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“Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm

Responding to this issue’s invitation to bring new disciplinary insights to the field of improvement science, this article takes as its starting point one of the field’s guiding metaphors: the imperative to “mind the gap”. Drawing on insights from anthropology, history, and philosophy, the article r...

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Detalles Bibliográficos
Autor principal: Junghans, Trenholme
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899994/
https://www.ncbi.nlm.nih.gov/pubmed/29147898
http://dx.doi.org/10.1007/s10728-017-0353-7
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author Junghans, Trenholme
author_facet Junghans, Trenholme
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description Responding to this issue’s invitation to bring new disciplinary insights to the field of improvement science, this article takes as its starting point one of the field’s guiding metaphors: the imperative to “mind the gap”. Drawing on insights from anthropology, history, and philosophy, the article reflects on the origins and implications of this metaphoric imperative, and suggests some ways in which it might be in tension with the means and ends of improvement. If the industrial origins of improvement science in the twentieth century inform a metaphor of gaps, chasms, and spaces of misalignment as invariably imperfect and potentially dangerous, and therefore requiring bridging or closure, other currents that feed the discipline of improvement science suggest the potential value and uses of spaces of openness and ambiguity. These currents include the science of complex adaptive systems, and certain precepts of philosophical pragmatism acknowledged to inform improvement science. Going a step further, I reflect on whether or not these two contrasting approaches within improvement science should be treated as incommensurable paradigms, and what each approach tells us about the very possibility of accommodating seemingly irreconcilable or incommensurable approaches within improvement science.
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spelling pubmed-58999942018-04-17 “Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm Junghans, Trenholme Health Care Anal Original Article Responding to this issue’s invitation to bring new disciplinary insights to the field of improvement science, this article takes as its starting point one of the field’s guiding metaphors: the imperative to “mind the gap”. Drawing on insights from anthropology, history, and philosophy, the article reflects on the origins and implications of this metaphoric imperative, and suggests some ways in which it might be in tension with the means and ends of improvement. If the industrial origins of improvement science in the twentieth century inform a metaphor of gaps, chasms, and spaces of misalignment as invariably imperfect and potentially dangerous, and therefore requiring bridging or closure, other currents that feed the discipline of improvement science suggest the potential value and uses of spaces of openness and ambiguity. These currents include the science of complex adaptive systems, and certain precepts of philosophical pragmatism acknowledged to inform improvement science. Going a step further, I reflect on whether or not these two contrasting approaches within improvement science should be treated as incommensurable paradigms, and what each approach tells us about the very possibility of accommodating seemingly irreconcilable or incommensurable approaches within improvement science. Springer US 2017-11-17 2018 /pmc/articles/PMC5899994/ /pubmed/29147898 http://dx.doi.org/10.1007/s10728-017-0353-7 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Junghans, Trenholme
“Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm
title “Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm
title_full “Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm
title_fullStr “Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm
title_full_unstemmed “Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm
title_short “Don’t Mind the Gap!” Reflections on Improvement Science as a Paradigm
title_sort “don’t mind the gap!” reflections on improvement science as a paradigm
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899994/
https://www.ncbi.nlm.nih.gov/pubmed/29147898
http://dx.doi.org/10.1007/s10728-017-0353-7
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