Basics of qualitative research: Grounded theory procedures and techniques

This article summarizes an extensive literature review addressing the question, How can we spread and sustain innovations in health service delivery and organization? It considers both content (defining and measuring the diffusion of innovation in organizations) and process (reviewing the literature in a systematic and reproducible way). This article discusses (1) a parsimonious and evidence-based model for considering the diffusion of innovations in health service organizations, (2) clear knowledge gaps where further research should be focused, and (3) a robust and transferable methodology for systematically reviewing health service policy and management. Both the model and the method should be tested more widely in a range of contexts.

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Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations

Acute kidney injury (AKI) is a complex disorder for which currently there is no accepted definition. Having a uniform standard for diagnosing and classifying AKI would enhance our ability to manage these patients. Future clinical and translational research in AKI will require collaborative networks of investigators drawn from various disciplines, dissemination of information via multidisciplinary joint conferences and publications, and improved translation of knowledge from pre-clinical research. We describe an initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI. Members representing key societies in critical care and nephrology along with additional experts in adult and pediatric AKI participated in a two day conference in Amsterdam, The Netherlands, in September 2005 and were assigned to one of three workgroups. Each group's discussions formed the basis for draft recommendations that were later refined and improved during discussion with the larger group. Dissenting opinions were also noted. The final draft recommendations were circulated to all participants and subsequently agreed upon as the consensus recommendations for this report. Participating societies endorsed the recommendations and agreed to help disseminate the results. The term AKI is proposed to represent the entire spectrum of acute renal failure. Diagnostic criteria for AKI are proposed based on acute alterations in serum creatinine or urine output. A staging system for AKI which reflects quantitative changes in serum creatinine and urine output has been developed. We describe the formation of a multidisciplinary collaborative network focused on AKI. We have proposed uniform standards for diagnosing and classifying AKI which will need to be validated in future studies. The Acute Kidney Injury Network offers a mechanism for proceeding with efforts to improve patient outcomes.

Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury

Social Psychology of Organizations

The article discusses the users’ perspective of information seeking. A model of the information search process is presented derived from a series of five studies investigating common experiences of users in information seeking situations. The cognitive and affective aspects of the process of information seeking suggest a gap between the users’ natural process of information use and the information system and intermediaries’ traditional patterns of information provision.

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Inside the Search Process: Information Seeking from the User's Perspective.

This paper presents an outline of models of information seeking and other aspects of information behaviour, showing the relationship between communication and information behaviour in general with information seeking and information searching in information retrieval systems. It is suggested that these models address issues at various levels of information behaviour and that they can be related by envisaging a ‘nesting’ of models. It is also suggested that, within both information seeking research and information searching research, alternative models address similar issues in related ways and that the models are complementary rather than conflicting. Finally, an alternative, problem‐solving model is presented, which, it is suggested, provides a basis for relating the models in appropriate research strategies.

Models in information behaviour research

Apart from information retrieval there is virtually no other area of information science that has occasioned as much research effort and writing as ‘user studies’. Within user studies the investigation of ‘information needs’ has been the subject of much debate and no little confusion. The aim of this paper is to attempt to reduce this confusion by devoting attention to the definition of some concepts and by proposing the basis for a theory of the motivations for information‐seeking behaviour.

On user studies and information needs

Introduction Until recently the computer science and information systems communities have equated 'information requirements' of users with the way users behave in relation to the systems available. In other words, investigations into information requirements were concerned almost entirely with how a user navigated a given system and what he or she could do with the data (rather than information) made available by information systems. This is now beginning to change as ethnographic methods are introduced into the requirements definition stage of systems design, and Beyer and Holtzblatt (1998) have shown the benefits. However, even when such methods are employed, the designers appear to be asking, "How is this person using the system?" rather than seeking to determine what the individual's (or the organization's) information needs may be and how information seeking behavior relates to other, task-oriented behavior. In fact, a concern with what information is needed has been the province not of information systems as a discipline, but of information science and, before that, librarianship. To these fields we can add consumer behavior research, marketing, psychology, health communication research, and a number of other disciplines that take the user as the focus of interest, rather than the system. The aim of this paper is to review some of this research and to point to findings that enable the system designer to put the design process in the wider context of the user in the organization. Some Definitions Some definitions are needed before we go further. In this paper, four terms are used: information behavior, information seeking behavior, information searching behavior and information use behavior. They are defined as follows: Information Behavior is the totality of human behavior in relation to sources and channels of information, including both active and passive information seeking, and information use. Thus, it includes face-to-face communication with others, as well as the passive reception of information as in, for example, watching TV advertisements, without any intention to act on the information given. Information Seeking Behavior is the purposive seeking for information as a consequence of a need to satisfy some goal. In the course of seeking, the individual may interact with manual information systems (such as a newspaper or a library), or with computer-based systems (such as the World Wide Web). Information Searching Behavior is the 'micro-level' of behavior employed by the searcher in interacting with information systems of all kinds. It consists of all the interactions with the system, whether at the level of human computer interaction (for example, use of the mouse and clicks on links) or at the intellectual level (for example, adopting a Boolean search strategy or determining the criteria for deciding which of two books selected from adjacent places on a library shelf is most useful), which will also involve mental acts, such as judging the relevance of data or information retrieved. Information Use Behavior consists of the physical and mental acts involved in incorporating the information found into the person's existing knowledge base. It may involve, therefore, physical acts such as marking sections in a text to note their importance or significance, as well as mental acts that involve, for example, comparison of new information with existing knowledge. In all of the above definitions data is subsumed under information, that is, data may or may not be information depending upon the state of understanding of the information user. A datum such as "hbar=h/2pi = 6.58*10 [conjunction] -25 GeV s = 1.05*10 [conjunction]-34 J s" does not inform me because I have no framework of understanding in which to incorporate the datum. …

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Human Information Behavior

This paper reports on a recent review of the literature of “information behaviour” as it is studied in a variety of disciplines, other than information science. As a result of the review, areas of research interest to information science are identified and a general model of information behaviour is proposed.

Information behaviour: an interdisciplinary perspective

Examines critically the origins and basis of 'knowledge management', its components and its development as a field of consultancy practice. Problems in the distinction between 'knowledge' and 'information' are explored, as well as Polanyi's concept of 'tacit knowing'. The concept is examined in the journal literature, the Web sites of consultancy companies, and in the presentation of business schools. The conclusion is reached that 'knowledge management' is an umbrella term for a variety of organizational activities, none of which are concerned with the management of knowledge. Those activities that are not concerned with the management of information are concerned with the management of work practices, in the expectation that changes in such areas as communication practice will enable information sharing.

Tom Wilson

Papers

Models in information behaviour research

On user studies and information needs

Human Information Behavior

Information behaviour: an interdisciplinary perspective

The nonsense of knowledge management