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How a Power Differential Between Clinicians and Researchers Contributes to the Research-to-Practice Gap

Natalie Douglas, Jacqueline Hinckley, Kate Grandbois, Megan E. Schliep, Amy Wonkka, Jennifer Y. Oshita, Julie Feuerstein

2023American Journal of Speech-Language Pathology25 citationsDOIOpen Access PDF

Abstract

PURPOSE: The purpose of this article is to contend that there is a power differential between researchers and clinicians where researchers are the primary creators of knowledge and clinicians are the primary consumers of knowledge. Rooted in a sociological model illustrating interacting levels of power at macro-, meso-, and microlevels, we argue that authentic research-practice partnerships and clinician-researcher collaborations can mitigate this power differential. CONCLUSIONS: Clinicians and researchers in our field have vastly different responsibilities and priorities that impact our ability to work collaboratively to solve the most pressing problems for the clients we serve. Although some current research practices may reinforce a power differential causing clinicians to feel less than and to only consume knowledge, there are examples of successful collaborations where this power differential is mitigated. These examples can contribute meaningfully to the dialogue on research-practice partnerships, with the goal of improving outcomes for the clients we serve.

Topics & Concepts

Power (physics)Differential (mechanical device)Field (mathematics)Differential effectsEngineering ethicsWork (physics)PsychologyPublic relationsKnowledge managementMedical educationSociologyComputer sciencePolitical scienceMedicineEngineeringQuantum mechanicsAerospace engineeringMathematicsMechanical engineeringInternal medicinePhysicsPure mathematicsMental Health and Patient InvolvementHealth Policy Implementation ScienceHealth Sciences Research and Education
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