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N. 125 (2023)

Virtual healthcare communities of practice: An Italian experience during the Covid-19 pandemic

novembre 22, 2023


Recently, the literature observed a significant growth of studies on the healthcare communities of practice, above all for their contribution in addressing the health crises, and in particular the Covid-19 pandemic. However, the literature on the topic is still fragmentary, especially with concern of the bottom-up citizens’ engagement approach. This study aims to explore the contribution of healthcare communities of practice in addressing the Covid-19 pandemic through the citizens engagement. Based on the casestudy method, we conducted a qualitative analysis on the community created in Italy named “Comitato Cura Domiciliare Covid” (Covid Home Care Committee). The paper focuses on the experience of this health care community of practice, seeking to identify major challenges and opportunities for supporting policymakers and clinicians dealing with a health crise.

Riferimenti bibliografici

  1. Agrifoglio R. (2015). Knowledge preservation through community of practice: Theoretical issues and empirical evidence. Springer.
  2. Al-Omoush K. S., Orero-Blat M., & Ribeiro-Soriano D. (2021). The role of sense of community in harnessing the wisdom of crowds and creating collaborative knowledge during the COVID-19 pandemic. Journal of Business Research, 132: 765-774.
  3. Alavi M., & Carlson P. (1992). A review of MIS research and disciplinary development. Journal of management information systems, 8(4): 45-62.
  4. Allen U. D., Preiksaitis J. K., & AST Infectious Diseases Community of Practice (2019). Posttransplant lymphoproliferative disorders, Epstein‐Barr virus infection, and disease in solid organ transplantation: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical transplantation, 33(9), e13652.
  5. Anderson C. A., Leahy M. J., DelValle R., Sherman S., & Tansey T. N. (2014). Methodological application of multiple case study design using modified consensual qualitative research (CQR) analysis to identify best practices and organizational factors in the public rehabilitation program. Journal of Vocational Rehabilitation, 41(2): 87-98.
  6. Ardichvili A. (2008). Learning and knowledge sharing in virtual communities of practice: Motivators, barriers, and enablers. Adv Dev Hum Resour, 10(4): 541-54. DOI: 10.1177/1523422308319536.
  7. Barker K.M., Ling E.J., Fallah M. et al. (2020). Community engagement for health system resilience: evidence from Liberia’s Ebola epidemic. Health Policy Plan, 35: 416-23.
  8. Barnett S., Jones S.C., Bennett S. et al. (2016). A virtual community of practice for general practice training: a preimplementation survey. JMIR Med Educ, 2: e13.
  9. Barnett S., Jones S.C., Bennett S., Iverson D., Bonney A. (2012). General practice training and virtual communities of practice – A review of the literature. BMC Fam Pract, 13: 87. DOI: 10.1186/1471-2296-13-87.
  10. Bate P., Robert G., & Bevan H. (2004). The next phase of healthcare improvement: what can we learn from social movements?. BMJ Quality & Safety, 13(1): 62-66.
  11. Baxter P., & Jack S. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. The qualitative report, 13(4): 544-559.
  12. Benbasat I., Goldstein D. K., & Mead M. (1987). The case research strategy in studies of information systems. MIS quarterly, 369-386.
  13. Berelson B. (1952). Content analysis in communication research. Free Press.
  14. Brown J. S., & Duguid P. (1991). Organizational learning and communities-of-practice: Toward a unified view of working, learning, and innovation. Organization science, 2(1): 40-57.
  15. Chan, E. Y. Y., Gobat, N., Dubois, C., Bedson, J., & de Almeida, J. R. (2021). Bottom-up citizen engagement for health emergency and disaster risk management: Directions since COVID-19. The Lancet, 398(10296): 194-196.
  16. Chin‐Hong P. V., Reid G. E., & AST Infectious Diseases Community of Practice (2019). Human papillomavirus infection in solid organ transplant recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical transplantation, 33(9), e13590.
  17. Chung C. J., Barnett G. A., & Park H. W. (2014). Inferring international dotcom web communities by link and content analysis. Qual. Quant., 48(2): 1-17.
  18. Creswell J. W., Hanson W. E., Clark Plano V. L., & Morales A. (2007). Qualitative research designs: Selection and implementation. The counseling psychologist, 35(2): 236-264.
  19. Cribb A., & Collins A. (2021). Strengthening citizenship: A healthcare improvement priority. Future healthcare journal, 8(1), e174.
  20. Delgado J., de Groot J., McCaffrey G. et al. (2020). Communities of practice: acknowledging vulnerability to improve resilience in healthcare teams. J Med Ethics. DOI: 10.1136/medethics-2019-105865. [Epub ahead of print: 24 Jan 2020].
  21. Delgado J., Siow S., de Groot, J., McLane B., & Hedlin M. (2021). Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond. Journal of Medical Ethics, 47(6): 374-382.
  22. Eisenhardt K. M. (1989). Building theories from case study research. Academy of management review, 14(4): 532-550.
  23. Evans C., Yeung E., Markoulakis R., & Guilcher S. (2014). An online community of practice to support evidence‐based physiotherapy practice in manual therapy. Journal of Continuing Education in the Health Professions, 34(4): 215-223.
  24. Fischer G. (2001). Communities of interest: Learning through the interaction of multiple knowledge systems. In Proceedings of the 24th Annual Information Systems Research Seminar in Scandinavia (pp. 1-14), Ulvik, Norway.
  25. Goldman J. D., & Julian K. (2019). Urinary tract infections in solid organ transplant recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical Transplantation, 33(9), e13507.
  26. Graneheim U. H., & Lundman B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today, 24(2): 105-112.
  27. Gui X., Kou Y., Pine K. H., & Chen Y. (2017, May). Managing uncertainty: using social media for risk assessment during a public health crisis. In Proceedings of the 2017 CHI conference on human factors in computing systems (pp. 4520-4533).
  28. Hägg-Martinell A., Hult H., Henriksson P., & Kiessling A. (2016). Community of practice and student interaction at an acute medical ward: an ethnographic study. Medical teacher, 38(8): 793-800.
  29. Hägg-Martinell A., Hult H., Henriksson P., & Kiessling A. (2016). Community of practice and student interaction at an acute medical ward: an ethnographic study. Medical teacher, 38(8): 793-800.
  30. Haines T.P., Bowles K.-A., Mitchell D. et al. (2017). Impact of disinvestment from weekend allied health services across acute medical and surgical wards: 2 stepped-wedge cluster randomised controlled trials. PLoS Med,14: e1002412.
  31. Ianniello M., Iacuzzi S., Fedele P., & Brusati L. (2019). Obstacles and solutions on the ladder of citizen participation: a systematic review. Public management review, 21(1): 21-46.
  32. Ikioda F., Kendall S., Brooks F., De Liddo A., Buckingham Shum S. (2013). Factors that influence healthcare professionals’ online interaction in a virtual community of practice. Social Networking, 02(04): 174-84.
  33. Jiménez-Zarco A. I., González-González I., Saigí-Rubió F., & Torrent-Sellens J. (2015). The co-learning process in healthcare professionals:
  34. Assessing user satisfaction in virtual communities of practice. Computers in human behavior, 51: 1303-1313.
  35. Katzy B. R. and Ma X. (2002). Virtual Professional Communities-Definitions and Typology. The 8 th International Conference on Concurrent Enterprising, Rome, 17-19 June 2002.
  36. Keefe R. H., Lane S. D., & Swarts H. J. (2006). From the bottom up: tracing the impact of four health-based social movements on health and social policies. Journal of health & social policy, 21(3): 55-69.
  37. Kredo T., Bernhardsson S., Machingaidze S. et al. (2016). Guide to clinical practice guidelines: the current state of play. Int J Qual Health Care, 28: 122-8.
  38. Krippendorff K. (1980). Content Analysis: An Introduction to Its Methodology. Newbury Park, CA: Sage.
  39. La V. P., Pham T. H., Ho M. T., Nguyen M. H., P. Nguyen K. L., Vuong T. T., ... & Vuong Q. H. (2020). Policy response, social media and science journalism for the sustainability of the public health system amid the COVID-19 outbreak: The Vietnam lessons. Sustainability, 12(7), 2931.
  40. Lave J. & Wenger E. (1991) Situated Learning: Legitimate pearipheral Participation. New York: Cambridge University Press.
  41. Lee D. H., Zuckerman R. A., & AST Infectious Diseases Community of Practice (2019). Herpes simplex virus infections in solid organ transplantation: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical Transplantation, 33(9), e13526.
  42. Li L. C., Grimshaw J. M., Nielsen C., Judd M., Coyte P. C., & Graham I. D. (2009). Use of communities of practice in business and health care sectors: a systematic review. Implementation science, 4(1): 1-9.
  43. Lyons N., Cox C., & Clements V. (2020). Value of clinical engagement in the NSW Health response to COVID-19. Australian Health Review, 45(3): 306-307.
  44. Marston C., Renedo A., & Miles S. (2020). Community participation is crucial in a pandemic. The Lancet, 395(10238): 1676-1678.
  45. McLoughlin C., Patel K. D., O’Callaghan T., & Reeves, S. (2018). The use of virtual communities of practice to improve interprofessional collaboration and education: findings from an integrated review. Journal of interprofessional care, 32(2): 136-142.
  46. McMullin C., & Needham C. (2018). Co-production in healthcare. In: Co-Production and Co-Creation (pp. 151-160). Routledge.
  47. Metallo C. (2007). L’organizzazione del lavoro a distanza. Torino: Giappichelli.
  48. Miller R., Assi M., & AST Infectious Diseases Community of Practice (2019). Endemic fungal infections in solid organ transplant recipients – Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical Transplantation, 33(9), e13553.
  49. Mullan J., Metusela C., Guppy M., Pond D., Ivers R., Hoffman R., ... & Bonney A. (2022). Development of a COVID-19 virtual community of practice in New South Wales. Australian Journal of General Practice, 51(4): 263-269.
  50. NSW Government Health. Communities of practice. Sydney, NSW: NSW Health, 2020. – Available at [Accessed 25 August 2022].
  51. Palen L., Vieweg S., Sutton J., Liu S. B., and Hughes A. L. (2007). Crisis Informatics: Studying Crisis in a Networked World. In: Proceedings of the Third International Conference on E-Social Science.
  52. Parboosingh J.T. (2002). Physician communities of practice: where learning and practice are inseparable. Journal of Continuing Education in the Health Professions, 22: 230-236.
  53. Pergam S. A., Limaye A. P., & AST Infectious Diseases Community of Practice (2019). Varicella zoster virus in solid organ transplantation: guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical transplantation, 33(9), e13622.
  54. Pestoff V. (2018). Co-production and public service management: Citizenship, governance and public service management. Routledge.
  55. Portoghese I., Galletta M., Sardu C., Mereu A., Contu P., & Campagna M. (2014). Community of practice in healthcare: an investigation on nursing students’ perceived respect. Nurse Education in Practice, 14(4): 417-421.
  56. Renedo A., & Marston C. (2011). Healthcare professionals’ representations of ‘patient and public involvement’ and creation of ‘public participant’ identities: implications for the development of inclusive and bottom‐up community participation initiatives. Journal of Community & Applied Social Psychology, 21(3): 268-280.
  57. Sadiq K. (2020). Communities of practice as a multidisciplinary response in times of crisis: adapting to successful online learning practices. Accounting Research Journal.
  58. Shaw L., Jazayeri D., Kiegaldie D., & Morris M. (2021). Virtual communities of practice to improve clinical outcomes in healthcare: protocol for a 10-year scoping review. BMJ open, 11(7), e046998.
  59. Shaw L., Jazayeri D., Kiegaldie D., & Morris M. E. (2022). Implementation of Virtual Communities of Practice in Healthcare to Improve Capability and Capacity: A 10-Year Scoping Review. International Journal of Environmental Research and Public Health, 19(13), 7994.
  60. Stake R. E. (1995). The art of case study research. Sage.
  61. Stavros C., & Westberg K. (2009). Using triangulation and multiple case studies to advance relationship marketing theory. Qualitative Market Research: An International Journal, 12(3): 307-320.
  62. Stemler S. (2000). An overview of content analysis. Practical assessment, research, and evaluation, 7(1), 17.
  63. The Royal College of General Practitioners. COVID-19 (coronavirus). London, UK: RCGP, 2021. – Available at [Accessed 25 August 2022].
  64. United Nations Economic and Social Commission for Asia and the Pacific. Communities of practice – A stop-gap solution during a pandemic or here to stay? Bangkok, TH: UNESCAP, 2020. – Available at [Accessed 25 August 2022].
  65. University of California San Francisco Pandemic Initiative for Equity and Action. Communities of practice. San Francisco, CA: UCSF, 2021. – Available at [Accessed 25 August 2022].
  66. Weber R. P. (1990). Basic Content Analysis, 2nd ed. Newbury Park, CA.
  67. Wenger E. (1998). Communities of practice: Learning as a social system. Systems thinker, 9(5): 2-3.
  68. Wenger E., McDermott R. A., & Snyder W. (2002). Cultivating communities of practice: A guide to managing knowledge. Harvard business press.
  69. Wilson K., Dennison C., Struminger B., Armistad A., Osuka H., Montoya E., ... & Lessa F. C. (2021). Building a virtual global knowledge network during COVID-19: the infection prevention and control global webinar series. Clinical Infectious Diseases.
  70. World Health Organization (2018). Delivering quality health services: A global imperative. OECD Publishing.
  71. Xu W. W., Chiu I. H., Chen Y., & Mukherjee T. (2015). Twitter hashtags for health: applying network and content analyses to understand the health knowledge sharing in a Twitter-based community of practice. Quality & Quantity, 49(4): 1361-1380.
  72. Yada N., Head M. (2019). Attitudes toward health care virtual communities of practice: Survey among health care workers. J Med Internet Res, 21(12), e15176. DOI: 10.2196/15176.
  73. Yin R. K. (1994). Discovering the future of the case study. Method in evaluation research. Evaluation practice, 15(3): 283-290.
  74. Yin R. K. (2002). Case study research: Design and methods. Thousand Oaks, CA: SAGE Publications.
  75. Yin R. K. (2009). Case study research: Design and methods (Vol. 5). Sage Publications.


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