Attaining improvement without sustaining it? The evolution of facilitation in a healthcare knowledge mobilisation initiative.

Roman Kislov, John Humphreys, Gill Harvey

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

When applied to solving real-world problems in organisational settings, service improvement techniques are likely to evolve over time in response to the context of their implementation. However, the temporal dynamics of this evolution and its underlying microprocesses remain underresearched. To address this gap, we present a qualitative longitudinal case study of facilitation as a service improvement technique utilised by a UK-based collaborative knowledge mobilisation programme to improve the detection and management of Chronic Kidney Disease in primary care organisations. We argue that an uncritical and uncontrolled adaptation of facilitation may undermine its promise to positively affect organisational learning processes and mask the unsustainable nature of the resulting improvement outcomes captured by conventional performance measurement.
Original languageEnglish
Title of host publicationManaging Improvement in Healthcare
Subtitle of host publicationAttaining, Sustaining and Spreading Quality
EditorsA. M. McDermott, M. Kitchener, M. Exworthy
Place of PublicationBasingstoke
PublisherPalgrave Macmillan Ltd
Pages255-273
ISBN (Electronic)9783319622354
ISBN (Print)9783319622347
DOIs
Publication statusPublished - 2018

Publication series

NameOrganisational Behaviour in Health Care

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