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- W18785637 abstract "The recent literature on management emphasises the crucial role of social networks in negotiating what comes to beaccepted as knowledge in a given milieu. Various models have been suggested to explain how both codified and tacit areiteratively negotiated among communities of practice as they construct- or combine - many sources of relevant information in an actof collective sensemaking and enaction. The processes described contrast markedly with the simplistic and rationalist approach toresearch implementation advocated by most proponents of evidence-based healthcare. Our paper reanalyses case-study data from an evaluation that was carried out of an attempt in the 1990s to influence surgeons in theiruse of the insertion of grommets for glue ear. We present a detailed account of the processes by which from the researchworld was introduced into clinical policy and practice. We develop a model that reflects the essentially contingent social andorganisational determinants of the ways that became accepted and used in a given local environment. Key elements of theprocess were the nature of the scientific evidence, and the motives and interests both of those in the higher echelons of the healthservice in promoting it, and of the local protagonists who were negotiating a guideline for the management of the condition. We use ourmodel to analyse how these elements impacted upon the formulation and reformulation of the research evidence as key actors attributedmeaning and action to the research findings in the context of their work." @default.
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- W18785637 date "1970-01-01" @default.
- W18785637 modified "2023-09-24" @default.
- W18785637 title "Organisationally embedded evidence: how surgical knowledge-in-practice was constructed from research findings" @default.
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