Underland Gro
Faculty of Health Sciences, Vestfold University College, Tønsberg, Norway.
Commun Med. 2010;7(2):187-96. doi: 10.1558/cam.v7i2.187.
Transferring clinical knowledge and bringing various representations of clinical knowledge together is crucial as support for clinical decision-making. While previous scholarship has elaborated patients' trust of healthcare providers as well as the healthcare system, this article emphasizes trust as a catalyst for clinical knowledge production. Using an observational study of a surgical department at a large Norwegian hospital, the article focuses on knowledge transfer between surgeons in a surgical department. The surgeons' confidence to initiate knowledge requests and the perceived trustworthiness of knowledge by colleagues is significant. There is a distinct underuse of medical patient records, both paper-based and electronic, which results in an oral transferring and sharing of clinical knowledge. Significantly this oral knowledge-transfer is dynamic and effective, meeting demands for timely patient information. By studying knowledge-intensive work very closely from a perspective that suggests that knowledge is local and developed through trust and dependence, this study identifies how work practices have developed to be effective with little support of formal information systems.
传递临床知识并整合临床知识的各种表现形式，对于支持临床决策至关重要。虽然先前的学术研究阐述了患者对医疗服务提供者以及医疗系统的信任，但本文强调信任是临床知识产生的催化剂。通过对挪威一家大型医院外科的观察性研究，本文聚焦于外科科室外科医生之间的知识转移。外科医生发起知识请求的信心以及同事对知识的可感知的可信度非常重要。纸质和电子医疗患者记录都存在明显的未充分利用情况，这导致临床知识通过口头方式进行传递和共享。重要的是，这种口头知识转移是动态且有效的，满足了对及时患者信息的需求。通过从知识是局部的且通过信任和依赖发展而来这一角度密切研究知识密集型工作，本研究确定了在几乎没有正式信息系统支持的情况下，工作实践是如何发展得有效的。
