Professional knowledge development and evidence-based practice in confusing vs. supportive work organizations : A grounded theory situational analysis of Swedish elderly care
BACKGROUND: This article focuses on knowledge development and health professionals' opportunities to use evidence-based practice (EBP). We studied registered physiotherapists (PT), occupational therapists (OT) and nurses (RN) in Swedish elderly-care institutions, a sector known for high turnover and shortages of competent staff.
OBJECTIVE: To examine the perspectives of healthcare providers on professional knowledge development and EBP in their organization.
METHODS: We conducted on-site qualitative interviews with a purposive sample of PTs, OTs and RNs, in six elderly care institutions. Situational analysis was used to analyze the material.
RESULTS: Three discursive professional positions were found: 1) Professional ambition in confusing work organization; 2) Professional ambition in a knowledge-promoting work organization; and 3) Professional indifference with few aspirations for knowledge development. Professional aspirations toward knowledge development were high in two of these positions, whereas the third represents a slightly different approach with fewer aspirations for knowledge development. Linked to these professional approaches to knowledge development is a continuum of aggravating or facilitating factors within the work organization, including varying degrees of support from leadership of the organization, as well as few opportunities for rewards.
DISCUSSION AND CONCLUSIONS: It is concluded that elderly care needs to develop strategies for evidence-based practice in order for the sector to become a sustainable arena for health professionals' career development, and in order to improve the quality of care for the elderly.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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| Enthalten in: |
Physiotherapy theory and practice - 39(2023), 5 vom: 22. Mai, Seite 994-1006 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Öhman, Ann [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 22.05.2023 Date Revised 22.05.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1080/09593985.2022.2033370 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM336234384 |
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| 245 | 1 | 0 | |a Professional knowledge development and evidence-based practice in confusing vs. supportive work organizations |b A grounded theory situational analysis of Swedish elderly care |
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| 500 | |a Date Revised 22.05.2023 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: This article focuses on knowledge development and health professionals' opportunities to use evidence-based practice (EBP). We studied registered physiotherapists (PT), occupational therapists (OT) and nurses (RN) in Swedish elderly-care institutions, a sector known for high turnover and shortages of competent staff | ||
| 520 | |a OBJECTIVE: To examine the perspectives of healthcare providers on professional knowledge development and EBP in their organization | ||
| 520 | |a METHODS: We conducted on-site qualitative interviews with a purposive sample of PTs, OTs and RNs, in six elderly care institutions. Situational analysis was used to analyze the material | ||
| 520 | |a RESULTS: Three discursive professional positions were found: 1) Professional ambition in confusing work organization; 2) Professional ambition in a knowledge-promoting work organization; and 3) Professional indifference with few aspirations for knowledge development. Professional aspirations toward knowledge development were high in two of these positions, whereas the third represents a slightly different approach with fewer aspirations for knowledge development. Linked to these professional approaches to knowledge development is a continuum of aggravating or facilitating factors within the work organization, including varying degrees of support from leadership of the organization, as well as few opportunities for rewards | ||
| 520 | |a DISCUSSION AND CONCLUSIONS: It is concluded that elderly care needs to develop strategies for evidence-based practice in order for the sector to become a sustainable arena for health professionals' career development, and in order to improve the quality of care for the elderly | ||
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| 650 | 4 | |a occupational therapy | |
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| 700 | 1 | |a Enberg, Birgit |e verfasserin |4 aut | |
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