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Type: Book chapter
Title: The chain of codified knowledge: Organisational enactment of evidence-based health care in four high-income countries
Author: Kislov, R.
Wilson, P.
Cummings, G.
Ehrenberg, A.
Gifford, W.
Kelly, J.
Kitson, A.
Pettersson, L.
Wallin, L.
Harvey, G.
Citation: Transitions and Boundaries in the Coordination and Reform of Health Services: Building Knowledge, Strategy and Leadership, 2020 / Nugus, P., Rodriguez, C., Denis, J., Chenevert, D. (ed./s), Ch.11, pp.243-267
Publisher: Palgrave Macmillan
Publisher Place: Cham, Switzerland
Issue Date: 2020
Series/Report no.: Organizational Behaviour in Healthcare
ISBN: 3030266834
Editor: Nugus, P.
Rodriguez, C.
Denis, J.
Chenevert, D.
Statement of
Roman Kislov, Paul Wilson, Greta Cummings, Anna Ehrenberg, Wendy Gifford, Janet Kelly, Alison Kitson, Lena Pettersson, Lars Wallin and Gill Harvey
Abstract: Kislov and colleagues draw on multiple qualitative case studies of evidence-based nursing conducted in Sweden, Canada, Australia and the UK to describe the chain of codified knowledge which reflects the institutionalisation of evidence-based practice as organisational “business as usual”. This chain is dominated by performance standards, policies and procedures and locally collected data, i.e. various forms of “evidence by proxy” which are, at best, informed by research only partly or indirectly, but are nevertheless perceived as credible evidence. This chapter reveals dual effects of this codification dynamic on evidence-based practice and highlights the influence of macro-level ideological, historical and technological factors on the composition and circulation of codified knowledge. It concludes by outlining the practical implications of the study for change agency in health-care reform.
Rights: © The Author(s) 2020
DOI: 10.1007/978-3-030-26684-4_11
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Appears in Collections:Nursing publications

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