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https://hdl.handle.net/2440/54144
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dc.contributor.author | Kitson, A. | - |
dc.date.issued | 2009 | - |
dc.identifier.citation | Journal of Advanced Nursing, 2009; 65(1):217-228 | - |
dc.identifier.issn | 0309-2402 | - |
dc.identifier.issn | 1365-2648 | - |
dc.identifier.uri | http://hdl.handle.net/2440/54144 | - |
dc.description.abstract | <h4>Background</h4>Despite over 40 years' work on general systems theory, informed by critical social science, there is a mismatch between the theories used to explain and influence clinical practice in nursing and the way in which transferring new knowledge into practice is articulated.<h4>Data sources</h4>The analysis and emerging propositions were based on a critique of seminal texts published in English up to 2008 covering critical social science, action science, diffusion of innovations, practice development and the management of innovations.<h4>Discussion</h4>There is an implicit adherence to the world view that healthcare systems operate like machines, and much of the science generated around knowledge translation research tends to be logico-deductive. This is in direct contrast to the prevailing arguments of general systems theorists, who view the system more as an organism. Five propositions are posited: knowledge translation is a necessary but not sufficient mechanism to transform systems; the 'system-as-machine' metaphor is profoundly unhelpful to knowledge translation; the healthcare system is best viewed as a complex entity; successful innovation is a function of the level of local autonomy experienced by individuals, teams and the unit involved; innovation is most effective when it involves key stakeholders.<h4>Conclusion</h4>The purposeful integration of systems theory with knowledge translation theories and models may enable the application of research and new knowledge to practice to be speeded up. | - |
dc.description.statementofresponsibility | Alison L. Kitson | - |
dc.language.iso | en | - |
dc.publisher | Blackwell Publishing Ltd | - |
dc.rights | © 2008 The Author. Journal compilation © 2008 Blackwell Publishing Ltd | - |
dc.source.uri | http://dx.doi.org/10.1111/j.1365-2648.2008.04864.x | - |
dc.subject | facilitation | - |
dc.subject | innovation | - |
dc.subject | knowledge translation | - |
dc.subject | nursing | - |
dc.subject | organizational change | - |
dc.subject | practice, systems | - |
dc.subject | theory | - |
dc.title | The need for systems change: reflections on knowledge translation and organizational change | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1111/j.1365-2648.2008.04864.x | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Kitson, A. [0000-0003-3053-8381] | - |
Appears in Collections: | Aurora harvest 5 Nursing publications |
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