Challenges to knowledge translation in the digital age




Translação do conhecimento, Prática Clínica Baseada em Evidências, Sistemas de Informações em Saúde, Tecnologia digital, profissionais de saúde


The translation of knowledge into clinical practice and behavior change is a slow process that involves the involvement of all stakeholders in the process. Knowledge transfer (CT) is a complex process and encompasses more than the dissemination or communication of research results. Inherent in the pandemic context, our experience reveals some constraints on multidisciplinary and interinstitutional work, but the use of digital platforms can promote communication between academia and practice. Digital technologies pose several challenges to teachers, health professionals and researchers for an evidence-based practice (EBP) and allows us to infer that CT is influenced by the virtual world.

We aim to reflect the role of teachers, researchers and clinicians in knowledge transfer in the virtual world, analyze challenges and debate strategies that ensure knowledge transfer. In this sense, we present in this chapter examples of practical cases, contributions and limitations for the use of the online method/technique, reflection of the digital experience. Teaching EBP in school curricula at various levels of education and involving students in projects can be a challenge to the learning process of critical thinking in clinical practice and to the use of online models and techniques, due to the ease of use of technological resources by generations younger.

In the Final Considerations, we emphasize the need for a collaborative approach between researchers, clinicians and clients where each takes an active role. The new technologies applied to health and the demands of consumers, force the change of practices and models of organization of services, as well as the need for institutional partnerships.


Keywords: Translational Medical Research Evidence-Based Practice; Health Information Systems; Digital Technology; Health Personnel


Apóstolo, J. (2017). Síntese da evidência no contexto da translação da ciência. Coimbra, Portugal: Escola Superior de Enfermagem de Coimbra (ESEnfC). ISBN: 978-989-99426-5-3

Baixinho, C. L., Ferreira, Ó., Marques, F. M., Presado, M. H., Cardoso, M., & Sousa, A. D. (2019). Transferir conhecimento para a clínica – passo-a-passo: resultados do projeto transição segura. In C. Brandão, J. L. Carvalho, R. Arellano, C. L. Baixinho, & J. Ribeiro (Eds.). A prática na investigação qualitativa: exemplos de estudos (vol. 3) (pp.87-104). Oliveira de Azeméis: Ludomedia.

Baixinho, C. L., Ferreira, Ó., Marques, F. M., Presado, M. H., Cardoso, M., Sousa, A. D. & Nascimento, T. (2021). Conhecimento na clínica em saúde: da produção à utilização. New Trends in Qualitative Researche (5), 93-103.

Baixinho, C.L., & Costa, A.P. (2019). From the hiatus in the theory - practice discourse to the clinic based on the uniqueness of knowledge. Escola Anna Nery, 23(3),e20190141.

Bond, C. E., Shipton, Z. K., Jones, R. R., Butler, R. W. H., & Gibbs, A. D. (2007). Knowledge transfer in a digital world: Field data acquisition, uncertainty, visualization, and data management. Geosphere, 3(6), 568-576.

Canadian Institutes of Health Research. (2014). More about knowledge translation at CIHR: knowledge translation definition. Available from:

Carter, J., Sandall, J., Shennan, A.H. & Tribe, R. (2019). Mobile phone apps for clinical decision support in pregnancy: a scoping review. BMC Med Inform Decis Mak 19, 219.

Charbonneau, D. H., & James, L. N. (2018). DynaMed Plus®: An Evidence-Based Clinical Reference Resource. Medical Reference Services Quarterly, 37(2), 168–176.

Croatti, A., Gabellini, M., Montagna, S., & Ricci, A. (2020). On the Integration of Agents and Digital Twins in Healthcare. Journal of Medical Systems, 44(9), 1–8.

Cui, M., Zhang, D.Y. (2021). Artificial intelligence and computational pathology. Lab Invest 101, 412–422.

Dal Mas, F., Garcia-Perez, A., Sousa, M. J., da Costa, R. L., & Cobianchi, L. (2020a). Knowledge translation in the healthcare sector. A structured literature review. Electronic Journal of Knowledge Management, 18(3), pp198-211.

Dal Mas, F., Piccolo, D., Edvinsson, L., Skrap, M., & D’Auria, S. (2020b). Strategy innovation, intellectual capital management, and the future of healthcare: The case of kiron by nucleode. In Matos, F., Vairinhos, V., Salavisa, I., Edvinsson, L. and Massaro, M. (Eds). Knowledge, people, and digital transformation (pp. 119-131). Springer, Cham.

Dwivedi, R., Ghahramani, F., & Mahapatra, R. (2017). Mobile Clinical Decision Support Systems–A Systematic Review.

Fletcher-Brown, J., Carter, D., Pereira, V., & Chandwani, R. (2020). Mobile technology to give a resource-based knowledge management advantage to community health nurses in an emerging economies context. Journal of Knowledge Management, 1-42.

Gaffney, T. (2021). Mitigating the threat of lost knowledge, a looming shortage of expert nurses requires strategies to accelerate knowledge transfer. American Nurse Journal, 16(1), 8-11.

Ghita, M., Zineb, B., & Siham, B. (2020). Smart pandemic management through a smart, resilient and flexible decision-making system. International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences - ISPRS Archives, 44(4/W3), 285–294.

Goldenberg, S. L., Nir, G., & Salcudean, S. E. (2019). A new era: artificial intelligence and machine learning in prostate cancer. Nature Reviews Urology, 16(7), 391–403.

Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N., & Lintunen, T. (Eds.). (2020). The handbook of behavior change. Cambridge University Press.

Kroh, J., Luetjen, H., Globocnik, D., & Schultz, C. (2018). Use and efficacy of information technology in innovation processes: the specific role of servitization. Journal of Product Innovation Management, 35(5), 720-741.

Laubenbacher, R., Sluka, J. P., & Glazier, J. A. (2021). Using digital twins in viral infection. Science, 371(6534), 1105–1106.

Leso, V., Fontana, L., & Iavicoli, I. (2018). The occupational health and safety dimension of Industry 4.0. La Medicina del lavoro, 110(5), 327–338.

Harrison, M. B., & Graham, I. D. (2021). Knowledge Translation in Nursing and Healthcare: A Roadmap to Evidence-informed Practice. John Wiley & Sons.

Massaro, M., Dal Mas, F., Chiappetta Jabbour, C. J., & Bagnoli, C. (2020). Crypto?economy and new sustainable business models: Reflections and projections using a case study analysis. Corporate Social Responsibility and Environmental Management, 27(5), 2150-2160.

McCance, T., Lynch, B. M., Boomer, C., Brown, D., Nugent, C., Ennis, A., Garcia-Constantino, M., Clelland, I., Edgar, D., Radbron, E., & Wilson, V. (2020). Implementing and measuring person-centredness using an APP for knowledge transfer: the iMPAKT app. International Journal for Quality in Health Care, 32(4), 251–258.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15.

Nadeau, M. C., Bilodeau, K., & Daoust, L. (2020). Using web-based training to optimize pediatric palliative care knowledge transfer. Canadian Oncology Nursing Journal/ Revue Canadienne de Nursing Oncologique, 30(1), 31–37.

Nilsen, E. R., Stendal, K., & Gullslett, M. K. (2020). Implementation of eHealth Technology in Community Health Care: the complexity of stakeholder involvement. BMC Health Services Research, 20(1), 395.

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10, 53.

Oelke, N. D., Lima, M. A. D. S., & Acosta, A. M. (2015). Translação do conhecimento: traduzindo pesquisa para uso na prática e na formulação de políticas. Revista Gaúcha de Enfermagem. 36(3), 113-7. 1447.2015.03.55036

Park, M., Jeong, M., Lee, M., & Cullen, L. (2020). Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students. Nurse Education Today, 91, 104466.

Parwani, A. V. (2019). Next generation diagnostic pathology: use of digital pathology and artificial intelligence tools to augment a pathological diagnosis. Diagnostic Pathology, 14(1), 138.

Pereira, A., Cardoso, T., Monteiro, V., & Pombo, C. (2021). Observação e Design-Based-Research em contextos online New Trends in Qualitative Research, 5, 57–70.

Presado, M. H., Baixinho, C. L., & Oliveira, E. S. F. D. (2021). Qualitative research in pandemic times. Revista Brasileira de Enfermagem, 74(1), e74Suppl101.

Camargo-Plazas, P., Costa, I. G., Pare, G., Alvarado, B., & Duhn, L. (2021). Investigando en los Tiempos de

COVID-19: Re-inventando un Proyecto Participativo sobre el Autocuidado de la Diabetes en Adultos

Mayores de Ontario, Canadá. Investigação Qualitativa Em Saúde: Avanços E Desafios, 8, 554–561.

Quintiliano, K.M.S., e Soares, F.J.P. (2020) “Competências em cuidados paliativos na formação de clínicos gerais”, New Trends in Qualitative Research. Oliveira de Azeméis, Portugal, 3, pp. 175-187.

Rivera, L. F., Jiménez, M., Angara, P., Villegas, N. M., Tamura, G., & Müller, H. A. (2019). Towards Continuous Monitoring in Personalized Healthcare through Digital Twins. Proceedings of the 29th Annual International Conference on Computer Science and Software Engineering, 329–335.

Sánchez, M. T., & Valenzuela, A. C. (2018). Visual metaphors in representing medical nowledge. Linguistica Antverpiensia, 17, 174-195.

Schaeffer, V., Öcalan-Özel, S., & Pénin, J. (2020). The complementarities between formal and informal channels of university–industry knowledge transfer: a longitudinal approach. The Journal of Technology Transfer, 45(1), 31-55.

Skela-Savi?, B., Gotlib, J., Panczyk, M., Patelarou, A. E., Bole, U., Ramos-Morcillo, A. J., ... & Ruzafa-Martínez, M. (2020). Teaching evidence-based practice (EBP) in nursing curricula in six European countries—A descriptive study. Nurse Education Today, 94, 104561.

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digital Medicine, 3, 17., G. L., Fogliatto, F. S., Mac Cawley Vergara, A., Vassolo, R., & Sawhney, R. (2020). Healthcare 4.0: trends, challenges and research directions. Production Planning and Control, 31(15), 1245–1260.

Weston, M. J. (2020). Nursing practice in the digital age. Nurse Leader, 18(3), 286-289.

Woods, J. C. (2021). Self-Study: A method for continuous professional learning and a methodology for knowledge transfer. Quality Advancement in Nursing Education-Avancées en Formation Infirmière, 7(2), 7.



How to Cite

Presado, M. H., Marques, F. M. ., Ferreira, O. ., Cardoso, M., Sousa, A. D. ., & Nascimento, T. (2022). Challenges to knowledge translation in the digital age. New Trends in Qualitative Research, 10, e517.