The Chain of Codified Knowledge: Organisational Enactment of Evidence-Based Health Care in Four High-Income Countries

Roman Kislov, Paul Wilson, Greta Cummings, Anna Ehrenberg, Wendy Gifford, Janet Kelly, Alison Kitson, Lena Pettersson, Lars Wallin, Gill Harvey

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Kislov and colleagues draw on multiple qualitative case studies of evidence-based nursing conducted in Sweden, Canada, Australia and the UK to describe the chain of codified knowledge which reflects the institutionalisation of evidence-based practice as organisational “business as usual”. This chain is dominated by performance standards, policies and procedures and locally collected data, i.e. various forms of “evidence by proxy” which are, at best, informed by research only partly or indirectly, but are nevertheless perceived as credible evidence. This chapter reveals dual effects of this codification dynamic on evidence-based practice and highlights the influence of macro-level ideological, historical and technological factors on the composition and circulation of codified knowledge. It concludes by outlining the practical implications of the study for change agency in health-care reform.

Original languageEnglish
Title of host publicationTransitions and Boundaries in the Coordination and Reform of Health Services
Subtitle of host publicationBuilding Knowledge, Strategy and Leadership
EditorsPeter Nugus, Charo Rodriguez, Jean-Louis Denis, Denis Chênevert
PublisherPalgrave Macmillan
Chapter11
Pages243-267
Number of pages25
ISBN (Electronic)978-3-030-26684-4
ISBN (Print)978-3-030-26683-7, 978-3-030-26686-8
DOIs
Publication statusPublished - 2020

Publication series

NameOrganizational Behaviour in Healthcare
ISSN (Print)2662-1045
ISSN (Electronic)2662-1053

Keywords

  • Evidence-based health care
  • Clinical guidelines
  • Research evidence
  • Codifies knowledge
  • Codification
  • Cross-country analysis

Fingerprint

Dive into the research topics of 'The Chain of Codified Knowledge: Organisational Enactment of Evidence-Based Health Care in Four High-Income Countries'. Together they form a unique fingerprint.

Cite this