Communities of clinical practice in action
Doing whatever it takes
Bibliographic Data
| ID | 4218441 |
|---|---|
| Authors | James E Young (0000-0002-8173-0552, corresponding author), Jessica Young (0000-0002-9083-9875), C Jaye (0000-0002-7071-7774), Tony Egan (0000-0003-0693-996X), Martyn Williamson (0000-0003-1237-4045, University of Otago), Anna Askerud (0000-0001-7124-7885, Otago Polytechnic), Peter Radue (University of Otago, New Zealand; Mornington Health Centre, New Zealand), Maree Penese (Mornington Health Centre, New Zealand) |
| Year | 2018 |
| Volume | 22 |
| Issue | 2 |
| Pages | 109-127 |
| Publication date | 2018-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1363459316688515 |
| PMID | 28111987 |
| OpenAlex | W2581238935 |
| Language | EN |
| Citations received | 4 |
| References cited | 39 |
Burgeoning numbers of patients with long-term conditions requiring complex care have placed pressures on healthcare systems around the world. In New Zealand, complex patients are increasingly being managed within the community. The Community of Clinical Practice concept identifies the network of carers around an individual patient whose central participants share a common purpose of increasing that patient's well-being. We conducted a focused ethnography of nine communities of clinical practice in one general practice setting using participant observation and interviews, and examined the patients' medical records. Data were analysed using a template organising style. Communities of clinical practice were interprofessional and included informal supports, services and non-professionals. These communities of clinical practice mediate practice, utilising informal networks to cut across boundaries, bureaucracy, mandated clinical pathways and professional jurisdictions to achieve optimum patient-centred care. Communities of clinical practice's repertoires are characterised by care and are driven by the moral imperative to care. They do 'whatever it takes', although there is a cost to this form of care. Well-functioning communities of clinical practice use patient's well-being as a guiding light and, by sharing a vision of care through trusting and respectful relationships, avoid fragmentation of care. The Community of Clinical Practice (CoCP) model is particularly useful in accounting for the 'messiness' of community-based care
Bureaucracy · Clinical Practice · Community of practice · Ethnography · Health care · Participant observation · Political science · Public relations · Sociology · Interprofessional Education and Collaboration · Law · Medicine · Mental Health and Patient Involvement · Nursing · Primary Care and Health Outcomes · Psychology
Social organization of medical work
The New Zealand Experiment
Communities of Practice
Rethinking the patient
Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups
The conceptual basis for interprofessional collaboration
Profession of medicine
Doing Qualitative Research
The Managed Heart
We can see a future here”
Emotions in uniform
Heterarchy and the Analysis of Complex Societies
Layers of Silence, Arenas of Voice
Communities of clinical practice
Catching up
Influences of organizational features of healthcare settings on clinical decision making
The role of theory in ethnographic research
Transforming general practice
Making connections
Communities of clinical practice and normalising technologies of self
| Unique citing works | 4 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2018 - 2026 (9) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |