Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Getting evidence into clinical practice: an organisational behaviour perspective.

E Ferlie1, L Fitzgerald, M Wood

  • 1Imperial College Management School, London, UK.

Journal of Health Services Research & Policy
|August 18, 2000
PubMed
Summary

Research evidence has a weak link to clinical behavior change in the UK National Health Service (NHS). Social factors and professional dominance, not management, shape how evidence influences practice.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevalence of mutations in common tumour types in Northern England and comparable utility of national and international Trial Finders.

Journal of cancer research and clinical oncology·2023
Same author

A Classic Case of Panton-Valentine Leucocidin MethicillinResistant Staphylococcus Aureus (PVL-MRSA)

Irish medical journal·2019
Same author

Inequity in rehabilitation interventions after hip fracture: a systematic review.

Age and ageing·2019
Same author

Visualising the past - An evaluation of processes and sequences for fingermark recovery from old documents.

Science & justice : journal of the Forensic Science Society·2019
Same author

Standardized programming to reduce the burden of inappropriate therapies in implantable cardioverter defibrillators - Single centre follow up results.

Indian pacing and electrophysiology journal·2017
Same author

Encouraging Oral Analgesia in the Fasted Child Attending a Trauma Review Clinic.

Irish medical journal·2016

Area of Science:

  • Health Services Research
  • Evidence-Based Medicine Implementation
  • Clinical Practice Change

Background:

  • The UK National Health Service (NHS) aimed to integrate research evidence into clinical practice between 1995-1997.
  • Understanding the dynamics of clinical behavior change and evidence diffusion is crucial for healthcare improvement.
  • Previous efforts to reshape clinical practice faced challenges in translating research into routine care.

Purpose of the Study:

  • To investigate the relationship between research evidence and clinical behavior change within the NHS.
  • To examine the 'careers' of clinical change initiatives, their impact, and influencing factors.
  • To analyze the role of organizational and social factors in the adoption of evidence-based practices.

Main Methods:

Related Experiment Videos

  • Employed comparative case study methodology across four clinical change issues in one English NHS region.
  • Conducted semi-structured interviews with 119 participants and performed documentary analysis.
  • Utilized a two-level analysis: regional overview surveys and intensive local practice impact assessments.

    • Main Results:

    • A weak correlation was observed between the research evidence base and its diffusion into practice.
    • Evidence diffusion and uptake were socially constructed, with differential acceptance of various evidence forms.
    • Organizational and social factors significantly influenced the impact of evidence; NHS management played a minimal role.

    Conclusions:

    • Evidence-based medicine implementation is a complex and often contested process.
    • A professional dominance model explains clinical behavior change, highlighting tacit expert knowledge as a key influence.
    • Research evidence's impact on clinical practice is mediated by professional norms and social dynamics.