Knowledge to Action? [electronic resource] : Evidence-Based Health Care in Context
Dopson, Sue.
Fitzgerald, Louise.
Oxford : Oxford University Press,
2005.
Health services can and should be improved by applying research findings about best practice. Yet, in Knolwedge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complex organizational structures. The book draws on a large body of evidence acquired in the course of nearly fifty in-depth case studies, following attempts to introduce evidence-based practice in the UK NHS over more than a decade. Using qualitative methods to study hospital and primary care settings, they are 
Description based upon print version of record.
Contents; List of Tables; List of Figures; List of Appendices; Abbreviations; 1 Introduction; 1.1 The organization of the book; 2 Studying Complex Organizations in Health Care; 2.1 Introduction; 2.2 Key research traditions within organizational studies; 2.3 Qualitative organizational research; 2.4 Three core models of organization; 2.4.1 Modernist perspective; 2.4.2 Symbolic interpretive perspective, enactment, and the social construction of reality; 2.4.3 Postmodern organizational theory; 2.5 Organizational studies and the analysis of health care organizations: differing development patterns
2.6 The current literature on EBHC implementation and an organizational 'gap'2.7 High organizational complexity and variability: implications for EBHC implementation; 2.7.1 The importance of context; 2.7.2 Processes, not events; 2.7.3 The contestability of evidence; 2.7.4 Multiple actors; 2.7.5 Autonomous professional groupings; 2.7.6 Cognitive boundaries: different research paradigms; 2.8 Methodological implications: a finely grained approach to analysing EBHC initiatives; 2.9 Concluding remarks; 3 Evidence-Based Health Care and the Implementation Gap; 3.1 Introduction; 3.2 What is EBHC?
3.3 The rationale for EBHC: the gap between research and practice3.4 The emergence of the EBHC movement; 3.4.1 Interest from policy-makers; 3.5 Can EBHC bridge the implementation gap?; 3.6 From EBHC to EBP?; 3.7 Concluding remarks; 4 Research Design: 'Upscaling' Qualitative Research; 4.1 Introduction; 4.2 The positivistic paradigm and HSR; 4.3 The interpretive paradigm and HSR; 4.4 What are the signs of rigour within qualitative research?; 4.5 Case study design; 4.5.1 Improving the quality of case study research; 4.6 Upscaling: a search for higher external validity; 4.7 Our methods
4.7.1 Cross-study comparison: are our seven studies similar or different?4.8 Methodological challenges in cross-study synthesis; 4.8.1 The complexity of process data; 4.8.2 Synthesizing data on multiple units and levels of analysis with ambiguous boundaries; 4.8.3 The influence of the theoretical assumptions of researchers and issues of interpretation; 4.9 Concluding remarks; 5 The Active Role of Context; 5.1 Introduction; 5.2 Context and organizational studies; 5.3 Aspects of context that influence the career of EBHC initiatives
5.4 What are the building blocks of a more sophisticated notion of context?5.5 Concluding remarks; 6 Professional Boundaries and the Diffusion of Innovation; 6.1 Introduction; 6.2 Power, professional jurisdiction, and the State; 6.3 The role of knowledge in securing and maintaining professional status; 6.4 Becoming a professional: professional socialization and training; 6.5 Professionals as managers and managers as professionals; 6.5.1 Professionals as managers; 6.6 Review of our empirical material on professional boundaries and their impact on translation processes
6.6.1 The role of the State in the diffusion of innovations
Health services can and should be improved by applying research findings about best practice. Yet, in Knolwedge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complex organizational structures. The book draws on a large body of evidence acquired in the course of nearly fifty in-depth case studies, following attempts to introduce evidence-based practice in the UK NHS over more than a decade. Using qualitative methods to study hospital and primary care settings, they are 
Description based on print version record.
Includes bibliographical references and index.
Evidence-based medicine -- Great Britain.
Evidence-based medicine
Evidence-Based Practice
Clinical Medicine
Health Occupations
Medicine
Disciplines and Occupations
Evidence-Based Medicine
Medicine
Health & Biological Sciences
Medical Ethics & Philosophy