Translating evidence-based knowledge objects into practice

This paper aims to show how organizational translation theories and models may supplement implementation science with a new process perspective on howknowledge objects such as Cochrane reviews, clinical guidelines and referenceprograms are implemented in practice in healthcare organizations. They buildon Bruno Latour’s idea about translation that states that the spread in time andspace of anything—including knowledge objects—is in the hands of people andthat each of these people may act in many different ways, letting the tokendrop, modifying it, deflecting it, betraying it, adding to it, or appropriating it.Implementation science theories, models and frameworks often try to identifygeneral aspects of processes and variables that influence implementationprocesses. In contrast, translation theories and models build on a process viewthat uses the sequence of events, activities and choices by translators situated intime as well as in space to explain how outcomes of translation/implementationprocesses came about. The paper develops some implementation relevantpropositions about translation of knowledge objects in healthcare organizationsthat may inform further research. Moreover, it discusses how organizationaltranslation studies and implementation science may supplement each other

Ide-praksis-oversættelsesmodellen

Denne artikel tager udgangspunkt i, at løsning af klima- og CO2-udledningskrisen kræver oversættelse og samskabelse af nye socio-tekniske løsninger i offentlig-private inno-vationsnetværk- og grupper. Den redegør for ide-praksis-oversættelsesmodellens socio-tekniske forståelse af sådanne samskabelses-, design- og oversættelsesprocesser og for, hvad de ledelsesmæssige konsekvenser af den er i den forbindelse. Endelig diskuteres, hvordan processen vil kunne accelereres på den baggrund

Ide-praksis-oversættelsesmodellen

Denne artikel tager udgangspunkt i, at løsning af klima- og CO2-udledningskrisen kræver oversættelse og samskabelse af nye socio-tekniske løsninger i offentlig-private inno-vationsnetværk- og grupper. Den redegør for ide-praksis-oversættelsesmodellens socio-tekniske forståelse af sådanne samskabelses-, design- og oversættelsesprocesser og for, hvad de ledelsesmæssige konsekvenser af den er i den forbindelse. Endelig diskuteres, hvordan processen vil kunne accelereres på den baggrund

Quality Development in Health Care: Participation vs. Accreditation

For more than a decade, quality development in the Danish health care sector has been managed with an accreditation system known as the Danish quality model (DQM), shaping the strategy for how to align work organization with technology use. In this article, we introduce a participatory design approach, known as effects-driven information technology development (EDIT), and discuss how this approach may contribute to a new quality-assurance program for the Danish health care sector. Our purpose is to demonstrate how accreditation, which focuses on processes and standards, needs to be supplemented and balanced with participatory approaches that allow for local experimentation and implementation of high-quality outcomes. We describe accreditation and participatory design as two approaches to reconfiguring and aligning work organization and technology; further, we emphasize the differences in each approach’s strategy and application

Quality Development in Health Care: Participation vs. Accreditation

For more than a decade, quality development in the Danish health care sector has been managed with an accreditation system known as the Danish quality model (DQM), shaping the strategy for how to align work organization with technology use. In this article, we introduce a participatory design approach, known as effects-driven information technology development (EDIT), and discuss how this approach may contribute to a new quality-assurance program for the Danish health care sector. Our purpose is to demonstrate how accreditation, which focuses on processes and standards, needs to be supplemented and balanced with participatory approaches that allow for local experimentation and implementation of high-quality outcomes. We describe accreditation and participatory design as two approaches to reconfiguring and aligning work organization and technology; further, we emphasize the differences in each approach’s strategy and application