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Nursing Times Research
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Leading opinion and managing change in complex organizations: Findings from the South Thames Evidence-based Practice project

Susan McLaren, BSc, PhD, RGN

Faculty of Health and Social Care Sciences, St George's Hospital Medical School, Kingston University, Kingston, Surrey

Fiona Ross, BSc, PhD, RGN

Nursing Research Unit, King's College London

Sally Redfern, BSc, PhD, RGN

King's College London

Sara Christian, BSc, RGN

Nursing Research Unit, King's College London

Opinion-leaders have been described in the research literature as credible experts, capable of supporting, facilitating or advocating change and influencing health professionals to adopt innovatory, evidence-based approaches to their practice (Lomas et al., 1991; Thomson et al., 1999). However, information is lacking on the complexity of selection and training, and of the role support that is necessary to enable opinion-leaders to function effectively. This paper focuses on the experience of using opinion-leaders to implement practice change as part of a multi-faceted approach within the South Thames Evidence-based Practice project (STEP), drawing on information integrated from a cross-case analysis and the independent evaluation. Key findings are that the opinion-leader role is complex and challenging, and requires a broad balance of research, management and leadership competences to inform selection and training.

Key Words: Opinion-leader • Training • Evidence-based practice

Nursing Times Research, Vol. 7, No. 6, 444-458 (2002)
DOI: 10.1177/136140960200700606


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