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Table 2 Characteristics of included studies

From: The effectiveness of knowledge-sharing techniques and approaches in research funded by the National Institute for Health and Care Research (NIHR): a systematic review

Author, year

Aims

Population

Intervention/two-way knowledge sharing technique or approach

Mechanism of knowledge sharing

Outcome (new knowledge or change in practice or research)

Batchelor 2013

To identify and prioritise eczema treatment uncertainties that are of importance to patients who have the disease, their carers and the health care professionals who treat them

40

Researchers, patients, carers and clinicians

Stakeholder engagement

Priority Setting Partnership as part of a James Lind Alliance. The authors used a modified version of the James Lind Alliance approach, by including researchers as participants in the workshop phase of the approach. The approach was also extended by including the discussion of research questions and not just the generation of prioritized treatment uncertainties

Workshop taking place over one day, where participants went into four independently facilitated groups, which were equally balance across the population (e.g. patients and clinicians)

Discussion of six prioritised treatment uncertainties leading to 13 potential research questions (new knowledge)

Evidence of change in research or practice was outside of scope of study

Clarke 2019

To assess how co-produced research is conditioned by the emergence of group unity and a shared sense of belonging

Four project teams and their wider stakeholders

Researchers, patients, carers, clinicians, health service managers, local authority and representatives of the third sector

Involvement within the research process

Involvement of stakeholders in the research process itself through meetings and other project related interactions

Routine encounters both formal and informal from the early stages of project design, start‐up through access negotiations, data collection, analysis and dissemination

Demonstrated how inclusivity is generated and maintained through co-production

Evidence of change in research or practice was outside of scope of study

Cooke 2015

To identify the lessons learned from one collaboration and leadership in Applied Health Research and Care in relation to on-going collaborative research priority setting

Detail not given

Researchers, clinicians and health service managers

Stakeholder engagement

Collaborative priority setting (CPS), using three techniques of (1) trusted historical relationships, (2) platforms for negotiation and planning and (3) formal methods of consensus

Three techniques of knowledge sharing were used between researchers and stakeholders. Only the co-production workshops, categorised as (3) formal methods of consensus, led to new knowledge

Two projects were co-designed leading to joint grant capture (new knowledge)

Evidence of change in research or practice was outside of scope of study

Devonport 2018 (not included in final synthesis)

To present a reflective account of patient and public involvement (PPI) in the development of obesity and binge eating research

16

Researchers, patients, clinicians and a member of the public

Stakeholder engagement

Four Patient Advisory Group meetings

Insufficient detail on process of two-way knowledge sharing

Critical learning points identified on how to improve involvement of patients

Gerrish 2014

To evaluate the success of knowledge transfer capacity development secondments from the perspective of multiple stakeholders

Detail not given

researchers, clinicians and healthcare managers

Embedded models (practitioners)

Fourteen secondments of 6–24 months duration of nurses into knowledge transfer teams

Secondees worked alongside experienced team members who were leading knowledge transfer initiatives

New solutions were reported as a result of sharing clinical and academic knowledge (new knowledge)

“..secondee brought ideas back to the workplace with audit results showing that nutritional referrals in the secondee’s clinical area had improved and were higher than those on comparable wards.” P.214 (evidence of change)

Gillard 2012

To reflect on the extent to which knowledge was co-produced through qualitative analysis and to consider the implications of research co-production for study findings

17

Researchers, patients, carers, clinicians and health service managers

Involvement within the research process

Patients and carers were involved in the data collection, analysis and interpretation of a qualitative study of mental health. Feedback conferences were also used

Patients and carers were involved throughout research process and given an equal voice in decision making within the research study

Discussion with patient and carers was reported as directly affecting research findings (new knowledge)

Evidence of change in research or practice was outside of scope of study

Guell 2017

To explore how stakeholders assessed, negotiated and intended to apply multi-sectoral evidence in policy and practice at the intersection of transport and health

41

Researchers, local authority managers and representatives of the third sector

Stakeholder engagement

An end of project stakeholder forum to present and discuss findings

Presentation of the study and key findings, followed by stands in a ‘marketplace’ format to facilitate discussion with members of the research team and other attendees. A plenary session to identify key learning implications for policy and practice

Knowledge identified in how to communicate across the different sectors but no new knowledge generated

Evidence of change in research or practice was outside of scope of study

Hutten 2015

A priority-setting method for evidence-based service development to reconcile research with multiple stakeholder views

40

Researchers, service users, carers, clinicians, health service managers and commissioners

Stakeholder engagement

Researchers and stakeholders participated in three workshops to review evidence and generate service improvement ideas

Two workshops to review the evidence from two research projects, which generated twenty suggestions for service improvements that were discussed and debated in a final consensus workshop

Knowledge was generated from a consensus for eight suggestions for implementation (new knowledge)

Evidence of change in research or practice was outside of scope of study

Irving 2018 (not included in final synthesis)

To describe the process of involving patients and public representatives in identifying, prioritizing and refining a set of outcome measures that could be used to support ambulance service performance measurement

18

Researchers and members of the public

Stakeholder engagement

An event was held that was organised with members of the public, as an engagement event for members of the public. A structured process of voting using technology was also used

Insufficient detail on process of two-way knowledge sharing

Event offered opportunities for more interactive engagement and personal contact with stakeholders. It also extended the influence of the public contributors in the study and build capacity for their involvement

Knowles 2021

To explore and evaluate the potential of a participatory codesign method as a mechanism of knowledge sharing

12

One researcher and eleven members of the public

Involvement within the service design process

Public contributors were involved in a service design process that was facilitated and supported by a researcher

Ten participatory co-design workshops were held, using activities including narrative methods and modelling methods

Approach generated hybrid knowledge that reflected a merging of different ways of knowing and understanding (new knowledge)

Evidence of change in research or practice was outside of scope of study

Redwood 2016

To describe and examine the development and establishment of micro-level operating units (health integration teams) of a locally evolved structural partnership of health organisations and academic institutions

Individuals from seven organisations, two universities, four provider organisations and one commissioning organisation

Organisational collaborative partnership

Health integration teams formed in response to fragmentation within the commissioning of services and a lack of system leadership. Also, an initiative to promote evidence-based practice in commissioning and service delivery and a forum for integration

Process of change identified through four mechanisms

(1) whole system engagement,

(2) collaboration, (3) integration and (4) innovation

Knowledge was generated through the integration of the organisations in identifying solutions to challenges within the system (new knowledge)

Evidence of change in research or practice was outside of scope of study

Shipman 2008

To identify major concerns of national and local importance in the provision, commissioning, research, and use of generalist end of life care

30

Researchers, clinicians, service commissioners, policy makers and user groups

Stakeholder engagement

A national consultation and prioritising exercise using a modified form of the Nominal Group Technique

Five consultation meetings were held in each area for participants to discuss and clarify issues and prioritise research themes; non-attendees participated by telephone or email

Knowledge was shared, but it was reported that little consensus was reached. Several research questions were generated

Evidence of change in research or practice was outside of scope of study

Smith 2015

To understand how researchers and health service managers made sense of new ways of working. To design and conduct a developmental evaluation of the collaborative aspects on vascular disease prevention in primary care

Actual number unclear

Researchers, commissioning managers

Organisational collaborative partnership

Collaboration between two universities and two healthcare organisations in a local area

Scheduled project management meetings were the observed to be the principal interface between partners from different organisations throughout the study

Boundary maintenance enabled the co-production of at some practical meaning or sense, but the generation of new knowledge was not described

Evidence of change in research or practice was outside of scope of study

Van der Graaf 2019

To explore the challenges and opportunities to knowledge brokering in an institutional service

Five members of a knowledge brokering team and 150 researchers, public health teams, community sector workers and representatives of the third sector

Knowledge brokering

Knowledge brokering within an established team at an organisational level

Conversations with policy and practice partners as part of the scoping of enquiries that the service received

Clear evidence of knowledge sharing process through this approach but new knowledge creation not described

Evidence of change in research or practice was outside of scope of study

Vindrola-Padros 2019

To explore and analyse the ‘researcher-in-residence’ model of knowledge co-production

Three researchers in residence in three contexts, two NHS trusts and one commissioning organisation

Embedded models (researchers)

A model of embedded researchers working inside healthcare organisations, operating as staff members, while also maintaining an affiliation with their academic institutions

As part of the local team, researchers negotiate the meaning and use of research-based knowledge to co-produce knowledge, which is sensitive to the local context

Clear evidence of knowledge sharing process through this approach but new knowledge creation not described

Evidence of change in research or practice was outside of scope of study

Waterman 2015

To describe how knowledge transfer associates facilitated the implementation of evidence-based health care

Eight knowledge transfer associates who were researchers working across six project teams with clinicians and health service managers

Knowledge brokering

Knowledge transfer associates worked across hospitals, primary care and community-based organisations to facilitate evidence-based health care

Facilitative role of the knowledge transfer associates created a knowledge sharing mechanism as they interacted with others

Evidence of knowledge sharing through approach but new knowledge creation not described

Evidence of change in research or practice was outside of scope of study

Wright 2013

To describe how health practitioners were embedded as researchers within clinical practice and supported by a Collaboration for Leadership in Applied Health Research and Care

23

Seventeen allied health professionals working as researchers in clinical teams

Embedded models (practitioners)

Practitioners were embedded within clinical teams and supported by academic mentors to increase research skills and build research capacity

Knowledge sharing occurred between practitioners and research mentors and also between practitioners in a researcher role with other members of clinical team

Practitioners used research knowledge gained to instigate changes in practice, but new knowledge was not evidenced as being created from knowledge sharing