We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The role of the middle manager in the implementation of evidence-based health care.
- Authors
Dopson, Sue; Fitzgerald, Louise
- Abstract
The present study reflects on the role of the middle manager in the implementation of what has become known as evidence-based health care. This movement advocates that clinical practice is continually informed by the results of robust research and evidence. In our work exploring the complexity of ensuring that practice is informed by evidence we have found that general managers have relatively little influence when compared with clinicians especially doctors. We argue that local professional groups work together in communities of practice, which are frequently uniprofessional. These boundaries affect the motivations for seeking improvement and upgrading and the way evidence and knowledge is perceived and interpreted. We argue that if the quality of health care is to be improved, we need to understand the complex historically and contextually informed interactions between different professional groups and to design diffusion strategies that acknowledge this complexity.
- Publication
Journal of nursing management, 2006, Vol 14, Issue 1, p43
- ISSN
0966-0429
- Publication type
Journal Article
- DOI
10.1111/j.1365-2934.2005.00612.x