Abstract:
Health care is characterised by complexity, in terms of structure and number of
individuals, teams & autonomous local organisations involved in the delivery of care.
An obvious requirement in maintaining continuity for the patient is knowledge
transferred between these groups. An example of this is the transfer of a stroke patient
from one setting for their acute care to another for their rehabilitation.
Objectives of the research were within the context of a stroke patient transfer, to
determine the knowledge management needs of the receiving community hospital team,
provision of knowledge from the acute hospital team, shortcomings emanating from the
current state and solutions for future better ways of working.
Research took the form of an exploratory case study involving semi-structured
interviews with clinicians involved in specialist stroke care.
Findings showed that Knowledge Management is one of a number of management
issues facing stroke care for the organisations studied, though currently not the most
pressing. Operational, rather than clinical knowledge showed most scope for
improvement. Current practises rely heavily on knowledge transfer by people, which
was deemed appropriate in most cases.
The research provides an insight into knowledge management within health care at an
operational level, specifically applied to stroke and patient transfers; examples of which
could provide insight for other specific events in a patient’s journey. Practically,
conclusions could be used to guide ongoing improvement to process development for
the acute and community hospital teams studied, as well as provide lessons for the
opening of further community hospital stroke units.
