ArticleHealth research policy and systems2015
Communities of practice for supporting health systems change: a missed opportunity.
Article in Health research policy and systems, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Communities of Practice in Long-Term Care-Exploring Frameworks, Barriers and Enablers: A Systematic Review.Australasian journal on ageing · 2026Pooled it
- Building capacity for leadership in family engagement in neurodevelopmental disability and child health research: A qualitative evaluation of the Family Engagement in Research Leadership Academy.Research involvement and engagement · 2026Article
- Catalyzing computational biology research at an academic institute through an interest network.PLoS computational biology · 2025Article
- Developing an online knowledge sharing platform and community of practice for health professionals: Experiences from C-WorKS developed in North East England and Yorkshire during COVID-19.Health information and libraries journal · 2025Article
- How can a community of practice support healthcare professionals navigating new roles? a case study of genetic counsellors employed to work in medical specialities.BMC health services research · 2025Article
- Evaluating a Virtual Community-of-Practice as Implementation Strategy for the Needs Assessment Framework in Intellectual Disability Care: A Quasi-Experimental Multi-Methods Study.Journal of applied research in intellectual disabilities : JARID · 2025Article
- Bridging the gap: a qualitative process evaluation from the perspectives of healthcare professionals of an audit-and-feedback-based intervention to improve transition to adult care for young people living with type 1 diabetes.BMC health services research · 2024Article
- How to use communities of practice to support change in learning health systems: A landscape of roles and guidance for management.Learning health systems · 2024Article
- Evidence-informed stakeholder consultations to promote rights-based approaches for children with disabilities.Frontiers in rehabilitation sciences · 2024Article
- How successful was the use of a community of practice for the implementation of evidence-based practices for heart failure within the United States Department of Veterans Affairs: Insights from a formative evaluation.Health research policy and systems · 2022Article
- Transdisciplinary Communities of Practice to Resolve Health Problems in Southeast Asian Artisanal and Small-Scale Gold Mining Communities.International journal of environmental research and public health · 2022Review
- Applications of social theories of learning in health professions education programs: A scoping review.Frontiers in medicine · 2022Article
- Communities of Practice in Acute and Forensic Psychiatry: Lessons Learned and Perceived Effects.The Psychiatric quarterly · 2021Article
- Needs assessment for the creation of a community of practice in a community health navigator cohort.BMC health services research · 2021Article
- Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond.Journal of medical ethics · 2021Article
- Improving practice through collaboration: Early experiences from the multi-site Spinal Cord Injury Implementation and Evaluation Quality Care Consortium.The journal of spinal cord medicine · 2021Article
- Examining the Disconnect Between Communities of Practice Learning Theory and Educational Practices in the PharmD Program in Qatar.American journal of pharmaceutical education · 2020Article
- The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature.Implementation science : IS · 2020Review
- Communities of practice in Alberta Health Services: advancing a learning organisation.Health research policy and systems · 2020Article
- The role of emergency preparedness exercises in the response to a mass casualty terrorist incident: A mixed methods study.International journal of disaster risk reduction : IJDRR · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundCommunities of practice (CoPs) have been used in the health sector to support professional practice change. However, little is known about how CoPs might be used to influence a system that requires change at and across various levels (i.e. front line care, organizational, governmental). In this paper we examine the experience of a CoP in the Canadian province of Ontario as it engages in improving the care of seniors. Our aim is to shed light on using CoPs to facilitate systems change.
methodsThis paper draws on year one findings of a larger multiple case study that is aiming to increase understanding of knowledge translation processes mobilized through CoPs. In this paper we strategically report on one case to illustrate a critical example of a CoP trying to effect systems change. Primary data included semi-structured interviews with CoP members (n = 8), field notes from five planning meetings, and relevant background documents. Data analysis included deductive coding (i.e. pre-determined codes aligned with the larger project) and inductive coding which allowed codes and themes to emerge. A thorough description of the case was prepared using all the coded data.
resultsThe CoP recognized a need to support health professionals (nurses, dentists) and related paraprofessionals with knowledge, experience, and resources to appropriately address their clients' oral health care needs. Accordingly, the CoP led a knowledge-to-action initiative that involved a seven-part webinar series meant to transfer step-by-step, skill-based knowledge through live and archived webinars. Although the core planning team functioned effectively to develop the webinars, the CoP was challenged by organizational and long-term care sector cultures, as well as governmental structures within the broader health context.
conclusionThe provincial CoP functioned as an incubator that brought together best practices, research, experiences, a reflective learning cycle, and passionate champions. Nevertheless, the CoP's efforts to stimulate practice changes were met with broader resistance. Research about how to use CoPs to influence health systems change is needed given that CoPs are being tasked with this goal.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.