Community of Practice in the Kuwaiti Medical Sector: An Exploratory Study

Community of Practice (CoP) is a relatively new concept in the Middle East and North Africa. The concept has been used for a number of years in the business sector; however, the use of CoPs in the health sector has not been as widespread. The aim of this study is to provide insights into the status of CoPs in the health sector and the knowledge sharing practices that take place among members of such CoPs in Kuwait. Ninety‐eight questionnaires were distributed among medical practitioners. Results showed that the majority of members perceived the CoP as a source of increasing professional knowledge. Respondents focused mainly on the COPs fostering social interactions at the workplace or during task‐oriented activities. They mostly discussed specific problems and immediate concerns. The desire to learn and the desire to help others were the main motivators for doctors to share their knowledge. Lack of time and lack of technology and knowledge transfer mechanisms were reported as the primary obstacles to sharing knowledge. Nearly 65 percent of the CoP members responding to the survey stated that they did not receive any financial support from their management. In recent years the role of communities in learning and knowledge sharing has attracted much attention among those interested in knowledge as a situated practice. The concept of Communities of Practice (CoP) was originally developed by Lave and Wenger (1991 ), who suggested that learning took place in social relationships rather than the simple acquisition of knowledge. Lave and Wenger's observations have formed the basis of the “situated learning theory,” which describes that learning takes place in a setting functionally identical to a space where the knowledge is applied ( Lave & Wenger, 1991 ). The CoP concept has been used in the business sector for over 20 years, but the use of CoPs in the health sector has been recent ( Li et al., 2009 ). In addition, results of two studies, conducted by Traboulsi (2002 ) and Johnson and Kalidi (2005 ), revealed that the CoP is a relatively new phenomenon in the Middle East and North Africa. This article aims to provide insights into the status of CoPs in the health sector and their knowledge‐sharing practices in Kuwait.     

Palestinian Water: Resources,Use, Conservation,Climate Change,and Land Use

This article addresses the future of freshwater resources in the Palestinian West Bank through a discussion of contemporary issues that each plays a vital role in determining the long‐term sustainability of freshwater reserves, such as water resource availability, trans‐boundary water issues, water reuse and conservation, changes in land use, and the potential impact of climate change on long‐term water management. Climate change and changing land use patterns are already altering this region's water resources. Future predictions regarding the long‐term effects of these changes are complex and therefore inherently uncertain. However, the consensus among most studies on this subject indicates that currently water‐poor regions such as the Middle East will experience even greater water stress in the future. Nearly all of the freshwater consumed in the West Bank is obtained from local groundwater supplies that are suffering overdraft as well as decreasing water quality. Climate change will exacerbate water stress by increasing overall temperatures, decreasing and fluctuating precipitation, and reducing overall aquifer replenishment. Expanding urbanization will continue to strain freshwater supplies by negatively impacting the quality and quantity of available freshwater. Water management in the West Bank is further complicated by total Israeli control over water resources, which often causes water delivery to Palestinians in this region to be marginalized. This article finds that Palestinian and Israeli water managers must plan for future water crises, which will likely be a result of the combined effects of increasing urbanization and climate change coupled with exponential population growth.