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New theory from an old technique: the Rolma matrices
Damian Roland1, David Matheson
1Paediatric Emergency Medicine Leicester Academic Group, Leicester Royal Infirmary, Leicester, UK. dr98@le.ac.uk
The Clinical Teacher
|May 17, 2012
Summary
New Rolma matrices explain how clinician experience and tacit knowledge influence patient outcomes, impacting adherence to clinical practice guidelines. This helps understand why staff may not always follow best practices.
Area of Science:
- Medical Education
- Clinical Practice Guidelines
- Qualitative Research
Background:
- Non-adherence to clinical practice guidelines is complex, with many qualitative theory-based models.
- The 2x2 matrix simplifies complex information for clinicians lacking educational or qualitative backgrounds.
Purpose of the Study:
- To explore the concept of tacit knowledge and its relationship with evidence-based practice.
- To define the role of matrices in illustrating interactions between knowledge types and practice.
Main Methods:
- Exploration of tacit knowledge within evidence-based practice.
- Definition of matrix utility in demonstrating knowledge interactions.
- Development of two novel matrices (Rolma 1 and 2).
Main Results:
- Two new matrices are proposed to illustrate how patient outcomes can be determined by experience and tacit knowledge, independent of the evidence base.
- These matrices demonstrate the influence of experience and tacit knowledge on clinical judgment.
Conclusions:
- The Rolma 1 and 2 matrices can clarify how clinician experience affects judgment for all staff, irrespective of background.
- These matrices help explain why junior and senior staff might not always adhere to best practices.
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