Grand Round: What if Implementation is Not the Problem? Exploring the Missing Links Between Knowledge and Action
Round: What if Implementation is Not the Problem? Exploring the Missing Links Between Knowledge and Action
About the presentation:
Given all the available knowledge about effective implementation, why do many organizations continue to have – or appear to have – an implementation problem? This analysis, based on a five-year corpus of reports by CHI’s Evaluation Platform, sought to identify the greatest obstacle on one Canadian health region’s path from knowledge to action. Findings suggested that the problem was neither a lack of knowledge, (decision-makers displayed sophisticated understanding of fundamental issues), nor an inability to take action, (there existed sufficient capacity to implement change). However, managers’ high-level knowledge was not made actionable, and micro-level decision-making often produced piecemeal actions inadequately informed by existing knowledge. The problem arose at the stage of “operationalization” – the linking of knowledge to action through development of concrete, executable solutions fully informed by an understanding of complex, system-level issues. Operationalization, while seldom addressed in the literature, may be a critical focus for future knowledge-translation research and practice.