Table 1 Intersectionality considerations in the action cycle of the Knowledge-to-Action framework
Knowledge-to-Action Framework Action Cycle Phase | Example Intersectionality Considerations |
|---|---|
Identify the Problem | Who says there is a problem? Are they in a position of power? Do oppressed groups also categorize this as a problem? |
Adapt Knowledge to Local Context | How can the practice change be adapted to meet practitioner intersections (e.g., age, language, and physical ability)? |
Assess Barriers/Facilitators to Knowledge Use | What systems and structures of power contribute to individual-level barriers (e.g., beliefs about one’s capabilities)? |
Select, Tailor, Implement Interventions | How can the implementation strategy be tailored to meet patient intersections (e.g., literacy level, language, and racialization)? |
Monitor Knowledge Use | Are power dynamics influencing the delivery of the implementation strategy? |
Evaluate Outcomes | Are outcomes the same across all patient groups (e.g., racialized immigrant women compared to non-racialized, Canadian-born men)? |
Sustain Knowledge Use | Is staff attrition of certain groups (e.g., nurses who are also caregivers during a pandemic) contributing to knowledge loss? |