ArticleBMJ open2019
Knowledge mobilisation: an ethnographic study of the influence of practitioner mindlines on atopic eczema self-management in primary care in the UK.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Visualization of childhood allergic diseases based on VOSviewer and CiteSpace.Frontiers in medicine · 2025Pooled it
- Where do UK clinicians find information at the point of care? A pragmatic, exploratory study.BMC primary care · 2024Article
- Practices and Perceptions of Community Pharmacists in the Management of Atopic Dermatitis: A Systematic Review and Thematic Synthesis.Healthcare (Basel, Switzerland) · 2023Review
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- Current Utilization of Qualitative Methodologies in Dermatology: A Scoping Review.JID innovations : skin science from molecules to population health · 2023Article
- GPs' mindlines on deprescribing antihypertensives in older patients with multimorbidity: a qualitative study in English general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- The content and conduct of GP consultations for dermatology problems: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
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Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore how atopic eczema specific mindlines are developed by primary care practitioners.
designEthnographic study.
settingOne large, urban general practice in central England.
participantsIn observation, all practitioners and support staff in the practice and in interviews a diverse group of practitioners (n=16).
resultsObservation of over 250 hours and interview data were combined and analysed using an ethnographic approach through the lenses of mindlines and self-management. Three themes were identified: beliefs about eczema, eczema knowledge and approaches to self-management. Eczema mindlines are set against a backdrop of it being a low priority and not managed as a long-term condition. Practitioners believed that eczema is simple to manage with little change in treatments available and prescribing limited by local formularies. Practice is largely based on tacit knowledge and experience. Self-management is expected but not often explicitly facilitated. Clinical decisions are made from knowledge accumulated over time. Societal and technological developments have altered the way in which practitioner mindlines are developed; in eczema, for most, they are relatively static.
conclusionsThe outstanding challenge is to find novel, profession and context-specific, simple, pragmatic strategies to revise or modify practitioner mindlines by adding reliable and useful knowledge and by erasing outdated or inaccurate information thus potentially improve quality of eczema care.
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Registered trials
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