Leah Elizabeth Chapman, Scott Richardson, Lori McLeod, Eric Rimm, Juliana Cohen
Pilot Evaluation of Aggregate Plate Waste as a Measure of Students' School Lunch Consumption
Journal of the Academy of Nutrition and Dietetics
explore depth primary care clinicians general practitioners practice nurses derive individual collective healthcare decisionsethnographic study using standard methods nonparticipant observation semistructured interviews documentary review two years collect data analysed thematicallytwo general practices one south england north englandnine doctors three nurses one phlebotomist associated medical staff one practice provided initial data emerging model checked transferability general practitioners second practiceclinicians rarely accessed used explicit evidence research sources directly relied mindlinescollectively reinforced internalised tacit guidelines informed brief reading mainly colleagues experience interactions opinion leaders patients pharmaceutical representatives sources largely tacit knowledge mediated organisational demands constraints mindlines iteratively negotiated variety key actors often range informal interactions fluid communities practice resulting socially constructed knowledge practicethese findings highlight potential advantage exploiting existing formal informal networking key conveying evidence clinicians