<h3>Abstract</h3> <b>Objective</b> To explore in depth how primary care clinicians (general practitioners and practice nurses) derive their individual collective healthcare decisions. <b>Design</b> Ethnographic study using standard methods (non-participant observation, semistructured interviews, documentary review) over two years to collect data, which were analysed thematically. <b>Setting</b> Two general practices, one the south of England other north England. <b>Participants</b> Nine...

The potential use, influence and impact of health research is seldom fully realised. This stubborn problem has caused burgeoning global interest in aiming to address the implementation 'gap' factors inhibiting uptake scientific evidence. Scholars practitioners have questioned nature evidence used required for healthcare, highlighting complex ways which knowledge formed, shared modified practice policy. led rapid expansion, expertise innovation field mobilisation funding experimentation into...

To ensure effective utilization of research in nursing more evidence is needed which illuminates the way nurses think about research, value they put on it, and how envisage that it may help or hinder them their everyday work. This English study aimed to meet these objectives by describing culture practising nurses, health visitors midwives, managers. It rests two assumptions. Firstly reasons why practitioners do, do not, base practice are complex, secondly, interventions increase must be...

We report a study that facilitated and evaluated two multiagency Communities of Practice (CoPs) working on improving specific aspects health social services for older people, analysed how they processed applied knowledge in formulating their views. Data collection included observing tape-recording the CoPs, interviewing participants reviewing documents generated used. All these sources were to identify knowledge-related behaviours. Four themes emerged from data: (1) way certain kinds became...

A particular approach to collaborative interagency working is that of multiprofessional "communities practice". Four such groups are described in the context two action research projects, one relating primary care and other outpatient services for dermatology ENT. The facilitating features, challenges potential this way, discussed, both from point view understanding how knowledge used valued as a useful mechanism development span different professional perspectives involve consumer interests.

This paper explores the early implementation of an organizational innovation in UK National Health Service (NHS) – Treatment Centres (TCs) designed to dramatically reduce waiting lists for elective care. The draws on case studies 8 TCs (each at varying stages their development) and aims explore how meanings about are created evolve, these impact upon development innovation. Research needs take greater account fact that modern organizations like NHS complex multi‐level phenomena, comprising...

There are well established national and local policies championing the need to provide dignity in care for older people. We have evidence as what people their relatives understand by term 'dignified care' but less insight into perspectives of staff regarding understanding this key policy objective.A survey health social professionals across four NHS Trusts England investigate how dignified is understood delivered. received 192 questionnaires 650 distributed.Health described meaning terms...

Aim: Policymaking decisions are often uninformed by research and is rarely influenced policymakers. To bridge this ‘know-do’ gap, a boundary-spanning knowledge mobilisation (KM) team was created embedding researchers-in-residence local policymakers into each other’s organisations. Through increasing the two-way flow of via social contact, KM members fostered collaborations sharing ‘mindlines’, aiming to generate more relevant bids research-informed decision-making. This paper describes...

Abstract Background Healthcare policy-makers are expected to develop ‘evidence-based’ policies. Yet, studies have consistently shown that, like clinical practitioners, they need combine many varied kinds of evidence and information derived from divergent sources. Working in the complex environment healthcare decision-making, rely on forms (practical, contextual) knowledge quite different that produced by researchers. It is therefore important understand how why transform research-based into...

Previous studies have detailed the technical, learning and soft skills healthcare staff deploy to deliver quality improvement (QI). However, research has mainly focused on management leadership skills, overlooking frontline use improve care. Our explored which mattered health practitioners delivering QI projects. We used a theory-driven approach, informed by communities of practice, knowledge-in-practice-in-context positive deviance theory. case examine skill in three pseudonymised English...

Background: The Bristol Knowledge Mobilisation (KM) Team was an unusual collective brokering model, consisting of a multi-professional team four managers and three academics embedded in both local healthcare policymaking (aka commissioning) academic primary care. Aims objectives: They aimed to encourage ‘research-informed commissioning’ ‘commissioning-informed research’. This paper covers context, structure, processes, advantages, challenges impact. Methods: Data sources from brokers...

Abstract Background Research is yet to identify effective and safe interventions increase the vaginal birth after cesarean ( VBAC ) rate. This research aimed compare intended actual rates before implementation of midwife‐led antenatal care for women with one previous no other risk factors in a large, tertiary maternity hospital England. Methods was retrospective, comparative cohort study. Data were collected from medical records lower segment delivery obstetric, medical, or psychological...

We propose a method to estimate the amplitude of an unexpected power loss which, leveraging on calibration, enables real-time monitoring network link. It is based existing fiber-longitudinal profile evaluation technique. The reliability assessed experimentally. When anomaly located at 0 km from beginning span, estimation bias smaller than 0.2 dB for losses up 10 dB. 25 same observed but 5 In both cases, standard deviation

This paper discusses the main challenges posed by action research. These include issues related to definition, researcher role, collaboration, ethics and resources. We argue that research has potential simultaneously contribute development of knowledge as well facilitate evaluate change. The central tenets are described we use our on communities practice a means illustrating these elements. conclude while lack precise definition may have led suspicion about robustness scientific merit...