Evidence map›Paper›PMID 32746853›Full record

ArticleHealth research policy and systems2020

Communities of practice in Alberta Health Services: advancing a learning organisation.

Anna M Auer, Patricia Hanson, Barbara Brady-Fryer, Julie Alati-It, Allison L Johnson

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Sanitation ofFrontiers in veterinary science · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Anna M AuerAlberta Health Services, Knowledge Management Department, Provincial Clinical Excellence, Seventh Street Plaza, 10030 - 107 St, Edmonton, AB, T5J 3E4, Canada. anna.auer@ahs.ca.ORCID http://orcid.org/0000-0002-8499-1723
Patricia HansonAlberta Health Services, Knowledge Management Department, Provincial Clinical Excellence, Seventh Street Plaza, 10030 - 107 St, Edmonton, AB, T5J 3E4, Canada.ORCID https://orcid.org/0000-0002-7655-7601
Barbara Brady-FryerAlberta Health Services, Knowledge Management Department, Provincial Clinical Excellence, Seventh Street Plaza, 10030 - 107 St, Edmonton, AB, T5J 3E4, Canada.ORCID https://orcid.org/0000-0001-5015-1075
Julie Alati-ItAlberta Health Services, Knowledge Management Department, Provincial Clinical Excellence, Centre 15 Building, 100, 1509 Centre St. SW, Calgary, AB, T2G 2E6, Canada.ORCID https://orcid.org/0000-0003-4415-0804
Allison L JohnsonAlberta Health Services, Knowledge Management Department, Provincial Clinical Excellence, Centre 15 Building, 100, 1509 Centre St. SW, Calgary, AB, T2G 2E6, Canada.ORCID https://orcid.org/0000-0002-9686-8802
Alberta Health Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2009, Alberta Health Services (AHS) became Canada's first and largest fully integrated healthcare system, involving the amalgamation of nine regional health authorities and three provincial services. Within AHS, communities of practice (CoPs) meet regularly to learn from one another and to find ways to improve service quality. This qualitative study examined CoPs as an applied practice of a learning organisation along with their potential influence in a healthcare system by exploring the perspectives of CoP participants.

methodsA collective case study method was used to enable the examination of a cross-section of cases in the study organisation. Semi-structured interviews were conducted with 31 participants representing 28 distinct CoPs. Using Senge's framework of a learning organisation, CoP influences associated with team learning and organisational change were explored.

resultsCoPs in AHS were described as diverse in practice domains, focus, membership boundaries, attendance and sphere of influence. Using small-scale resource investments, CoPs provided members with opportunities for meaningful interactions, the capacity to build information pathways, and enhanced abilities to address needs at the point of care and service delivery. Overall, CoPs delivered a sophisticated array of engagement and knowledge-sharing activities perceived as supportive of organisational change, systems thinking, and the team learning practice critical to a learning organisation.

conclusionCoPs enable the diverse wealth of knowledge embedded in people, local conditions and special circumstances to flow from practice domain groups to programme and service areas, and into the larger system where it can effect organisational change. This research highlights the potential of CoPs to influence practice and broad-scale change more directly than previously understood or reported in the literature. As such, this study suggests that CoPs have the potential to influence and advance widespread systems change in Canadian healthcare.

Indexed as

Delivery of Health CareKnowledgeAlbertaCommunity Health ServicesHumansOrganizational InnovationAlberta Health ServicesCanadaCommunities of practiceDelivery of healthcareHealth organisationHealth regionKnowledge managementKnowledge sharingOrganisational changeSystems integration

Identifiers

PMID32746853
PMCPMC7397570
OpenAlexW3047541826

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.