Understanding evidence-informed decision-making: a rural interorganizational breastfeeding network.


Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
27 May 2019
Historique:
received: 04 09 2018
accepted: 01 05 2019
entrez: 29 5 2019
pubmed: 28 5 2019
medline: 14 8 2019
Statut: epublish

Résumé

Networks are a vehicle for mobilizing knowledge, but there is little research about evidence-informed decision-making in community settings. Breastfeeding is a powerful intervention for population health; combined system and community interventions can increase exclusive breastfeeding rates by 2.5 times. This study examined evidence-informed decision-making within an interorganizational network, including the facilitators and barriers to achieving network goals. A mixed method case study design was used. The primary sources of data were focus group discussion and questionnaire administration. Data were analyzed concurrently using framework analysis and social network analysis. Key findings were at the interorganizational and external levels: 1) Relationships and trust are connected to knowledge exchange 2) Need for multiple levels of leadership. The findings of this study have potential implications for enhancing the use of evidence-informed decision-making as other networks work toward Baby Friendly Initiative (BFI) designation and also highlights the potential for network maps to be used as a knowledge mobilization tool.

Sections du résumé

BACKGROUND BACKGROUND
Networks are a vehicle for mobilizing knowledge, but there is little research about evidence-informed decision-making in community settings. Breastfeeding is a powerful intervention for population health; combined system and community interventions can increase exclusive breastfeeding rates by 2.5 times. This study examined evidence-informed decision-making within an interorganizational network, including the facilitators and barriers to achieving network goals.
METHODS METHODS
A mixed method case study design was used. The primary sources of data were focus group discussion and questionnaire administration. Data were analyzed concurrently using framework analysis and social network analysis.
RESULTS RESULTS
Key findings were at the interorganizational and external levels: 1) Relationships and trust are connected to knowledge exchange 2) Need for multiple levels of leadership.
CONCLUSIONS CONCLUSIONS
The findings of this study have potential implications for enhancing the use of evidence-informed decision-making as other networks work toward Baby Friendly Initiative (BFI) designation and also highlights the potential for network maps to be used as a knowledge mobilization tool.

Identifiants

pubmed: 31133038
doi: 10.1186/s12913-019-4138-6
pii: 10.1186/s12913-019-4138-6
pmc: PMC6537355
doi:

Types de publication

Journal Article

Langues

eng

Pagination

337

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Auteurs

Sionnach Lukeman (S)

St. Francis Xavier University, PO BOX 5000, Antigonish, Nova Scotia, B2G 2W5, Canada. slukeman@stfx.ca.

Barbara Davies (B)

Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1N 6N5, Canada.

Charmaine McPherson (C)

, Halifax, Nova Scotia, Canada.

Josephine Etowa (J)

Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1N 6N5, Canada.

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Classifications MeSH