Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/80846
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Type: Journal article
Title: Collaborations for Leadership in Applied Health Research and Care: lessons from the theory of communities of practice
Author: Kislov, R.
Harvey, G.
Walshe, K.
Citation: Implementation Science, 2011; 6(64):1-10
Publisher: BioMed Central Ltd
Issue Date: 2011
ISSN: 1748-5908
1748-5908
Statement of
Responsibility: 
Roman Kislov, Gill Harvey and Kieran Walshe
Abstract: Background: The paper combines the analytical and instrumental perspectives on communities of practice (CoPs) to reflect on potential challenges that may arise in the process of interprofessional and inter-organisational joint working within the Collaborations for Leaderships in Applied Health Research and Care (CLAHRCs)--partnerships between the universities and National Health Service (NHS) Trusts aimed at conducting applied health research and translating its findings into day-to-day clinical practice. Discussion: The paper discusses seminal theoretical literature on CoPs as well as previous empirical research on the role of these communities in healthcare collaboration, which is organised around the following three themes: knowledge sharing within and across CoPs, CoP formation and manageability, and identity building in CoPs. It argues that the multiprofessional and multi-agency nature of the CLAHRCs operating in the traditionally demarcated organisational landscape of the NHS may present formidable obstacles to knowledge sharing between various professional groupings, formation of a shared 'collaborative' identity, and the development of new communities within the CLAHRCs. To cross multiple boundaries between various professional and organisational communities and hence enable the flow of knowledge, the CLAHRCs will have to create an effective system of 'bridges' involving knowledge brokers, boundary objects, and cross-disciplinary interactions as well as address a number of issues related to professional and organisational identification. Summary: The CoP approach can complement traditional 'stage-of-change' theories used in the field of implementation research and provide a basis for designing theory-informed interventions and evaluations. It can help to illuminate multiple boundaries that exist between professional and organisational groups within the CLAHRCs and suggest ways of crossing those boundaries to enable knowledge transfer and organisational learning. Achieving the aims of the CLAHRCs and producing a sustainable change in the ways applied health research is conducted and implemented may be influenced by how effectively these organisations can navigate through the multiple CoPs involved and promote the development of new multiprofessional and multi-organisational communities united by shared practice and a shared sense of belonging--an assumption that needs to be explored by further empirical research.
Keywords: Humans; Cooperative Behavior; Leadership; Evidence-Based Medicine; Empirical Research; Diffusion of Innovation; Health Services Research; State Medicine; Quality of Health Care; Community-Based Participatory Research; United Kingdom
Rights: © 2011 Kislov et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0020133972
DOI: 10.1186/1748-5908-6-64
Appears in Collections:Nursing publications

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