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Seeing need and developing care: exploring knowledge for and from practice.

Charlotte L Clarke1, Jane Wilcockson

  • 1Faculty of Health, Social Work and Education, University of Northumbria at Newcastle, Coach Lane Campus, Benton, Newcastle upon Tyne NE7 7XA, UK. charlotte.clarke@unn.ac.uk

International Journal of Nursing Studies
|March 23, 2002
PubMed
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Practitioner knowledge is complex, with a focus on external evidence and internal, context-specific insights. This study highlights how local patient needs influence the application of evidence and policy in practice.

Area of Science:

  • Healthcare practice and knowledge translation
  • Organizational studies in healthcare
  • Professional development and learning

Background:

  • Contemporary healthcare emphasizes external evidence implementation.
  • Practitioner knowledge is also shaped by direct patient interaction and local context.
  • Understanding the interplay between external evidence and internal knowledge is crucial for effective practice.

Purpose of the Study:

  • To analyze the impact of practice developments on the broader professional and organizational community.
  • To investigate how practitioners utilize different forms of knowledge in patient care.
  • To explore the relationship between external evidence, policy, and local practice needs.

Main Methods:

  • A qualitative study employing a multidimensional sampling matrix.

Related Experiment Videos

  • Case study approach with three distinct practice sites.
  • Semi-structured interviews with 41 practitioners across various roles and professions.
  • Main Results:

    • Context-specific (proximal) knowledge was found to be primary in informing patient care.
    • Practitioners adapt and manipulate external evidence and policy to align with local patient needs.
    • The study identified the significance of the immediate practice environment in knowledge utilization.

    Conclusions:

    • Local, context-specific knowledge holds significant weight in clinical decision-making.
    • External evidence and policy are often integrated and modified based on practitioners' understanding of patient needs.
    • Effective knowledge translation requires acknowledging and leveraging both external evidence and practitioner-derived, context-specific knowledge.