Understanding professional advice networks in long-term care: an outside-inside view of best practice pathways for diffusion

Autor: Janice Keefe, Lisa Cranley, Peter G. Norton, Janet E. Squires, James W. Dearing, Genevieve Thompson, Whitney Berta, Deanne Taylor, Carole A. Estabrooks, Amanda M. Beacom
Přispěvatelé: University of Manitoba
Rok vydání: 2018
Předmět:
Counseling
Male
Canada
Diffusion of innovations
Mixed methods
Attitude of Health Personnel
Best practice
Interprofessional Relations
Information Seeking Behavior
Health Informatics
Interpersonal communication
Long-term care sector
Professional advice seeking networks
Health administration
Interviews as Topic
03 medical and health sciences
Interpersonal relationship
Seekers
0302 clinical medicine
Medicine
Humans
030212 general & internal medicine
lcsh:R5-920
Motivation
business.industry
030503 health policy & services
Health Policy
Research
Public Health
Environmental and Occupational Health
Opinion leadership
Health services research
Professional Practice
General Medicine
Public relations
Long-Term Care
Leadership
Female
Diffusion of Innovation
0305 other medical science
business
lcsh:Medicine (General)
Medical Informatics
Zdroj: Implementation Science : IS
Implementation Science, Vol 14, Iss 1, Pp 1-13 (2019)
ISSN: 1748-5908
Popis: Background: Interpersonal relationships among professionals drive both the adoption and rejection of consequential innovations. Through relationships, decision-makers learn which colleagues are choosing to adopt innovations, and why. The purpose of our study was to understand how and why long-term care (LTC) leaders in a pan-Canadian interpersonal network provide and seek advice about care improvement innovations, for the eventual dissemination and implementation of these innovations. Methods: We used a mixed methods approach. An online survey was sent to senior leaders in 958 LTC facilities in 11 Canadian provinces and territories. Participants were asked to name up to three individuals whose advice they most value when considering care improvement and practice innovations. Sociometric analysis revealed the structure of provincial-level advice networks and how those networks were linked. Using sociometric indicators, we purposively selected 39 key network actors to interview to explore the nature of advice relationships. Data were analyzed thematically. Results: In this paper, we report our qualitative findings. We identified four themes from the data. One theme related to characteristics of particular network roles: opinion leaders, advice seekers, and boundary spanners. Opinion leaders and boundary spanners have long tenures in LTC, a broad knowledge of the network, and share an interest in advancing the sector. Advice seekers were similarly committed to LTC; they initially seek and then, over time, exchange advice with opinion leaders and become an important source of information for them. A second theme related to characterizing advice seeking relationships as formal, peer-to-peer, mentoring, or reciprocal. The third and fourth themes described motivations for providing and seeking advice, and the nature of advice given and sought. Advice seekers initially sought information to resolve clinical care problems; however, over time, the nature of advice sought expanded to include operational and strategic queries. Opinion leaders sought to expand their networks and to solicit information from their more established advice seekers that might benefit the network and advance LTC. Conclusions: New knowledge about the distinct roles that different network actors play vis-a-vis one another offers healthcare professionals, researchers, and decision- and policy-makers insights that are useful when formulating best practice dissemination strategies.
Databáze: OpenAIRE
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