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Knowledge boundaries for implementation of quality improvement interventions; a qualitative study.

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Summary
This summary is machine-generated.

This study identifies syntactic, semantic, and pragmatic knowledge boundaries hindering quality improvement interventions in Norwegian nursing homes and homecare services. Understanding these barriers is key to successful implementation.

Keywords:
homecare servicesimplementationinterventionsknowledge boundariesnursing homesquality improvement

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Knowledge Management

Background:

  • Quality improvement interventions are crucial for healthcare but face implementation challenges.
  • Understanding knowledge boundaries is essential for successful adoption of new practices.

Purpose of the Study:

  • To identify and understand syntactic, semantic, and pragmatic knowledge boundaries in nursing home and homecare quality improvement initiatives.
  • To explore barriers to the implementation of quality improvement interventions in Norwegian healthcare settings.

Main Methods:

  • Exploratory qualitative methodology utilizing individual and focus group interviews.
  • Grounded theory analysis of data from leaders and development nurses in Norwegian nursing homes and homecare services.
  • Data collected from externally and internally driven interventions.

Main Results:

  • Syntactic boundaries included lack of meeting arenas and knowledge transfer, impacting staff dissemination and training.
  • Semantic boundaries involved ambiguity and lack of perceived impact, often related to facilitator role uncertainty.
  • Pragmatic boundaries encompassed lack of ownership, resistance, workload, and support, reflecting challenges in changing practices.

Conclusions:

  • The study provides a framework for understanding knowledge boundaries in quality intervention implementation.
  • Identified solutions can help overcome syntactic, semantic, and pragmatic barriers in healthcare settings.