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Capstone pensacola jobs for money capstone logistics forest park ga reporter sf 171 so hello my name is Igor / QMI from University of Chef clients and today I want to talk to you about my PhD project which I completed last year as a researcher I like to see myself as someone who has a huge appreciation for what practitioners do and I all of the most of the ideas that I will discuss today and emerge by learning with and from Annette's and her team and other practitioners in NHS Scotland the reason why I originally got interested in this concept was because I believe that the organization still had lots of improved space for improvement in terms of facilitating how people work together innovate share ideas share knowledge and so on and innovation in a mean own evasive are often buzzwords in today's world so I but I followed a community of practice is a major and established concept with form of sat wait almost a 25-year old history can be a good wave of providing us with a fine-grained language for talking about these topics so I decided to explore that a further and by engage so there were three reasons why really I have more specific reasons why I was interested in this concept in that context so one is that it in the GOP a concept and taste learning as a formation of a person rather than just acquisition of of facts and I thought it was a very promising perspective for thinking about learning and knowledge and organizational context because it means that we really need to work on engage in such initiatives as you are doing today in terms of trying to develop environments where people can learn in a meaningful way and also I followed this concept is a useful way of thinking about organizations because as a unit of analysis in terms of social learning it is the simplest unit of analysis that at the same time has the complexity of all the elements of social learning so even if I read your book a brochure from last meeting you have the knowledge domain and practice for example so all these different elements of this concept are within that universe by simple enough to talk about many of the challenges that are ahead in terms of you know helping organizations to be better by by learning and so as I was getting deeper and deeper in this in this concept and as I was working with no i esteem and other practitioners and I thought that there was a little bit of I had a little bit of a difficulty by talking of these practitioners in terms of deciding okay so what is a community of practice are we are coming into practice what it takes to develop a community of practice is it that we need to instill instill a community first it will give it a name and then and bring it to life so I had issues with that I genuinely had difficulties in terms of scoping the community of practice concept I've wanted to explore it further and and I realized that one inconsistency here could be in terms of how knowledge and knowledge sharing are used in Britain respect to this concept because communities of practice run I can't wear the term was coined in 1991 it was supposed to oppose the bugling dominating view of knowledge as something that just experts process that you just learned that something just gained in schooling at the University that it that and instead of that knowledge is something that you learn as a everyday experience of being a person of everyday experience of life so learning meaning identity kind of was an opposition to that old picture of knowledge at the same time knowledge sharing is used very inconsistently also in part to burble in particular in the academic literature so we can entail ensuring of documents emails facts whilst in the this concept I guess that the what the most important type of sharing is the mutual engagement as we can see in the reading about this concept so I thought that wing I need to back a little bit more clear about that so what I did was I took I I knew that I needed to work on our perspective on knowledge and knowledge showing that it is compatible the DNA of the concept and the DNA of co piece is a learning which entails investment of identity in a social context so then no perspective on knowledge which I under which I wanted to bring back into co piece was the notion of knowledge as being personal so no they're just part of who you are that as we develop our know as we engage with other people in our practices we develop our knowledge and we just which are becoming constantly so this view of knowledge is part of you are NM and hear that at a sickness of knowledge underpins all our act so all our acts of knowing what we do is underpinned by a large view of things that we cannot say while we just seem to know it as we as we do things in our practices and then knowledge sharing in such sense means that when we share knowledge we and we focus on this we attend to the same ques to the same point of focus to same problems and as we at the real in real time as we as we genuinely care about this problem and we try to solve them together we discover what the other person how the other person deals two diplomas how they approach these problems so we do not just taking that knowledge and in a sense of sharing that we take their knowledge and we put it in our heads and we shared and we give them our knowledge to them but by discovering how those people understand these problems in practice we redevelop our own knowledge and this tacit pneus is developed rather than acquired so I decide I so in my PhD I called this process as a process of thinking together just as a simple point of focus for thinking about knowledge sharing and see yo peace and for my empirical research I did interviews went across Scotland with in the areas of sepsis and dementia and also spoke with a number of practitioners dealing with education management development lead leadership and and we had there are many interesting stories in the dementia area for example a number of leaders wanted to develop a forum for different professionals in the area of dementia so that they can so that people for example in shetland Zandile and islands in highlands could prevent preventing the wheels they can have some shirts space for for for discussions basics the dealer they're not isolated and the idea was to set up a discussion forum online however so in that part of the discussion forum they were the publishing a newsletter were they were including people different people's stories of how they engage in practice and that's worked very well for those practitioners would read it many of their initial goals in terms of working on a kind of shirt sense of identification for the practitioners in different parts of Scotland however because the the kind of sharing that they engage with was via via the first but the administrators of the site so they would be for example sending these stories directly to the administrators they didn't have enough mutual engagement to sustain up short practice as a practice nurse and it's turning as a history of learning and therefore they wouldn't have enough an engagement along the way but for what they were trying to achieve that was many ways sufficient a newsletter with these stories and and I will later get back to what we learn from this and in the sepsis area where I worked well I did interview Cinda with the collaborative and in so basically sepsis practitioners meeting together in the national conferences via web access and as I mentioned and I could talk to present with our junior nurse and also experienced nurse consultant and even though they had different goals but in with respect to these these events they were able to gain something very valuable for from that so the experienced nurse was able to find people who had some very narrow interest within that broader community and for example the young nurse facetted the main goal for her was to feel more feel more confident as a practitioner and that was achieved now other interesting example in the sepsis area was I that I visited a cos petal called border General Hospital in in the south of scotland and their the hospital has done very well in the recent years in terms of increasing patient safety in the context of sepsis so the for example number of cardiac arrests I dropped moving the neck last 10 years by from 400 I think I can remember the numbers get precise advisor about from 400 something to 30 in 10 years the carrier arrest in the with respect to sepsis so I wanted to see what the word they do all water that they were doing so well and what happened there is that before that sepsis was treated with in the intensive care Department and in my interview with said it was almost like an inner sanctum where the patients would be would be taken in a very bad state and then they would leave healthy and then but people so fine and people in the words the practitioners Awards didn't really know what was happening there now the leader of that there was a team called the outreach team set up in order to respond wants to to to a need of helping practitioners to identify and diagnose and treat sepsis early so the outreach team realized that the the sepsis need to be a something that something needs to be treated by everyone in the hospital and not just the intensive care because it's everyone patients can be can get sick it's very little time to respond and and suffer even if they have an awareness of these basic concepts and how how to do things they can see all that patient doesn't seem to be well he might have sepsis let's ask someone who's up expert on this and that led to an improvement they were mentoring junior doctors and junior nurses they were delivering an interdisciplinary courses which are fully voluntary they were allowing these junior practitioners to engage with the outreach teams lab twisting were all specialists nurses in the area of sepsis and there were for example they implement a number of systems for communicating and diagnosing sepsis like sepsis six and so forth and that led to a shirt practice of what it means to treat sepsis with in hospital with the core group almost within that the sepsis outreach team and people from other words as almost like peripheral practitioners who this way we're able to diagnose sepsis and so these were just some of the stories but that we we witnessed by engaging with practitioners and I wanted to briefly because we have probably don't know how much time we have could you remind us how much time probably I'll try to be quick and a number of a number of just learning points that I wanted to share with you and I based on these studies I followed the rule of thinking together is it can be seen as very important and it forgive reason OS understood is knowledge sharing so for example what was missing in the dementia example even though they reach many of their goals that thinking together was not about the case in a way again thinking the very in terms of really genuinely engaging with the same problems and discovering what's on the other person's mind and therefore this way developing very deep knowledge for yourself that means that the core core group of a community of practice is not just that people who are have interests or this or a stake in a community so for example i had there were managers who had lots of people who want to help and they had an idea for a CEO p but there wasn't enough people who are actually going to think together regularly about this ideas and that leads to really 20 or even though the intentions were well we're good and the resources were out there so the core group of a community is in a way defined by flinging together and these structural structural elements the community domain in practices for example you have in your brochure again are always changing because of it provides a process perspective on co piece and going from there to the idea of developing co piece i think that one thing to have in mind is that because it required the thinking together is more demanding in time effort trust commitment it is it can be seen as an expensive endeavor and it doesn't mean to be necessarily money but in time and again in commitment is so what I try to say is that it's not just like a you know a company company in a meeting just to hit everyone just can meet but it's about really focusing on something that we all care about and I know so doesn't necessarily impose a particular format so it can be discussion groups by can be actually a team which has many of these elements anyway it doesn't even you don't even have to stay cold and community of practice it is many ways it is a tool for us to think to reflect or for facilitators to support such groups and it also when I was when I had a lunch with Etienne one time I was telling him the story of the sepsis outreach team and I was telling him that the legitimization would seem to be very important because we had the medical director who believed in the outreach team from the very beginning we had the patient safety caliber and a collaborator during the collaboratives who are who are also giving providing an experts from different organized parts of the oven NHS Scotland and at the community level we had there was an excellent leader who was like a very friendly very great teacher very inspirational non-judgmental and he was providing legitimization it was okay to spend time on learning what means to diagnose sepsis and the medical director from the very start was saying that it's fine if you spend time at work on learning that because that will that give vision and if you gave people vision that pays off and and also resources instruments mark the scale you can have small initiatives but then you need to know think how much resources you have if you have a bigger a play vision then also you may need to think that that will require some more resources so just to be quick at the end so that also hold means for us in terms of the scope of co piece it means for me the it seems that the scope of co pieces that we take a holistic view on knowledge sharing so holistic view thinking together so people who are thinking together people who have some meaningful at least access to that thing integrate so they can not necessarily engage within that but at least they understand more or less what's happening in there and and the importance of community so it's not only about practice about emotion about trust and that can't beat rival eyes it's very important so this vision vision is important in relation in building relationships around that and as the collaborative as the sepsis case also the dementia case teaches us that this can lead to a trans organizational knowledge in a sense that is from place to place it still acknowledges a sticky and leaky leaks sticks to certain practices leaks to practices of other people who care because practices don't scale beyond people who care and this way like in the collaborative example they those people from different parts of organization were able to develop some sort this kind of engagement across about organizational boundaries and so thank you that's in terms of me 9 3 1 2 eigrp capstone project cheap General Theological Seminary, Chelsea, Manhattan.