galipeau

Contact person

James Galipeau
Abstract text
Background: The quality of health services delivery and patient care depend heavily on the integrity of the research process, the complete and transparent reporting of research findings, and the effective translation of research knowledge into evidence-based practices. However, few educational resources exist that take into account the entire research/practice cycle. In addition, there is little documentation of the interrelated factors that may influence the integrity of healthcare knowledge throughout its life cycle, from the conception of a research idea to the outcome(s) of patient care. Objectives: The objective of the Healthcare Knowledge Integrity Framework (HKIF) is to provide a conceptual map for understanding and discussing different factors that may impact the integrity of the research/practice cycle of healthcare knowledge. Methods: The HKIF outlines optimal factors and training that promote a synergistic relationship between healthcare research and practice while also highlighting potential internal (personal) and external threats to integrity that can lead to wasteful practices and other negative downstream effects. Results: In this presentation, specific attention will be focused on the areas of knowledge dissemination and knowledge translation, highlighting best practices, training, and threats to integrity at these particular points in the research/practice cycle. In addition, the course of events related to well-known cases of misconduct and poor research practices will mapped onto the HKIF to demonstrate its utility as a teaching and learning tool. Conclusions: The HKIF may help researchers, practitioners, and decision-makers to take into account the multitude of factors that may influence the integrity of knowledge creation, reporting, translation, and utilization within the healthcare field. It is hoped that the framework will act as a tool for these groups to analyze systemic weaknesses in current practices and engage in a collaborative dialogue on how to improve the integrity of healthcare knowledge, and ultimately the care of patients.