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August 7, 2026BMJ Quality & Safety

Implementing evidence in residential aged care facilities: a longitudinal multi-method evaluation of knowledge broker evolution

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Authors

MTMadeleine S. A. TanMonash UniversityJBJ Simon BellMonash UniversitySSShakti ShresthaThe University of Queensland

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Implication

Longitudinal multi-method evaluation shows knowledge broker activities evolved in residential aged care, suggesting improved healthcare implementation strategies.

Key Points

  • This study examines how knowledge broker activities evolve over time in residential aged care facilities and identifies enablers to strengthen this role.
  • Longitudinal multi-method evaluation nested within the EMBRACE trial.
  • Analyzed 76 local action plans from 19 residential aged care facilities at four time points.
  • Conducted thematic analysis of quarterly written reflections and semi-structured interviews with knowledge brokers.
  • Knowledge broker activities increased in number and diversity over 12 months.
  • By three months, all RACF local action plans targeted at least one quality improvement sub-indicator.
  • Role progression was influenced by individual, organizational, and external factors, including COVID-19 and policy changes.

Cite This Study

Tan et al. (2026) studied this question.

synapsesocial.com/papers/6a758bc2847ab6d26c01f3f5https://doi.org/10.1136/bmjqs-2026-020577
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evidence-based Medication knowledge Brokers in Residential Aged CarE (EMBRACE): protocol for a helix-counterbalanced randomised controlled trial2024 · 9 citations
  2. 2Implementing Australia’s psychotropic clinical practice guidelines in residential aged care: the EMBRACE helix counterbalanced randomised controlled trial comparing knowledge brokers with pharmacist education and passive distribution2026 · 1 citations
  3. 3Maximising Embedded Pharmacists in AGed CAre Medication Advisory Committees (MEGA-MAC): protocol for implementing Australia’s new guiding principles for medication management in residential aged care facilities using knowledge brokers and a national quality improvement collaborative2025 · 2 citations
  4. 4Utilising a ‘Community of Practice’ to support pharmacists to work in residential aged care: protocol for a longitudinal evaluation2024 · 6 citations
  5. 5Knowledge brokering inside the policy making process: an analysis of evidence use inside a UK government department2024 · 3 citations