McGivern, Gerry, Dopson, Sue, Ferlie, Ewan, Bennett, Chris, Fischer, Michael, Fitzgerald, Louise and Ledger, Jean (2016) Epistemic fit and the mobilisation of management knowledge in health care. In: Swan, Jacky and Newell, Sue and Nicolini, Davide, (eds.) Mobilizing knowledge in Healthcare : challenges for management and organization. Oxford ; New York: Oxford University Press. ISBN 9780198738237

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Abstract

We discuss the mobilisation of management knowledge in health care, drawing on six qualitative case studies in a diverse range of health care settings. Drawing on theory about management knowledge and practices’ ‘fit’, and emergent theory about ‘epistemic stances’, we explain how cultural/institutional, political and epistemic fit and clashes between the norms, interests and epistemic stances of different communities affected knowledge mobilisation in these settings. We also highlight the key role of knowledge brokers in ‘fitting’ knowledge within contexts as part of their own identity work. Yet we note that knowledge brokers’ ability to mobilise and fit knowledge depended on having a senior role or senior level support, and credibility/legitimacy with dominant communities. We suggest that our novel concepts of ‘epistemic fit’ and ‘fitting’ are useful in explaining the process of knowledge mobilisation, particularly in complex pluralistic health care contexts containing multiple epistemic communities which produce, use and value knowledge in different ways.

Item Type:	Book Item
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH):	Health services administration -- Case studies -- Great Britain, Public health administration -- Case studies -- Great Britain
Publisher:	Oxford University Press
Place of Publication:	Oxford ; New York
ISBN:	9780198738237
Book Title:	Mobilizing knowledge in Healthcare : challenges for management and organization
Editor:	Swan, Jacky and Newell, Sue and Nicolini, Davide
Official Date:	14 July 2016
Dates:	Date Event 14 July 2016 Published
Number of Pages:	288
Status:	Peer Reviewed
Publication Status:	Published
Funder:	National Institute for Health Research (Great Britain). Service Delivery and Organisation Programme (NIHR SDO)
Grant number:	Ref 08/1808/242
Related URLs:	Publisher

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