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“Why Are We Bringing The Fish?” Matching Methods and Culture
Martha Ann Carey, PhD, RN
Kells ConsultingMedia, PA, USA
72nd ICP Conference, Paris, FranceJuly 2014
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Hawaiian Research Project
• Odell’s dissertation – concept of wellness
• Her entree to population
• Adaptation of focus group methods
© Carey 2014
4
Merriam-Webster Definition of Culture
• The beliefs, customs, arts, etc., of a particular society, group, place, or time
• A particular society that has its own beliefs, ways of life, art, etc.
• A way of thinking, behaving, or working that exists in a place or organization (such as a business)
© Carey 2014
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Complexity of Culture
• Broad, individual, both
• Context, environment, dynamic
• Limited guidance – can seem alone
© Carey 2014
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Bridging & Merging
• Boundary spanner
• Common ‘language’– EBP, CBPR, validity & reliability, cost-benefit
analysis
• Shared goals– Fidelity vs salience, rigor vs revelance
© Carey 2014
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Feasibility & Potential
• 2 way model for joint planning
• Researchers get community input on acceptability & feasibility
• Community gets information on the goals & limits of the project
© Carey 2014
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Two Components of Research
• Doing research to develop knowledge– Quantitative– Qualitative– Mixed methods
• Using research results– Efficacy and effectiveness– Adopting vs adapting• Fidelity balanced with salience; rigor AND relevance
© Carey 2014
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Translational Research
• Application of sharing knowledge to inform policy & practice
• Links ‘scientific findings’ with policies & programs
• Contributes to interventions (effectiveness)– Education– Health services delivery
© Carey 2014
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Challenge
• How to best ‘translate’?
• What are the roles of the players?
• How are these developed?
© Carey 2014
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Professional Collaboration
• Inter-/multi-/cross-disciplinary
• Need a common language, as well as mutual understanding & respect
• “System” needs to reward collaboration
© Carey 2014
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National Center for Advancing Translational Science, NIH, USA
• Accelerate the use of scientific discovery – Basic science patient studies clinical practice– Using an integrated approach – Common goals
• Sharing information at each stage ensures – Researchers are meeting community health needs – Problems in the clinic inform work in the
laboratory
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“Convergence Model” US National Academy of Science
• Expanded form of interdisciplinary research
• Paradigm capable of generating new ideas, discoveries, methodologies
• Conceptual approaches and tools that stimulate advances in basic research and application
• Leads to new inventions, innovations, treatment protocols, and strategies for education & training
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Very General Suggestions
• Applicable to most settings
• Involve as many stakeholders as practical
• Jointly develop goals & tasks to be done
• Maintain clear & regular communications
• Use as “rigorous” approach as possible© Carey 2014
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More Tailored Suggestions
• Plan for extra time
• Consider logic models, theoretical framework
• Attend to management concerns– Agreement on use of data & publications– Regular communication procedures
© Carey 2014