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A realist evaluation of the role of communities of practice in changing healthcare practice

Ranmuthugala, Geetha, Cunningham, Frances C., Plumb, Jennifer, Long, Janet, Georgiou, Andrew, Westbrook, Johanna I. and Braithwaite, Jeffrey (2011). A realist evaluation of the role of communities of practice in changing healthcare practice. Implementation Science,6:1-6.

Document type: Journal Article
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ARC Grant No. DP0986493
IRMA ID 75039815xPUB500
Title A realist evaluation of the role of communities of practice in changing healthcare practice
Author Ranmuthugala, Geetha
Cunningham, Frances C.
Plumb, Jennifer
Long, Janet
Georgiou, Andrew
Westbrook, Johanna I.
Braithwaite, Jeffrey
Journal Name Implementation Science
Publication Date 2011
Volume Number 6
eISSN 1748-5908
Scopus ID 2-s2.0-79956222640
Start Page 1
End Page 6
Total Pages 6
Place of Publication United Kingdom
Publisher BioMed Central
HERDC Category C2 - Journal Article - Other contributions to refereed journal (internal)
Abstract Background
Healthcare organisations seeking to manage knowledge and improve organisational performance are increasingly investing in communities of practice (CoPs). Such investments are being made in the absence of empirical evidence demonstrating the impact of CoPs in improving the delivery of healthcare. A realist evaluation is proposed to address this knowledge gap. Underpinned by the principle that outcomes are determined by the context in which an intervention is implemented, a realist evaluation is well suited to understand the role of CoPs in improving healthcare practice. By applying a realist approach, this study will explore the following questions: What outcomes do CoPs achieve in healthcare? Do these outcomes translate into improved practice in healthcare? What are the contexts and mechanisms by which CoPs improve healthcare?

Methods
The realist evaluation will be conducted by developing, testing, and refining theories on how, why, and when CoPs improve healthcare practice. When collecting data, context will be defined as the setting in which the CoP operates; mechanisms will be the factors and resources that the community offers to influence a change in behaviour or action; and outcomes will be defined as a change in behaviour or work practice that occurs as a result of accessing resources provided by the CoP.

Discussion
Realist evaluation is being used increasingly to study social interventions where context plays an important role in determining outcomes. This study further enhances the value of realist evaluations by incorporating a social network analysis component to quantify the structural context associated with CoPs. By identifying key mechanisms and contexts that optimise the effectiveness of CoPs, this study will contribute to creating a framework that will guide future establishment and evaluation of CoPs in healthcare.
DOI http://dx.doi.org/10.1186/1748-5908-6-49   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 2.0 License
URL https://creativecommons.org/licenses/by/2.0/


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