Nottingham University Business School
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Sarah Brand

Diploma in Nursing, BA (Hons), MSc, MA

Room: B22 (South Building)
Tel: +44 (0) 115 8467750

Current Status: Minor Corrections
Year of Registration: 2014
Expected Completion Date: /09/2017

Primary Funding Source:
Collaboration for Leadership in Applied Health Research and Care

Research Topic:
Long Term Condition management An expert partnership?

Research Details:
Chronic illnesses, or long term conditions (LTC), are ones which, at present, cannot be cured, but can be controlled by medication and other therapies (Department of Health, 2013b). 70% of total expenditure on health and care in England is associated with the treatment of the 30% of the population with one or more LTC. This issue is set to grow in magnitude and in the short term, (House of Commons Select Committee, 2014). One of the proposed solutions for this growing crisis is to support patients to manage their conditions themselves, thereby reducing hospital visits and lowering costs to the NHS overall (NHS England, 2013).
Self management necessarily involves the patient having some level of knowledge regarding the LTC, the self management activities required and the context in which care is delivered. In addition, there is a commitment within healthcare for patients to be involved in decision making regarding their healthcare needs with the mantra "no decision about me without me" (Department of Health, 2010). In order for knowledge to be shared between health care professionals, patients and carers, movement of knowledge has to take place and this requires management of knowledge boundaries.
Knowledge boundaries have been widely recognised in the management literature (Brown and Duguid, 2001), but since Carlile's seminal works (2002 & 2004), the understanding of knowledge boundaries has been largely unchallenged. My work critiques some of the fundamental assumptions of Carlile's work and results in a new typology which accounts more accurately for both knowledge boundaries, and the conflicts which may arise in their management. This is explored further empirically within the healthcare context and LTC management more specifically.

CurrentTeaching: N/A

Research Supervisor/s: Justin Waring and Stephen Timmons

Division: Organisational Behaviour and Human Resource Management

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