University of SaskatchewanHARVEST
  • Login
  • Submit Your Work
  • About
    • About HARVEST
    • Guidelines
    • Browse
      • All of HARVEST
      • Communities & Collections
      • By Issue Date
      • Authors
      • Titles
      • Subjects
      • This Collection
      • By Issue Date
      • Authors
      • Titles
      • Subjects
    • My Account
      • Login
      JavaScript is disabled for your browser. Some features of this site may not work without it.
      View Item 
      • HARVEST
      • Electronic Theses and Dissertations
      • Graduate Theses and Dissertations
      • View Item
      • HARVEST
      • Electronic Theses and Dissertations
      • Graduate Theses and Dissertations
      • View Item

      Retention of best practices by clinicians after knowledge transfer

      Thumbnail
      View/Open
      Thesis.pdf (479.9Kb)
      Date
      2007
      Author
      Wallace, James Patrick
      Type
      Thesis
      Degree Level
      Masters
      Metadata
      Show full item record
      Abstract
      This thesis examines the retention of best practices by clinicians after the implementation of an integrated care pathway for patients with congestive heart failure. While the literature suggests there are many reasons why the implementation of best practices is difficult, there is little information on the sustainability of best practices once implemented.Using a qualitative research design guided by Rogers’ theory of ‘Diffusion of Innovations’ the researcher interviewed seven clinicians who participated in the implementation of the pathway. A thematic analysis revealed several themes that ran throughout participants’ responses. While the participants indicated they see value in best practices, they also identified barriers to getting that knowledge into practice and keeping it there. A spectrum of factors, including individual autonomy, time, resources, organizational support and the organization of the system all played a role.In the end, participants revealed that although small pieces of the pathway remain in practice, the pathway itself is no longer used by clinicians to manage patients with congestive heart failure.
      Degree
      Master of Arts (M.A.)
      Department
      Interdisciplinary Studies
      Program
      Interdisciplinary Studies
      Supervisor
      Lepnurm, Rein
      Committee
      Stamler, Lynnette Leeseberg; Neubauer, Shannan L.; Forbes, Dorothy
      Copyright Date
      2007
      URI
      http://hdl.handle.net/10388/etd-08272007-112717
      Subject
      best practices
      congestive heart failure
      integrated care pathway
      knowledge transfer
      Collections
      • Graduate Theses and Dissertations
      University of Saskatchewan

      University Library

      The University of Saskatchewan's main campus is situated on Treaty 6 Territory and the Homeland of the Métis.

      © University of Saskatchewan
      Contact Us | Disclaimer | Privacy