Practical Considerations in Building an Electronic Community of Practice for Health Care: Lessons from the Literature

  • Kevin McCartneyEmail author
  • Daniel Hooker
  • Jennifer Cordeiro
  • Helen Novak Lauscher
  • Kendall Ho
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


This chapter explores the various factors and decisions to be made regarding the development and support of online collaboration tools for facilitation of communication and learning between practicing health professionals. A literature review was conducted to identify best practices for the establishment, maintenance, support, and sustainment of electronic communities of practice (eCoPs). Following a discussion of the findings, an investigation into the available and appropriate technological options for building an eCoP was identified and is provided. This overview addresses the following dimensions of eCoP development: cost, data storage protocols, development requirements, and feature sets. A comparison between, and snapshots summarizing, platforms selected as general examples are also included as an appendix.


Electronic Community Administrative Support Online Collaboration Regular Incentive Successful Attribute 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Adams, S., & Titler, M. G. (2010). Building a learning collaborative. Worldviews on Evidence-Based Nursing, 7(3), 165–173. doi:10.1111/j.1741-6787.2009.00170.x.PubMedCrossRefGoogle Scholar
  2. Adams, A., Blandford, A., Budd, D., & Bailey, N. (2005). Organizational communication and awareness: A novel solution for health informatics. Health Informatics Journal, 11(3), 163–178. doi:10.1177/1460458205052357.CrossRefGoogle Scholar
  3. Agterberg, M., Huysman, M. H., & Hooff, B. van den (2008). Leadership in online knowledge networks: Challenges and coping strategies in an network of practice. Series Research Memorandum, 4. Retrieved from
  4. Ayers, L. R., Beyea, S. C., Godfrey, M. M., Harper, D. C., Nelson, E. C., & Batalden, P. B. (2005). Quality improvement learning collaboratives. Quality Management Health Care, 14(4), 234–247. Retrieved from Google Scholar
  5. Bandy, M., Condon, J., & Graves, E. (2008). Participating in communities of practice. Medical Reference Services Quarterly, 27(4), 441–449. doi:10.1080/02763860802368316.PubMedCrossRefGoogle Scholar
  6. Barwick, M. A., Peters, J., & Boydell, K. (2009). Getting to uptake: Do communities of practice support the implementation of evidence-based practice? Journal of the Canadian Academy of Child and Adolescent Psychiatry/Journal de l’Académie canadienne de psychiatrie de l’enfant et de l’adolescent, 18(1), 16–29. Retrieved from
  7. Bourhis, A., Dubé, L., & Jacob, R. (2005). The success of virtual communities of practice: The leadership factor. Electronic Journal of Knowledge Management, 3(1), 23–34. Retrieved from Google Scholar
  8. Braithwaite, J., Westbrook, J.I., Ranmuthugala, G., Cunningham, F., Plumb, J., Wiley, J., Ball, D., Huckson, S., Hughes, C., Johnston, B., Callen, J., Creswick, N., Georgiou, A., Bethbeder-Matibet, L., & Debono, D. (2009). The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks. BMC Health Services Research, 162(9). doi:10.1186/1472-6963-9– 162. Scholar
  9. Burrell, A. R., Elliott, D., & Hansen, M. M. (2009). ICT in the ICU: Using web 2.0 to enhance a community of practice for intensive care physicians. Critical Care and Resuscitation, 11(2), 155–159. Retrieved from
  10. Chua, A. K. (2006). The rise and fall of a community of practice: A descriptive case study. Knowledge and Process Management, 13(2), 120–128. doi:10.1002/kpm.239.CrossRefGoogle Scholar
  11. Conner, M. (2005). Communities of practice in health care: A personal reflection. Work Based Learning in Primary Care, 3, 247–250. Retrieved from
  12. Curran, J. A., & Abidi, S. S. R. (2007). Evaluation of an online discussion forum for emergency practitioners. Health Informatics Journal, 13(4), 255–266. doi:10.1177/1460458207079834.PubMedCrossRefGoogle Scholar
  13. Curran, J. A., Murphy, A. L., Abidi, S., Sinclair, D., & McGrath, P. J. (2009). Bridging the gap: Knowledge seeking and sharing in a virtual community of emergency practice. Evaluation & the Health Professions, 32(3), 314–327. doi:10.1177/0163278709338570.CrossRefGoogle Scholar
  14. Davis, J. (2006). The importance of the community of practice in identity development. The Internet Journal of Allied Health Sciences and Practice, 4(3), 1–8. Retrieved from
  15. Demiris, G. (2006). The diffusion of virtual communities in health care: Concepts and challenges. Patient Education and Counseling, 62(2), 178–188. doi:10.1016/j.pec.2005.10.003.PubMedCrossRefGoogle Scholar
  16. Dubé, L., Bourhis, A., & Jacob, R. (2006). Towards a typology of virtual communities of practice. Interdisciplinary Journal of Information, Knowledge, and Management, 1, 69–89. Retrieved from
  17. Endsley, S., Kirkegaar, M., & Linares, A. (2005). Working together: Communities of practice in family medicine. Family Practice Management, 12(1), 28–32. Retrieved from
  18. Fichter, D. (2005). The many forms of e-collaboration: Blogs, wikis, portals, groupware, discussion boards, and instant messaging. Online, 29(4), 48–50. Retrieved from
  19. Fung-Kee-Fung, M., Goubanova, E., Sequeira, K., Abdulla, A., Cook, R., Crossley, C., Langer, B., Smith, A. J., & Stern, H. (2008). Development of communities of practice to facilitate quality improvement initiatives in surgical oncology. Quality Management in Health Care, 17(2), 174–185. doi:10.1097/ Scholar
  20. Ho, K., Jarvis-Selinger, S., Norman, C., Li, L., Olatunbosun, T., Cressman, C., & Nguyen, A. (2010). Electronic communities of practice: Guidelines from a project. The Journal of Continuing Education in the Health Professions, 30(2), 139–143. doi:10.1002/chp. 20071.PubMedCrossRefGoogle Scholar
  21. Huckson, S., & Davies, J. (2007). Closing evidence to practice gaps in emergency care: The Australian experience. Academic Emergency Medicine, 14(11), 1058–1063. doi:10.1197/j.aem.2007.06.015.PubMedGoogle Scholar
  22. Iedema, R., Meyerkort, S., & White, S. (2005). Emergent modes of work and communities of practice. Health Services Management Research, 18(1), 13–24. doi:10.1258/0951484053051906.PubMedCrossRefGoogle Scholar
  23. Jiwa, M., Chan, W., Ross, J., Shaw, T., & Maqin, P. J. (2011). Communities of practice: Quality improvement or research in general practice. Australian Family Physician, 40(1–2), 72–75. Retrieved from
  24. Kilbride, C., Perry, L., Flatley, M., Turner, E., & Meyer, J. (2011). Developing theory and practice: Creation of a community of practice through action research produced excellence in stroke care. Journal of Interprofessional Care, 25(2), 91–97. doi:10.3109/13561820.2010.483024.PubMedCrossRefGoogle Scholar
  25. 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), 27–36. doi:10.1186/1748-5908-4-27.PubMedCrossRefGoogle Scholar
  26. McDonald, P. W., & Viehbeck, S. (2007). From evidence-based practice making to practice-based evidence making: Creating communities of (research) and practice. Health Promotion Practice, 8(2), 140–144. doi:10.1177/1524839906298494.PubMedCrossRefGoogle Scholar
  27. Nagy, P., et al. (2006). Building virtual communities of practice. Journal of the American College of Radiology, 3(9), 716–720. doi:10.1016/j.jacr.2006.06.005.PubMedCrossRefGoogle Scholar
  28. Plack, M. M. (2006). The development of communication skills, interpersonal skills, and a professional identity within a community of practice. Journal, Physical Therapy Education, 20(1), 37–46.Google Scholar
  29. Roberts, J. (2006). Limits to communities of practice. Journal of Management Studies, 43(3), 623–639. doi:10.1111/j.1467-6486.2006.00618.x.CrossRefGoogle Scholar
  30. Spallek, H., Butler, B. S., Schleyer, T., Weiss, P. M., Wang, X., Thyvalikakath, T. P., Hatala, C. L., & Naderi, R. A. (2008). Supporting emerging disciplines with e-communities: Needs and benefits. Journal of Medical Internet Research, 10(2), 110–125. doi:10.2196/jmir.971.CrossRefGoogle Scholar
  31. Thompson, M. (2005). Structural and epistemic parameters in communities of practice. Organization Science, 16(2), 151–164. doi:10.1287/orsc.1050.0120.CrossRefGoogle Scholar
  32. Turoff, M., & Hiltz, S. R. (2009). The future of professional communities of practice. Lecture Notes in Business Information Processing, 22(5), 144–158. doi:10.1007/978-3-642-01256-3_13.CrossRefGoogle Scholar
  33. Valaitis, R. K., Akhtar-Danesh, N., Brooks, F., Binks, S., & Semogas, D. (2011). Online communities of practice as a communication resource for community health nurses working with homeless persons. Journal of Advanced Nursing, 67(6), 1273–1284. doi:10.1111/j.1365-2648.2010.05582.x.PubMedCrossRefGoogle Scholar
  34. Virani, T., Lemieux-Charles, L., Davis, D., & Berta, W. (2009). Sustaining change: Once evidence-based practices are transferred, what then? Healthcare Quarterly (Toronto, Ont.), 12(1), 89–96. Retrieved from
  35. Wasko, M. M., & Faraj, S. (2005). Why should I share? Examining knowledge contribution in networks of practice. MIS Quarterly, 29(1), 35–57. Retrieved from
  36. Wenger, E. (2006). Communities of practice: A brief introduction. Retrieved from
  37. White, D., Suter, E., Parboosingh, I., & Taylor, E. (2008). Communities of practice: Creating opportunities to enhance quality of care and safe practices. Healthcare Quarterly (Toronto, Ont.), 11(3 Spec No.), 80–84. Retrieved from EBSCOhost.Google Scholar
  38. Zarb, M. P. (2006). Modelling participation in virtual communities-of-practice. Retrieved from Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Kevin McCartney
    • 1
    Email author
  • Daniel Hooker
    • 1
  • Jennifer Cordeiro
    • 1
  • Helen Novak Lauscher
    • 1
  • Kendall Ho
    • 1
  1. 1.eHealth Strategy Office, Faculty of MedicineUniversity of British ColumbiaVancouverCanada

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