Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A realist evaluation of the role of communities of practice in changing healthcare practice | Ranmuthugala et al. Implementation Science 2011 6 49 http content 6 1 49 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access A realist evaluation of the role of communities of practice in changing healthcare practice 1 I- s s I 1 1 1 2 Geetha Ranmuthugala Frances C Cunningham Jennifer J Plumb Janet Long Andrew Georgiou Johanna I Westbrook2 and Jeffrey Braithwaite 1 Abstract Background Healthcare organisations seeking to manage knowledge and improve organisational performance are increasingly investing in communities of practice CoPs . Such investments are being made in the absence of empirical evidence demonstrating the impact of CoPs in improving the delivery of healthcare. A realist evaluation is proposed to address this knowledge gap. Underpinned by the principle that outcomes are determined by the context in which an intervention is implemented a realist evaluation is well suited to understand the role of CoPs in improving healthcare practice. By applying a realist approach this study will explore the following questions What outcomes do CoPs achieve in healthcare Do these outcomes translate into improved practice in healthcare What are the contexts and mechanisms by which CoPs improve healthcare Methods The realist evaluation will be conducted by developing testing and refining theories on how why and when CoPs improve healthcare practice. When collecting data context will be defined as the setting in which the CoP operates mechanisms will be the factors and resources that the community offers to influence a change in behaviour or action and outcomes will be defined as a change in behaviour or work practice that occurs as a result of accessing resources provided by the CoP. Discussion Realist evaluation is being used increasingly to study social interventions where context plays an important role in determining outcomes. This study further enhances the value of realist evaluations by incorporating a social .
