Presentation Information

Moving Beyond Knowledge Translation: Some Positively Deviant Cases of Learning to Change - Ann Casebeer.

With all the research that is being done, and all the practice shifts being experienced, how do you know what research to pay attention to, and which practices and policies to implement? This session will focus on exploring some 'positively deviant' cases of researching and experiencing innovation within health system contexts, including:

The intent is to stimulate debate concerning how to nurture better use of better evidence towards improved practice in complicated and complex policy and decision-making environments.

From Research to Knowledge Transfer - how might it actually happen in practice? - John Gabbay.

Although Knowledge Transfer / Knowledge Utilization is growing as a research industry in its own right, I will suggest that we still have a long way to go in understanding how clinicians and policymakers use findings from the research world in their day-to-day decisions. Much depends, of course, on whether clinical/ health service research is dealing with the sorts of topics that practitioners find helpful, and also on ensuring that communication with research users is effective. As an example, I will briefly but critically discuss some of the ways in which the NIHR Health Technology Assessment programme has attempted to do this.

Much also depends, however, on our understanding better how health professionals more generally manage and use knowledge in practice. Drawing on our own recent studies of communities of practice and an ongoing ethnography of primary care in which we are developing the concept of collective "mindlines" (internalized, largely tacit guidelines for practice), I will suggest some possible ways in which knowledge transfer might be critically explored and improved.

Brief Biographies

Ann Casebeer

Ann Casebeer is Associate Professor in the Department of Community Health Sciences, and Associate Director of the Centre for Health and Policy Studies, both at the University of Calgary. She is also Academic Co-Director for SEARCH Canada. She combines an applied practice background with an academic grounding in organizational learning and systems change. Her understanding of innovation and broad social policy mechanisms for change within complex environments is grounded by 10 years in the UK National Health Service, and in over a decade with SEARCH (a public service organization targeting knowledge development for health gain). She is co-editor of Innovations in Health Care: A Reality Check (2006). Research expertise includes the use of qualitative and mixed methods in action-oriented contexts and for knowledge exchange and use.

John Gabbay

John Gabbay qualified in medicine at Manchester in 1974. From 1976 he spent 7 years at the Wellcome Unit for the History of Medicine in the Department of History and Philosophy of Science, Cambridge, where he worked on the social origins of medical knowledge. In the 1980s, having trained in public health, he carried out qualitative research on NHS management and the early implementation and evaluation of clinical audit. From 1992 until he retired in 2004 he was Professor of Public Health at the University of Southampton where he was foundation director of the Wessex Institute for Health R&D and, from 1998, director of the National Coordinating Centre for Health Technology Assessment. His recent research has focused on the implementation of evidence in clinical practice, and in particular on knowledge utilization in primary care.

Mike Pearson

Mike Pearson has been involved in national UK guidelines since 1990 and from 1997 led a NICE guidelines production unit and set up a national clinical audit program at the Royal College of Physicians. Since returning to Liverpool his interests have focussed on making routine NHS data useful for clinicians and in particular developing clinically validated indicators of care quality.