A Case Study of Knowledge Management in Multiagency Consumer-Informed `Communities of Practice': Implications for Evidence-Based Policy Development in Health and Social Services

Abstract

We report a study that facilitated and evaluated two multiagency Communities of Practice (CoPs) working on improving specific aspects of health and social services for older people, and analysed how they processed and applied knowledge in formulating their views. Data collection included observing and tape-recording the CoPs, interviewing participants and reviewing documents they generated and used. All these sources were analysed to identify knowledge-related behaviours. Four themes emerged from these data: (1) the way that certain kinds of knowledge became privileged and accepted; (2) the ways in which the CoP members transformed and internalized new knowledge; (3) how the haphazard processing of the available knowledge was contingent upon the organizational features of the groups; and (4) the ways in which the changing agendas, roles and power-relations had differential effects on collective sense making. We conclude by recommending ways in which the process of evidence-based policy development in such groups may be enhanced.

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References

Cabinet Office. (1998). Better government for older people programme. London: Cabinet Office .

Cohen, M.D., March, J. and Olsen, J. (1972). A garbage can model of organisational choice . Administrative Science Quarterly, 17, 1-25 .

Department of Health. (1999). Clinical governance: Quality in the new NHS. Leeds: Department of Health .

Department of Health. (2000). The NHS Plan: A plan for investment, a plan for reform. Norwich: The Stationery Office Limited .

Department of Health. (2002). Delivering the NHS Plan, next steps on investment, next steps on reform. Norwich: The Stationery Office Limited .

Ferlie, E., Gabbay, J., Fitzgerald, L., Locock, L. and Dopson, S. (2001). Evidence-based medicine and organisational change: An overview of some recent qualitative research. In L. Ashburner (Ed.), Organisational behaviour and organisational studies in health care: Reflections on the future, pp. 18-42. Basingstoke: Palgrave .

Fox, S. (2000). Communities of practice, Foucault and actor-network theory . Journal of Management Studies, 37, 853-867 .

Greenhalgh, T., Toon, P., Russell, J., Wong, G., Plumb, L. and Macfarlane, F. (2003). Transferability of principles of evidence based medicine to improve educational quality - systematic review and case study of an online course in primary heath care . British Medical Journal, 326, 142-145 .

Lathlean, J., Gabbay, J., le May, A., Jefferson, H., Webb, D., Lovelock, R. and Powell, J. (2002). Community of Practice Project: Making better connections. Southampton: University of Southampton for SE Regional Office of the Department of Health .

10.

Lave, J. and Wenger, E. (1991). Situated learning: Legitimate peripheral participation. New York: Cambridge University Press .

11.

Law, J. (1986). Power/knowledge and the dissolution of the sociology of knowledge. In J. Law (Ed.), Power, action and belief: A new sociology of knowledge, pp. 1-19. London: Routledge & Kegan Paul .

12.

Le May, A. (1999). Evidence based practice. Nursing Times Clinical Monograph No. 1. London: EMAP .

13.

McAdam, R. and McCreedy, S. (2000). A critique of knowledge management: Using a social constructionist model . New Technology, Work and Employment, 15, 155-168 .

14.

Muir Gray, J. (1998). Evidence-based healthcare. How to make health policy and management decisions. Edinburgh: Churchill Livingstone .

15.

Seaton, R. (2001). Interdisciplinary, knowledge dynamics and policy relevant research. In S. Oberg and S. van der Leeuw (Eds.), Environmental communication. Final report of a Concerted Action undertaken in the framework of the `Climate and Natural Hazards' Programme of Directorate-General XII of the European Commission, pp. 1-25. Uppsala: University of Uppsala .

16.

Streatfield, D. and Wilson, T. (1999). Deconstructing knowledge management . Aslib Proceedings, 51, 67-71 .

17.

Trinder, L. (2000). The context of evidence-based practice. In L. Trinder and S. Reynolds (Eds.), Evidence-based practice: A critical appraisal, pp. 1-16. Oxford: Blackwell Science .

18.

Webb, S. (1996). Knowledge management: Linchpin of change. London: ASLIB .

19.

Weick, K. (1995). Sensemaking in organizations. Thousand Oaks, CA: Sage Publications .

20.

Wenger, E. (1998). Communities of practice: Learning, meaning and identity. New York: Cambridge University Press .

21.

Wenger, E. (2000). Communities of practice and social learning systems . Organization, 7, 225-246 .

22.

Wenger, E., McDermot, R. and Snyder, W. (2002). Cultivating communities of practice: A guide to managing knowledge. Cambridge, MA: Harvard Business School Press .