Inter-professional Barriers and Knowledge Brokering in an Organizational Context: The Case of Healthcare

被引:143
作者
Currie, Graeme [1 ]
White, Leroy [2 ]
机构
[1] Univ Warwick, Warwick Business Sch, Coventry CV4 7AL, W Midlands, England
[2] Univ Bristol, Dept Management, Bristol BS8 1TH, Avon, England
关键词
communities of practice; healthcare; knowledge broker; professions; social network analysis; teamworking; SOCIAL NETWORK ANALYSIS; ARCHITECTURAL INNOVATION; MANAGEMENT; WORK; IDENTITY; IMPACT; POWER; COLLABORATION; SERVICE; MODEL;
D O I
10.1177/0170840612457617
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
Our study examines brokering of situated knowledge within an organizational context, characterized by professional hierarchy. We examine how professional affiliation and associated power differentials impact upon knowledge brokering at the individual and group levels within an organization. Our empirical case, which combines social network analysis and qualitative fieldwork, is set in healthcare with a focus upon integration of management, psychosocial and clinical component knowledge domains deemed necessary for treatment of a long-term condition. Our study shows that peer-to-peer knowledge brokering, which is framed by professional hierarchy, remains pervasive with respect to medical knowledge brokering. However, social structures might be mediated through developing architectural knowledge, reflected in both formal and informal organizational routines and schema, which engenders community tendencies that transcend professional hierarchy, so that knowledge brokering is more widely distributed to benefit patients.
引用
收藏
页码:1333 / 1361
页数:29
相关论文
共 99 条
[1]  
Abbott Andrew., 2014, SYSTEM PROFESSIONS E
[2]   The distortion of a managerial technique? The case of clinical networks in UK health care [J].
Addicott, Rachael ;
McGivern, Gerry ;
Ferlie, Ewan .
BRITISH JOURNAL OF MANAGEMENT, 2007, 18 (01) :93-105
[3]   Odd couple:: Making sense of the curious concept of knowledge management [J].
Alvesson, M ;
Kärreman, D .
JOURNAL OF MANAGEMENT STUDIES, 2001, 38 (07) :995-1018
[4]  
[Anonymous], 2007, Brokerage and Closure: An Introduction to Social Capital
[5]  
[Anonymous], 1991, SITUATED LEARNING LE
[6]  
[Anonymous], 2001, SOC CAPITAL THEORY R
[7]  
[Anonymous], 1996, UCINET IV: Network Analysis Software
[8]  
Reference Manual
[9]  
[Anonymous], 2001, Knowledge emergence: Social, technical and evolutionary dimensions of knowledge creation
[10]  
[Anonymous], 2002, PUBLIC ADMIN