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    You can lead a horse to water . . . what Self-Determination Theory can contribute to our understanding of clinical policy implementation

    241604_241604.pdf (762.2Kb)
    Access Status
    Open access
    Authors
    Smith, G.
    Williams, Theresa
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Smith, G. and Williams, T. 2016. You can lead a horse to water . . . what Self-Determination Theory can contribute to our understanding of clinical policy implementation. Journal of Health Services Research & Policy. 22 (1): pp. 37-44.
    Source Title
    Journal of Health Services Research & Policy
    DOI
    10.1177/1355819616652922
    ISSN
    1758-1060
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/11795
    Collection
    • Curtin Research Publications
    Abstract

    There has been increasing reliance on policy directives as instruments for shaping clinical practice in health care, despite it being widely recognized that there is a significant translation gap between clinical policy and its implementation. Self- Determination Theory, a widely researched and empirically validated theory of human needs’ fulfilment and motivation, offers a potentially valuable theoretical framework for understanding not only why the current policy environment has not led to the anticipated improvement in the quality and safety of clinical care but, importantly, also provides guidance about how organizations can create an environment that can nurture behavioural change in the workforce. We describe an alternative approach to clinical policy-making underpinned by Self-Determination Theory, which we believe has broad application for the science of clinical implementation theory.

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