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Published in: BMC Health Services Research 1/2009

Open Access 01-12-2009 | Study protocol

The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks

Authors: Jeffrey Braithwaite, Johanna I Westbrook, Geetha Ranmuthugala, Frances Cunningham, Jennifer Plumb, Janice Wiley, Dianne Ball, Sue Huckson, Cliff Hughes, Brian Johnston, Joanne Callen, Nerida Creswick, Andrew Georgiou, Luc Betbeder-Matibet, Deborah Debono

Published in: BMC Health Services Research | Issue 1/2009

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Abstract

Background

Communities of practice and social-professional networks are generally considered to enhance workplace experience and enable organizational success. However, despite the remarkable growth in interest in the role of collaborating structures in a range of industries, there is a paucity of empirical research to support this view. Nor is there a convincing model for their systematic evaluation, despite the significant potential benefits in answering the core question: how well do groups of professionals work together and how could they be organised to work together more effectively? This research project will produce a rigorous evaluation methodology and deliver supporting tools for the benefit of researchers, policymakers, practitioners and consumers within the health system and other sectors. Given the prevalence and importance of communities of practice and social networks, and the extent of investments in them, this project represents a scientific innovation of national and international significance.

Methods and design

Working in four conceptual phases the project will employ a combination of qualitative and quantitative methods to develop, design, field-test, refine and finalise an evaluation framework. Once available the framework will be used to evaluate simulated, and then later existing, health care communities of practice and social-professional networks to assess their effectiveness in achieving desired outcomes. Peak stakeholder groups have agreed to involve a wide range of members and participant organisations, and will facilitate access to various policy, managerial and clinical networks.

Discussion

Given its scope and size, the project represents a valuable opportunity to achieve breakthroughs at two levels; firstly, by introducing novel and innovative aims and methods into the social research process and, secondly, through the resulting evaluation framework and tools. We anticipate valuable outcomes in the improved understanding of organisational performance and delivery of care. The project's wider appeal lies in transferring this understanding to other health jurisdictions and to other industries and sectors, both nationally and internationally. This means not merely publishing the results, but contextually interpreting them, and translating them to advance the knowledge base and enable widespread institutional and organisational application.
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Literature
1.
go back to reference Kvarnström S, Cedersund E: Discursive patterns in multiprofessional healthcare teams. Journal of Advanced Nursing. 2006, 53 (2): 244-252. 10.1111/j.1365-2648.2006.03719.x.CrossRefPubMed Kvarnström S, Cedersund E: Discursive patterns in multiprofessional healthcare teams. Journal of Advanced Nursing. 2006, 53 (2): 244-252. 10.1111/j.1365-2648.2006.03719.x.CrossRefPubMed
2.
go back to reference Stout R, Salas E: The role of trainee knowledge structures in aviation team environments. International Journal of Aviation Psychology. 1997, 7 (3): 235-250. 10.1207/s15327108ijap0703_4.CrossRefPubMed Stout R, Salas E: The role of trainee knowledge structures in aviation team environments. International Journal of Aviation Psychology. 1997, 7 (3): 235-250. 10.1207/s15327108ijap0703_4.CrossRefPubMed
3.
go back to reference Coupland C, Blyton P, Bacon N: A longitudinal study of the influence of shop floor work teams on expressions of 'us' and 'them'. Human Relations. 2005, 58 (8): 1055-1081. 10.1177/0018726705058503.CrossRef Coupland C, Blyton P, Bacon N: A longitudinal study of the influence of shop floor work teams on expressions of 'us' and 'them'. Human Relations. 2005, 58 (8): 1055-1081. 10.1177/0018726705058503.CrossRef
4.
go back to reference McKee T: Building successful teams in the midst of transition. The Journal for Quality and Participation. 2003, 26 (1): 43. McKee T: Building successful teams in the midst of transition. The Journal for Quality and Participation. 2003, 26 (1): 43.
5.
go back to reference Bleakley A: Broadening conceptions of learning in medical education: the message from teamworking. Medical Education. 2006, 40 (2): 150-157. 10.1111/j.1365-2929.2005.02371.x.CrossRefPubMed Bleakley A: Broadening conceptions of learning in medical education: the message from teamworking. Medical Education. 2006, 40 (2): 150-157. 10.1111/j.1365-2929.2005.02371.x.CrossRefPubMed
6.
go back to reference Wright MC, Kaber DB: Effects of automation of information-processing functions on teamwork. Human Factors. 2005, 47 (1): 50-66. 10.1518/0018720053653776.CrossRefPubMed Wright MC, Kaber DB: Effects of automation of information-processing functions on teamwork. Human Factors. 2005, 47 (1): 50-66. 10.1518/0018720053653776.CrossRefPubMed
7.
go back to reference Rosenfeld LB, Richman JM, May SK: Information adequacy, job satisfaction and organizational culture in a dispersed-network organization. Journal of Applied Communication Research. 2004, 32 (1): 28-54. 10.1080/0090988042000178112.CrossRef Rosenfeld LB, Richman JM, May SK: Information adequacy, job satisfaction and organizational culture in a dispersed-network organization. Journal of Applied Communication Research. 2004, 32 (1): 28-54. 10.1080/0090988042000178112.CrossRef
8.
go back to reference Ardichvili A, Page V, Wentling T: Motivation and barriers to participation in virtual knowledge-sharing communities of practice. Journal of Knowledge Management. 2003, 7 (1): 64-77. 10.1108/13673270310463626.CrossRef Ardichvili A, Page V, Wentling T: Motivation and barriers to participation in virtual knowledge-sharing communities of practice. Journal of Knowledge Management. 2003, 7 (1): 64-77. 10.1108/13673270310463626.CrossRef
9.
go back to reference Haesli A, Boxall P: When knowledge management meets HR strategy: an exploration of personalization-retention and codification-recruitment configurations. The International Journal of Human Resource Management. 2005, 16 (11): 1955-1975. 10.1080/09585190500314680.CrossRef Haesli A, Boxall P: When knowledge management meets HR strategy: an exploration of personalization-retention and codification-recruitment configurations. The International Journal of Human Resource Management. 2005, 16 (11): 1955-1975. 10.1080/09585190500314680.CrossRef
10.
go back to reference Pathirage CP, Amaratunga DG, Haigh RP: Tacit knowledge and organisational performance: construction industry perspective. Journal of Knowledge Management. 2007, 11 (1): 115-126. 10.1108/13673270710728277.CrossRef Pathirage CP, Amaratunga DG, Haigh RP: Tacit knowledge and organisational performance: construction industry perspective. Journal of Knowledge Management. 2007, 11 (1): 115-126. 10.1108/13673270710728277.CrossRef
11.
go back to reference Weick K, Sutcliffe K: Managing the unexpected: resilient performance in an age of uncertainty. 2007, San Francisco, CA: John Wiley & Sons, Inc, 2 Weick K, Sutcliffe K: Managing the unexpected: resilient performance in an age of uncertainty. 2007, San Francisco, CA: John Wiley & Sons, Inc, 2
12.
go back to reference Weingart SN, Page D: Implications for practice: challenges for healthcare leaders in fostering patient safety. Quality & Safety in Health Care. 2004, 13 (suppl_2): ii52-56. 10.1136/qshc.2003.009621.CrossRef Weingart SN, Page D: Implications for practice: challenges for healthcare leaders in fostering patient safety. Quality & Safety in Health Care. 2004, 13 (suppl_2): ii52-56. 10.1136/qshc.2003.009621.CrossRef
13.
go back to reference Antonacopoulou E, Ferdinand J, Graca M, Easterby-Smith M: Dynamic capabilities and organizational learning: socio-political tensions in organizational renewal. 2005, London: Advanced Institute of Management Research Working Paper Series Antonacopoulou E, Ferdinand J, Graca M, Easterby-Smith M: Dynamic capabilities and organizational learning: socio-political tensions in organizational renewal. 2005, London: Advanced Institute of Management Research Working Paper Series
14.
go back to reference Wenger E, McDermott R, Snyder W: Cultivating communities of practice. 2002, Boston, Massachusetts: Harvard Business School Press Wenger E, McDermott R, Snyder W: Cultivating communities of practice. 2002, Boston, Massachusetts: Harvard Business School Press
15.
go back to reference Newman MEJ, Watts DJ, Strogatz SH: Random graph models of social networks. Proceedings of the National Academy of Sciences of the United States of America. 2002, 19 (99 (Suppl 1)): 2566-2572. 10.1073/pnas.012582999.CrossRef Newman MEJ, Watts DJ, Strogatz SH: Random graph models of social networks. Proceedings of the National Academy of Sciences of the United States of America. 2002, 19 (99 (Suppl 1)): 2566-2572. 10.1073/pnas.012582999.CrossRef
16.
go back to reference Braithwaite J, Runciman WB, Merry A: Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health Care. 2009, 18: 37-41. 10.1136/qshc.2007.023317.CrossRefPubMedPubMedCentral Braithwaite J, Runciman WB, Merry A: Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health Care. 2009, 18: 37-41. 10.1136/qshc.2007.023317.CrossRefPubMedPubMedCentral
17.
go back to reference Gosling AS, Westbrook JI, Braithwaite J: Clinical team functioning and IT innovation: a study of the diffusion of a point-of-care online evidence system. Journal of the American Medical Informatics Association. 2003, 10: 246-253. 10.1197/jamia.M1285.CrossRef Gosling AS, Westbrook JI, Braithwaite J: Clinical team functioning and IT innovation: a study of the diffusion of a point-of-care online evidence system. Journal of the American Medical Informatics Association. 2003, 10: 246-253. 10.1197/jamia.M1285.CrossRef
18.
go back to reference Braithwaite J, Westbrook MT, Iedema R, Mallock NA, Forsyth R, Zhang K: A tale of two hospitals: assessing cultural landscapes and compositions. Social Science & Medicine. 2005, 60: 1149-1162. 10.1016/j.socscimed.2004.06.046.CrossRef Braithwaite J, Westbrook MT, Iedema R, Mallock NA, Forsyth R, Zhang K: A tale of two hospitals: assessing cultural landscapes and compositions. Social Science & Medicine. 2005, 60: 1149-1162. 10.1016/j.socscimed.2004.06.046.CrossRef
19.
go back to reference Mohr JJ, Batalden PB: Improving safety on the front lines: the role of clinical microsystems. Quality & Safety in Health Care. 2002, 11 (1): 45-50. 10.1136/qhc.11.1.45.CrossRef Mohr JJ, Batalden PB: Improving safety on the front lines: the role of clinical microsystems. Quality & Safety in Health Care. 2002, 11 (1): 45-50. 10.1136/qhc.11.1.45.CrossRef
21.
go back to reference Ballard DJ: Indicators to improve clinical quality across an integrated health care system. International Journal of Quality in Health Care. 2003, 15: 13i-i23. 10.1093/intqhc/mzg080.CrossRef Ballard DJ: Indicators to improve clinical quality across an integrated health care system. International Journal of Quality in Health Care. 2003, 15: 13i-i23. 10.1093/intqhc/mzg080.CrossRef
22.
go back to reference Wenger E: Communities of practice: learning, meaning and identity. 1998, Cambridge: Cambridge University PressCrossRef Wenger E: Communities of practice: learning, meaning and identity. 1998, Cambridge: Cambridge University PressCrossRef
23.
go back to reference Buchanan M: Nexus: Small worlds and the groundbreaking science of networks. 2003, New York: WW Norton Buchanan M: Nexus: Small worlds and the groundbreaking science of networks. 2003, New York: WW Norton
24.
go back to reference Watts DJ: Six degrees: The science of a connected age. 2004, New York: WW Norton Watts DJ: Six degrees: The science of a connected age. 2004, New York: WW Norton
25.
go back to reference Barabási A-L: Linked: The new science of networks. 2002, Boulder, Colorado: Perseus Barabási A-L: Linked: The new science of networks. 2002, Boulder, Colorado: Perseus
26.
go back to reference Johnson S: Emergence: the connected lives of ants, brains, cities and software. 2001, London: Penguin Johnson S: Emergence: the connected lives of ants, brains, cities and software. 2001, London: Penguin
28.
go back to reference Boland R, Tenkasi R: Perspective making and perspective taking in communities of knowing. Organization Science. 1995, 6 (4): 350-372. 10.1287/orsc.6.4.350.CrossRef Boland R, Tenkasi R: Perspective making and perspective taking in communities of knowing. Organization Science. 1995, 6 (4): 350-372. 10.1287/orsc.6.4.350.CrossRef
30.
go back to reference Lave J, Wenger E: Situated learning: Legitimate Peripheral Participation. 1991, Cambridge: Cambridge University PressCrossRef Lave J, Wenger E: Situated learning: Legitimate Peripheral Participation. 1991, Cambridge: Cambridge University PressCrossRef
31.
go back to reference Cott C: 'We decide, you carry it out': A social network analysis of multidisciplinary long-term care teams. Social Science and Medicine. 1997, 45 (9): 1411-1421. 10.1016/S0277-9536(97)00066-X.CrossRefPubMed Cott C: 'We decide, you carry it out': A social network analysis of multidisciplinary long-term care teams. Social Science and Medicine. 1997, 45 (9): 1411-1421. 10.1016/S0277-9536(97)00066-X.CrossRefPubMed
32.
go back to reference Lesser EL, Storck J: Communities of practice and organizational performance. IBM Systems Journal. 2001, 40 (4): 831-841.CrossRef Lesser EL, Storck J: Communities of practice and organizational performance. IBM Systems Journal. 2001, 40 (4): 831-841.CrossRef
33.
go back to reference Dubé L, Bourhis A, Jacob R: Towards a typology of virtual communities of practice. Interdisciplinary Journal of Information, Knowledge, and Management. 2006, 1: 69-93. Dubé L, Bourhis A, Jacob R: Towards a typology of virtual communities of practice. Interdisciplinary Journal of Information, Knowledge, and Management. 2006, 1: 69-93.
34.
39.
go back to reference Braithwaite J: Organisational change, patient-focused care: an Australian perspective. Health Services Management Research. 1995, 8 (3): 172-185.PubMed Braithwaite J: Organisational change, patient-focused care: an Australian perspective. Health Services Management Research. 1995, 8 (3): 172-185.PubMed
40.
go back to reference Levi D: Group dynamics for teams. 2007, Thousand Oaks, CA: Sage Levi D: Group dynamics for teams. 2007, Thousand Oaks, CA: Sage
41.
go back to reference Watts DJ, Strogatz SH: Collective dynamics of 'small-world' networks. Nature. 1998, 393: 440-442. 10.1038/30918.CrossRefPubMed Watts DJ, Strogatz SH: Collective dynamics of 'small-world' networks. Nature. 1998, 393: 440-442. 10.1038/30918.CrossRefPubMed
42.
go back to reference Braithwaite J: Analysing social structural and cultural change in acute settings using a Giddens-Weick paradigmatic approach. Health Care Analysis. 2006, 14: 91-102. 10.1007/s10728-006-0014-8.CrossRefPubMed Braithwaite J: Analysing social structural and cultural change in acute settings using a Giddens-Weick paradigmatic approach. Health Care Analysis. 2006, 14: 91-102. 10.1007/s10728-006-0014-8.CrossRefPubMed
43.
go back to reference Braithwaite J: An empirical assessment of social structural and cultural change in acute settings. Health Care Analysis. 2006, 14: 185-193. 10.1007/s10728-006-0025-5.CrossRefPubMed Braithwaite J: An empirical assessment of social structural and cultural change in acute settings. Health Care Analysis. 2006, 14: 185-193. 10.1007/s10728-006-0025-5.CrossRefPubMed
44.
go back to reference Braithwaite J, Westbrook M, Travaglia J, Iedema R, Mallock N, Long D, Nugus P, Forsyth R, Jorm C, Pawsey M: Are health systems changing in support of patient safety? A multi-methods evaluation of education, attitudes and practice. International Journal of Health Care Quality Assurance. 2007, 20 (7): 585-601. 10.1108/09526860710822725.CrossRefPubMed Braithwaite J, Westbrook M, Travaglia J, Iedema R, Mallock N, Long D, Nugus P, Forsyth R, Jorm C, Pawsey M: Are health systems changing in support of patient safety? A multi-methods evaluation of education, attitudes and practice. International Journal of Health Care Quality Assurance. 2007, 20 (7): 585-601. 10.1108/09526860710822725.CrossRefPubMed
45.
go back to reference Øvretveit J: Action evaluation of health programmes and changes: a handbook for a user-focused approach. 2002, Oxford: Radcliffe Medical Press Øvretveit J: Action evaluation of health programmes and changes: a handbook for a user-focused approach. 2002, Oxford: Radcliffe Medical Press
46.
go back to reference Westbrook M, Braithwaite J, Travaglia J, Long D, Jorm C, Iedema R: Promoting safety: varied reactions of doctors, nurses and allied health professionals to a safety improvement program. International Journal of Health Care Quality Assurance. 2007, 20 (7): 555-571. 10.1108/09526860710822707.CrossRefPubMed Westbrook M, Braithwaite J, Travaglia J, Long D, Jorm C, Iedema R: Promoting safety: varied reactions of doctors, nurses and allied health professionals to a safety improvement program. International Journal of Health Care Quality Assurance. 2007, 20 (7): 555-571. 10.1108/09526860710822707.CrossRefPubMed
48.
go back to reference Westbrook JI, Braithwaite J, Georgiou A, Ampt A, Creswick N, Coiera E, Iedema R: Multi-method evaluation of information and communication technologies in health in the context of wicked problems and socio-technical theory. Journal of the American Medical Informatics Association. 2007, 14: 746-755. 10.1197/jamia.M2462.CrossRefPubMedPubMedCentral Westbrook JI, Braithwaite J, Georgiou A, Ampt A, Creswick N, Coiera E, Iedema R: Multi-method evaluation of information and communication technologies in health in the context of wicked problems and socio-technical theory. Journal of the American Medical Informatics Association. 2007, 14: 746-755. 10.1197/jamia.M2462.CrossRefPubMedPubMedCentral
49.
go back to reference Verburg RM, Andriessen JHE: The assessment of communities of practice. Knowledge and Process Management. 2006, 13 (1): 13-25. 10.1002/kpm.241.CrossRef Verburg RM, Andriessen JHE: The assessment of communities of practice. Knowledge and Process Management. 2006, 13 (1): 13-25. 10.1002/kpm.241.CrossRef
50.
go back to reference Faragher EB, Cass M, Cooper CL: The relationship between job satisfaction and health: a meta-analysis. Occupational and Environmental Medicine. 2005, 62: 105-112. 10.1136/oem.2002.006734.CrossRefPubMedPubMedCentral Faragher EB, Cass M, Cooper CL: The relationship between job satisfaction and health: a meta-analysis. Occupational and Environmental Medicine. 2005, 62: 105-112. 10.1136/oem.2002.006734.CrossRefPubMedPubMedCentral
51.
go back to reference Denier E: Guidelines for national indicators of subjective well-being and ill-being. Applied Research in Quality of Life. 2006, 1: 151-157. 10.1007/s11482-006-9007-x.CrossRef Denier E: Guidelines for national indicators of subjective well-being and ill-being. Applied Research in Quality of Life. 2006, 1: 151-157. 10.1007/s11482-006-9007-x.CrossRef
52.
go back to reference Holton JA: Rehumanising knowledge work through fluctuating support networks: a grounded theory. The 37th World Congress of the International Institute of Sociology: 2005; Stockholm, Sweden. 2005, International Institute of Sociology Holton JA: Rehumanising knowledge work through fluctuating support networks: a grounded theory. The 37th World Congress of the International Institute of Sociology: 2005; Stockholm, Sweden. 2005, International Institute of Sociology
53.
go back to reference Roberts J: Limits to communities of practice. Journal of Management Studies. 2006, 43 (3): 623-639. 10.1111/j.1467-6486.2006.00618.x.CrossRef Roberts J: Limits to communities of practice. Journal of Management Studies. 2006, 43 (3): 623-639. 10.1111/j.1467-6486.2006.00618.x.CrossRef
54.
go back to reference Watson J, Ovseiko P, eds: Health care systems: major themes in health and social welfare. 2005, London: Routledge Watson J, Ovseiko P, eds: Health care systems: major themes in health and social welfare. 2005, London: Routledge
55.
go back to reference Boon H, Verhoef M, O'Hara D, Findlay B: From parallel practice to integrative health care: a conceptual framework. BMC Health Services Research. 2004, 4: 15-10.1186/1472-6963-4-15.CrossRefPubMedPubMedCentral Boon H, Verhoef M, O'Hara D, Findlay B: From parallel practice to integrative health care: a conceptual framework. BMC Health Services Research. 2004, 4: 15-10.1186/1472-6963-4-15.CrossRefPubMedPubMedCentral
57.
go back to reference Creswick N, Westbrook J: The medication advice-seeking network of staff in an Australian Hospital renal ward. Third International Conference on Information Technology in Health Care: Socio-technical Approaches: 2007; Amsterdam. 2007, IOS Press, 217-232. Creswick N, Westbrook J: The medication advice-seeking network of staff in an Australian Hospital renal ward. Third International Conference on Information Technology in Health Care: Socio-technical Approaches: 2007; Amsterdam. 2007, IOS Press, 217-232.
58.
go back to reference Creswick N, Westbrook J: Social network analysis of medication advice-seeking interactions among staff in an Australian hospital. International Journal of Medical Informatics. Creswick N, Westbrook J: Social network analysis of medication advice-seeking interactions among staff in an Australian hospital. International Journal of Medical Informatics.
59.
go back to reference Braithwaite J, Hu W, Sorensen R, Patterson R, Meyerkort S, Salkeld G, Zhang K, Mallock N, Iedema R, Betbeder-Matibet L: Report: Evaluation of the Clinical Practice Improvement Training Program. 2002, Sydney: Centre for Clinical Governance Research in Health, University of New South Wales Braithwaite J, Hu W, Sorensen R, Patterson R, Meyerkort S, Salkeld G, Zhang K, Mallock N, Iedema R, Betbeder-Matibet L: Report: Evaluation of the Clinical Practice Improvement Training Program. 2002, Sydney: Centre for Clinical Governance Research in Health, University of New South Wales
60.
go back to reference Cook R, Rasmussen J: "Going solid": a model of systems dynamics and consequences for patient safety. Quality & Safety in Health Care. 2005, 14: 130-134. 10.1136/qshc.2003.009530.CrossRef Cook R, Rasmussen J: "Going solid": a model of systems dynamics and consequences for patient safety. Quality & Safety in Health Care. 2005, 14: 130-134. 10.1136/qshc.2003.009530.CrossRef
61.
go back to reference Lattimer V, Brailsford S, Turnbull J, Tarnaras P, Smith H, George S, Gerard K, Maslin-Prothero S: Reviewing emergency care systems I: insights from systems dynamics modelling. Emergency Medicine Journal. 2004, 21: 685-691. 10.1136/emj.2002.003673.CrossRefPubMedPubMedCentral Lattimer V, Brailsford S, Turnbull J, Tarnaras P, Smith H, George S, Gerard K, Maslin-Prothero S: Reviewing emergency care systems I: insights from systems dynamics modelling. Emergency Medicine Journal. 2004, 21: 685-691. 10.1136/emj.2002.003673.CrossRefPubMedPubMedCentral
62.
go back to reference Sterman JD: Business dynamics: systems thinking and modeling for a complex world. 2000, Boston: McGraw-Hill Sterman JD: Business dynamics: systems thinking and modeling for a complex world. 2000, Boston: McGraw-Hill
Metadata
Title
The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks
Authors
Jeffrey Braithwaite
Johanna I Westbrook
Geetha Ranmuthugala
Frances Cunningham
Jennifer Plumb
Janice Wiley
Dianne Ball
Sue Huckson
Cliff Hughes
Brian Johnston
Joanne Callen
Nerida Creswick
Andrew Georgiou
Luc Betbeder-Matibet
Deborah Debono
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2009
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-9-162

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