Transferring, translating and transforming knowledge: the role of brokering in healthcare networks
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 30 August 2021
Issue publication date: 13 October 2021
Abstract
Purpose
This research examines how knowledge and information are managed within two care networks. We develop a conceptual framework drawing on the notion of brokering and the 3T framework, which is used to describe the relative complexity of boundaries (referred to in the framework as syntactic, semantic and pragmatic) as well as capabilities and processes required to exchange information within the network. Previous research on brokering has focused on healthcare managers and professionals, but this research extends to patients and caregivers. Understanding knowledge exchange and brokering practices in healthcare is critical to the delivery of effective services.
Design/methodology/approach
For this case research, non-participant observation and experienced-based interviews were undertaken with healthcare professionals, patients and caregivers within two care networks.
Findings
The findings reveal brokering roles occupied by healthcare professionals, patients and caregivers support the transfer, translation and transformation of knowledge and information across functional and organisational boundaries. Enablers and disablers to brokering and the exchange of knowledge and information are also identified.
Research limitations/implications
The study is limited to two care networks for long-term conditions within the UK. Further research opportunities exist to examine similar care networks that extend across professional and organisational boundaries.
Practical implications
This research informs healthcare professionals of the brokering capabilities that occur within networks and the enabling and disabling factors to managing knowledge across boundaries.
Originality/value
This paper provides a conceptual framework that categorises how increased levels of knowledge and information exchange and brokering practices are managed within care networks.
Keywords
Acknowledgements
The authors would like to thank all the participants that took part in this study.
Funding: This project was partially funded by the Health Foundation. Professor Sharon Williams was awarded an Improvement Science Fellowship by the Health Foundation.
Citation
Williams, S.J., Radnor, Z., Aitken, J., Esain, A. and Matthias, O. (2021), "Transferring, translating and transforming knowledge: the role of brokering in healthcare networks", Journal of Health Organization and Management, Vol. 35 No. 7, pp. 924-947. https://doi.org/10.1108/JHOM-02-2021-0063
Publisher
:Emerald Publishing Limited
Copyright © 2021, Emerald Publishing Limited