Abstract

BackgroundThird sector organisations (TSOs) are a well-established component of health care provision in the UK’s NHS and other health systems, but little is known about how they use research and other forms of knowledge in their work. There is an emerging body of evidence exploring these issues but there is no review of this literature. This scoping review summarises what is known about how health and social care TSOs use research and other forms of knowledge in their work.MethodsA systematic search of electronic databases was carried out with initial exploratory searching of knowledge mobilisation websites, contacting authors, and hand searching of journals. The literature was narratively summarised to describe how TSOs use knowledge in decision making.ResultsTen qualitative and mixed methods studies were retrieved. They show that TSOs wish to be “evidence-informed” in their decision making, and organisational context influences the kinds of research and knowledge they prefer, as well as how they use it. Barriers to research use include time, staff skill, resources and the acontextual nature of some academic research. Appropriate approaches to knowledge mobilisation may include using research intermediaries, involving TSOs in research, and better description of interventions and contexts in academic publications to aid applying it in the multi-disciplinary contexts of TSOs. TSOs identified specific benefits of using research, such as confidence that services were good quality, ability to negotiate with stakeholders and funders, and saving time and resources through implementing interventions shown to be effective. The small number of included studies means the findings need further confirmation through primary research.ConclusionsAs the contribution of health and social care TSOs to service delivery is growing, the need to understand how they mobilise research and other forms of knowledge will continue. The research community could 1) develop relationships with TSOs to support the design and development of research projects, 2) use a range of methods to evaluate interventions to facilitate TSOs applying them to their organisational contexts and 3) improve our understanding of how TSOs use knowledge, through the use of complementary research methods, such as a realist review or ethnography.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-015-0265-6) contains supplementary material, which is available to authorized users.

Highlights

  • Third sector organisations (TSOs) are a well-established component of health care provision in the UK’s NHS and other health systems, but little is known about how they use research and other forms of knowledge in their work

  • This paper presents the findings of a scoping review to answer the following questions: 1 what research evidence is currently available about how TSOs that provide health and social care services use research and other forms of knowledge in decision making?

  • This review identified a small body of literature concerning how TSOs mobilise research and other types of knowledge

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Summary

Introduction

Third sector organisations (TSOs) are a well-established component of health care provision in the UK’s NHS and other health systems, but little is known about how they use research and other forms of knowledge in their work. TSOs are believed to have particular strengths, relative to public sector organisations These claimed strengths include the following: being more client-led and community-led; able to access “hard to reach groups”; being responsive to local people; being innovative, builders of social capital and civil participation; more cost-effective and; more approachable and less threatening as service providers [2, 3, 8, 9]. Many of these strengths and differences are embedded in the way they work (person-centred, participatory flexible). TSOs tend to work with whole communities, whose needs are diverse and so research evidence which is narrowly focused on a particular intervention at a particular point in time, may have less meaning and utility than other ways of knowing (such as peer-to-peer learning, “borrowing ideas” from other organisations or using staff and service users’ tacit knowledge)

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