ArticleBMC health services research2018
What can organisational theory offer knowledge translation in healthcare? A thematic and lexical analysis.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Building parent/caregiver confidence and re-engaging in parent occupations: WeCare programme for parents/caregivers post developmental disability diagnosis.BMJ paediatrics open · 2025Article
- How does the external context affect an implementation processes? A qualitative study investigating the impact of macro-level variables on the implementation of goal-oriented primary care.Implementation science : IS · 2024Article
- Article
- Cues Disseminated by Professional Associations That Represent 5 Health Care Professions Across 5 Nations: Lexical Analysis of Tweets.Journal of medical Internet research · 2023Article
- A qualitative study on relationships and perceptions between managers and clinicians and its effect on value-based healthcare within the national health service in the UK.Health services management research · 2022Article
- Implementation science in maternity care: a scoping review.Implementation science : IS · 2021Article
- Home-Care Workers' Representations of Their Role and Competences: A Diaphanous Profession.Frontiers in psychology · 2020Article
- What does it mean to conduct participatory research with Indigenous peoples? A lexical review.BMC public health · 2019Review
- Advancing the status of nursing: reconstructing professional nursing identity through patient safety work.BMC health services research · 2019Article
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the relative abundance of frameworks and models to guide implementation science, the explicit use of theory is limited. Bringing together two seemingly disparate fields of research, this article asks, what can organisational theory offer implementation science? This is examined by applying a theoretical lens that incorporates agency, institutional, and situated change theories to understand the implementation of healthcare knowledge into practice.
methodsInterviews were conducted with 20 general practitioners (GPs) before and after using a resource to facilitate evidence-based sexual healthcare. Research material was analysed using two approaches - researcher-driven thematic coding and lexical analysis, which was relatively less researcher-driven.
resultsThe theoretical lens elucidated the complex pathways of knowledge translation. More specifically, agency theory revealed tensions between the GP as agent and their organisations and patients as principals. Institutional theory highlighted the importance of GP-embeddedness within their chosen specialty of general practice; their medical profession; and the practice in which they worked. Situated change theory exposed the role of localised adaptations over time - a metamorphosis.
conclusionsThis study has theoretical, methodological, and practical implications. Theoretically, it is the first to examine knowledge translation using a lens premised on agency, institutional, and situated change theories. Methodologically, the study highlights the complementary value of researcher-driven and researcher-guided analysis of qualitative research material. Practically, this study signposts opportunities to facilitate knowledge translation - more specifically, it suggests that efforts to shape clinician practices should accommodate the interrelated influence of the agent and the institution, and recognise that change can be ever so subtle.
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