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Table 3 Three perspectives on CoPs and their potential application in healthcare service improvement

From: Managing boundaries in primary care service improvement: A developmental approach to communities of practice

 

Analytical perspective

Instrumental perspective

Developmental perspective

Purpose

A theoretical heuristic to analyse practice, meaning, identity and learning

A knowledge management tool aiming to deliberately engineer, or ‘cultivate’ CoPs

Analysis of relevant CoPs and their characteristics accompanied by the facilitation of their development

Types of CoPs prioritised

Existing or naturally emerging, organic, often uniprofessional

Deliberate, often multiprofessional and/or multi-organisational

Multiple, overlapping CoPs forming wider landscapes of practice

Potential application

Researching boundaries, identities and their influence on knowledge sharing; informing theory-driven implementation interventions [17]

Delivering joint projects by CoPs comprised of committed and legitimate members, placed in favourable context and supported by infrastructure and resources [55]

Implementing service improvement interventions in complex multiprofessional and multi-organisational contexts with numerous barriers to knowledge sharing