gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Exploring optimal conditions for knowledge exchange in the Guideline Implementability Research and Application Network

Meeting Abstract

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  • S. Hylmar - University Health Network, Toronto, Canada
  • A. Gagliardi - University Health Network, Toronto, Canada

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP133

doi: 10.3205/12gin245, urn:nbn:de:0183-12gin2458

Published: July 10, 2012

© 2012 Hylmar et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Knowledge exchange (KEX) between researchers and research users may enhance research relevance and use in practice. Optimal conditions for KEX are unknown. The Guideline Implementability Research and Application Network (GIRAnet) will evaluate implementation tools in partnership with developers and implementers.

Objectives: To explore conditions for KEX through formative evaluation of GIRAnet.

Methods: Interviews with guideline developers and implementers will explore how network elements enable KEX. First, a meta-narrative review was conducted by searching health and management research databases from 1990 to current to identify KEX elements upon which to base interview questions. Two individuals independently selected relevant articles and extracted data on structures, activities, incentives and outcomes.

Results: Elements that enabled KEX were described in literature on management networks, interprofessional health services research, teamwork, continuity of care, knowledge translation, communities of practice, and quality improvement collaboratives. They included a dedicated individual to communicate with and engage participants, forums for interaction that include in-person meetings, joint development of strategic plans, and activities perceived by participants as beneficial. Few objective outcome measures of KEX were identified.

Discussion: Common KEX elements were identified across literature from different disciplines. These appear relevant to the formative stage but may not sustain KEX. Design and implementation of these elements remains vague. Further consultation with guideline developers and implementers is needed to inform network design that enables KEX.

Implications: The findings can be used by developers and implementers to plan and evaluate their own programs for implementing guidelines by optimizing KEX with stakeholders.