Knowledge mobilisation: an ethnographic study of the influence of lay mindlines on eczema selfmanagement in primary care in the UK

Cowdell, Fiona (2018) Knowledge mobilisation: an ethnographic study of the influence of lay mindlines on eczema selfmanagement in primary care in the UK. BMJ Open, 8. e021498.

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Abstract

Objective To investigate the way in which mindlines,
‘collectively reinforced, internalised tacit guidelines’, are
constructed among lay people with eczema in primary
care.
Design Ethnographic study.
Setting Observation in one general practice in the UK and
interviews across central England.
Participants In observation, patients in the participating
general practice regardless of presenting complaint and in
interviews, people with eczema or parents of children with
eczema (n=16).
Results Observation of over 250 hours and interview
data were combined and analysed using an ethnographic
approach through the lenses of mindlines and self-management.
Four themes were identified: doctor knows
best; not worth bothering the doctor; I need to manage
this myself; and how I know what to do. Themes were set
within the context of four broad typologies of lay people’s
approach to self-management: content to self-manage;
content to accept practitioner management; self-managing
by default; and those referred to secondary care.
Conclusions This study is the first to examine how
lay eczema mindlines are developed and to recognise
typologies of people with different need for, and
receptiveness to, information. Lay eczema mindlines are
constructed in many ways. The outstanding challenge
is to find strategies to revise or modify these mindlines
by adding reliable and useful knowledge and by erasing
outdated or inaccurate information.

Item Type: Article
Uncontrolled Keywords: Mindlines, eczema, primary care, consultations, self-management
Subjects: B700 Nursing
Divisions: REF UoA Output Collections > REF2021 UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
Depositing User: Fiona Cowdell
Date Deposited: 03 Jun 2019 07:45
Last Modified: 10 Jul 2019 09:52
URI: http://www.open-access.bcu.ac.uk/id/eprint/7538

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