Promoting knowledge translation: An ecosystem approach to evidence in health
Marcelle Miranda da Silva,
Cristina Rosa Soares Lavareda Baixinho,
Maria Fátima Mendes Marques,
Claudia Sousa Oliveira,
Renata de Moura Bubadué,
Samhira Vieira Franco de Souza,
Ivone Evangelista Cabral
Affiliations
Marcelle Miranda da Silva
Escola de Enfermagem Ana Nery, Universidade Federal do Rio de Janeiro, 275 St Afonso Cavalcanti, Rio de Janeiro, RJ, Brazil; Nursing Reserach, Innovation and Development Centre of Lisbon (CIDNUR), Av, Prof. Egas Moniz, 1600-190, Lisboa, Portugal; Corresponding author.
Cristina Rosa Soares Lavareda Baixinho
Nursing Reserach, Innovation and Development Centre of Lisbon (CIDNUR), Av, Prof. Egas Moniz, 1600-190, Lisboa, Portugal; Department of Rehabilitation of Nursing, Lisbon Nursing School, Av. Prof. Egas Moniz, 1600-190, Lisboa, Portugal
Maria Fátima Mendes Marques
Nursing Reserach, Innovation and Development Centre of Lisbon (CIDNUR), Av, Prof. Egas Moniz, 1600-190, Lisboa, Portugal; Department of Rehabilitation of Nursing, Lisbon Nursing School, Av. Prof. Egas Moniz, 1600-190, Lisboa, Portugal
Claudia Sousa Oliveira
Escola de Enfermagem Ana Nery, Universidade Federal do Rio de Janeiro, 275 St Afonso Cavalcanti, Rio de Janeiro, RJ, Brazil; Nursing Reserach, Innovation and Development Centre of Lisbon (CIDNUR), Av, Prof. Egas Moniz, 1600-190, Lisboa, Portugal; Department of Rehabilitation of Nursing, Lisbon Nursing School, Av. Prof. Egas Moniz, 1600-190, Lisboa, Portugal; Jean Piaget Higher School of Health, Jean Piaget Polytechnic Institute of the South, Jardim nº 1 do Enxerim, 8300-025, Silves, Portugal; Universidade do Estado do Rio de Janeiro, 157 Blvd. 28 de Setembro, Rio de Janeiro, RJ, Brazil
Renata de Moura Bubadué
Escola de Enfermagem Ana Nery, Universidade Federal do Rio de Janeiro, 275 St Afonso Cavalcanti, Rio de Janeiro, RJ, Brazil
Samhira Vieira Franco de Souza
Escola de Enfermagem Ana Nery, Universidade Federal do Rio de Janeiro, 275 St Afonso Cavalcanti, Rio de Janeiro, RJ, Brazil
Ivone Evangelista Cabral
Escola de Enfermagem Ana Nery, Universidade Federal do Rio de Janeiro, 275 St Afonso Cavalcanti, Rio de Janeiro, RJ, Brazil
The dissemination and implementation of evidence in health contexts have been a concern of several international organizations responsible for recommending actions to health policymakers. World Health Organization has been advocating for an ecosystem of evidence to improve clinical practice and health professional education. Thus, in this article, we address the challenges to developing the evidence ecosystem from the point of view of health professional education, considering the contexts of practice and teaching, focused on knowledge translation. There are three pivotal challenges: producing qualified knowledge; adequate communication of the synthesized evidence; and institutional policy to sustain the implemented evidence in continuous and updated flow. The evidence ecosystem helps to understand these flows between the production and implementation of knowledge, based on the capacity and resources of different health systems. It needs to be developed in the field of health professional education, feedback in the contexts of practice and teaching, to contribute to third-generation knowledge being used by different users of health services.