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https://hdl.handle.net/2440/54144
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Type: | Journal article |
Title: | The need for systems change: reflections on knowledge translation and organizational change |
Author: | Kitson, A. |
Citation: | Journal of Advanced Nursing, 2009; 65(1):217-228 |
Publisher: | Blackwell Publishing Ltd |
Issue Date: | 2009 |
ISSN: | 0309-2402 1365-2648 |
Statement of Responsibility: | Alison L. Kitson |
Abstract: | <h4>Background</h4>Despite over 40 years' work on general systems theory, informed by critical social science, there is a mismatch between the theories used to explain and influence clinical practice in nursing and the way in which transferring new knowledge into practice is articulated.<h4>Data sources</h4>The analysis and emerging propositions were based on a critique of seminal texts published in English up to 2008 covering critical social science, action science, diffusion of innovations, practice development and the management of innovations.<h4>Discussion</h4>There is an implicit adherence to the world view that healthcare systems operate like machines, and much of the science generated around knowledge translation research tends to be logico-deductive. This is in direct contrast to the prevailing arguments of general systems theorists, who view the system more as an organism. Five propositions are posited: knowledge translation is a necessary but not sufficient mechanism to transform systems; the 'system-as-machine' metaphor is profoundly unhelpful to knowledge translation; the healthcare system is best viewed as a complex entity; successful innovation is a function of the level of local autonomy experienced by individuals, teams and the unit involved; innovation is most effective when it involves key stakeholders.<h4>Conclusion</h4>The purposeful integration of systems theory with knowledge translation theories and models may enable the application of research and new knowledge to practice to be speeded up. |
Keywords: | facilitation innovation knowledge translation nursing organizational change practice, systems theory |
Rights: | © 2008 The Author. Journal compilation © 2008 Blackwell Publishing Ltd |
DOI: | 10.1111/j.1365-2648.2008.04864.x |
Published version: | http://dx.doi.org/10.1111/j.1365-2648.2008.04864.x |
Appears in Collections: | Aurora harvest 5 Nursing publications |
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