How is evidence being used?

Having moaned in this blog a few days ago about people not searching for evidence, I see a small group have set out a protocol to examine just how managers and professionals access the evidence.I hope they will also do the negative study – those who ar…

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Is Activity Theory useful for large scale change?

There’s no shortage of theories and models for how good practice can be “spread”. I’m part fo the problem by generating some of them…. I’ve recently become curious about the use of Activity Theory as a means of large scale change …

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Why don’t we search for evidence?

So I’m perplexed.I’ve spent years listening to leaders at all levels – from unit, to department, to organisation, to region, to National  - all say they want “other people” (usually those “beneath” them) to adopt existing good practices.That’…

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Do you share your experiences?

I recently watched a three year old coming to terms with her one year old brother’s need to hold a toy that until recently she thought belonged to her.  Sharing – it doesn’t necessarily get any easier. But for some people, it is automatic. Dr Mich…

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Is the role of an organisational champion effective?

The label “champion” is a complex one to wear and one which I’ve been a bit cautious about recommending anyone use.  In the UK, it’s been common to identify that enthusiastic doctor or nurse, label them the champion for the work and…

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How does organisational context impact spread and adoption

Those who know me, know I am critical of the continued use of Roger’s Diffusion Curve as a means of telling people how and how to plan for the spread and adoption of good practice. If you read Roger’s work in depth you will understand&nb…

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