explaining health managers’ information-seeking behaviour and use

1
POSTER PRESENTATION Open Access Explaining health managersinformation-seeking behaviour and use Christine Edwards 1* , Pinar Guven-Uslu 2 , Stephen Gourlay 1 , Vari Drennan 3 , Steven Gillard 4 From Health Services Research: Evidence-based practice London, UK. 1-3 July 2014 It is widely assumed that information will reduce uncer- tainty, help managers make better decisions and bring competitive advantage. Research has largely focused on top level managers in private companies, and on public sector policy-makers, but little is known about man- agersuse of information at the organizational level. The paper addresses this issue by providing empirical evidence to build a theoretical framework to explain man- agersinformation seeking behaviour. It takes the informa- tion science literature as a starting point and elaborates on established theories of generic information search beha- viour drawing on research in other disciplines, notably management and organisational behaviour. Data from research funded by the UK National Institute of Health Research included documents and in-depth interviews with 54 managers engaged in major change projects in three hospitals and two service commissioning organisa- tions in the English National Health Service. Managersneed and search for information may be higher in these settings, especially as many health managers are clinicians trained in evidence basedpractice. Triggers of informa- tion need, type of information and sources, as well as the processes of information search and contextual factors are explored to identify an exploratory framework for man- agersinformation seeking behaviour. The findings revealed that health managersinforma- tion search behaviour is more complex than generic models would suggest: instead of a sequential process of activities carried out by individuals, the search process was interactive and ongoing with no apparent pattern, beginning or end, and information search and decision making were normally performed by groups. The sources, medium and types of information were many and varied, reflecting the multifaceted nature of manage- rial tasks. People and informal networks were primary sources, and personal experience and practical demon- strations of what works were most used. Research sources were seldom used directly. While contextual fac- tors, notably government policies, strategy and culture (organizational and professional) and task were found to be important, so was agency in the form of managing interests and power relations between stakeholders. Further, there were influential information leaders operating at organisational and national level who were sometimes also creators of information as well as users and knowledge brokers. Finally, a research framework identifying the factors salient in the study at individual, group and organizational level is presented. Authorsdetails 1 Business School, Kingston University, Kingston, Surrey, UK. 2 Business School, Essex University, Colchester, UK. 3 HSCE Kingston University & St Georges University of London, London, UK. 4 Division of Population Health Sciences and Education, St Georges University of London, London, UK. Published: 7 July 2014 doi:10.1186/1472-6963-14-S2-P34 Cite this article as: Edwards et al.: Explaining health managersinformation-seeking behaviour and use. BMC Health Services Research 2014 14(Suppl 2):P34. 1 Business School, Kingston University, Kingston, Surrey, UK Full list of author information is available at the end of the article Edwards et al. BMC Health Services Research 2014, 14(Suppl 2):P34 http://www.biomedcentral.com/1472-6963/14/S2/P34 © 2014 Edwards et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Page 1: Explaining health managers’ information-seeking behaviour and use

POSTER PRESENTATION Open Access

Explaining health managers’ information-seekingbehaviour and useChristine Edwards1*, Pinar Guven-Uslu2, Stephen Gourlay1, Vari Drennan3, Steven Gillard4

From Health Services Research: Evidence-based practiceLondon, UK. 1-3 July 2014

It is widely assumed that information will reduce uncer-tainty, help managers make better decisions and bringcompetitive advantage. Research has largely focused ontop level managers in private companies, and on publicsector policy-makers, but little is known about man-agers’ use of information at the organizational level.The paper addresses this issue by providing empirical

evidence to build a theoretical framework to explain man-agers’ information seeking behaviour. It takes the informa-tion science literature as a starting point and elaborates onestablished theories of generic information search beha-viour drawing on research in other disciplines, notablymanagement and organisational behaviour. Data fromresearch funded by the UK National Institute of HealthResearch included documents and in-depth interviewswith 54 managers engaged in major change projects inthree hospitals and two service commissioning organisa-tions in the English National Health Service. Managers’need and search for information may be higher in thesesettings, especially as many health managers are clinicianstrained in “evidence based” practice. Triggers of informa-tion need, type of information and sources, as well as theprocesses of information search and contextual factors areexplored to identify an exploratory framework for man-agers’ information seeking behaviour.The findings revealed that health managers’ informa-

tion search behaviour is more complex than genericmodels would suggest: instead of a sequential process ofactivities carried out by individuals, the search processwas interactive and ongoing with no apparent pattern,beginning or end, and information search and decisionmaking were normally performed by groups. Thesources, medium and types of information were manyand varied, reflecting the multifaceted nature of manage-rial tasks. People and informal networks were primary

sources, and personal experience and practical demon-strations of “what works” were most used. Researchsources were seldom used directly. While contextual fac-tors, notably government policies, strategy and culture(organizational and professional) and task were found tobe important, so was agency in the form of managinginterests and power relations between stakeholders.Further, there were influential information “leaders”operating at organisational and national level who weresometimes also creators of information as well as usersand knowledge brokers. Finally, a research frameworkidentifying the factors salient in the study at individual,group and organizational level is presented.

Authors’ details1Business School, Kingston University, Kingston, Surrey, UK. 2Business School,Essex University, Colchester, UK. 3HSCE Kingston University & St GeorgesUniversity of London, London, UK. 4Division of Population Health Sciencesand Education, St Georges University of London, London, UK.

Published: 7 July 2014

doi:10.1186/1472-6963-14-S2-P34Cite this article as: Edwards et al.: Explaining health managers’information-seeking behaviour and use. BMC Health Services Research2014 14(Suppl 2):P34.

1Business School, Kingston University, Kingston, Surrey, UKFull list of author information is available at the end of the article

Edwards et al. BMC Health Services Research 2014, 14(Suppl 2):P34http://www.biomedcentral.com/1472-6963/14/S2/P34

© 2014 Edwards et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.