Knowledge management as a mediator for the efficacy of transformational leadership and quality management initiatives in U.S. health care
| Autor: | Kathleen L. McFadden, Charles R. Gowen, Stephanie C. Henagan |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Quality management
Knowledge management Leadership and Management Strategy and Management media_common.quotation_subject Exploratory research Organizational performance Patient safety Health care Humans Quality (business) Institutional Management Teams media_common Delivery of Health Care Integrated business.industry Health Policy Models Theoretical Knowledge acquisition Organizational Innovation United States Leadership Transformational leadership Health Care Surveys Hospital Information Systems Health Services Research Diffusion of Innovation business Total Quality Management |
| Zdroj: | Health Care Management Review. 34:129-140 |
| ISSN: | 0361-6274 |
| DOI: | 10.1097/hmr.0b013e31819e9169 |
| Popis: | Background The health care industry has become one of the largest sectors of the U.S. economy and provides the greatest job growth of any industry. With such growth, effective leadership, knowledge management, and quality programs can ameliorate patient safety outcomes and improve organizational performance. Purposes This exploratory study examines the efficacy of transformational leadership, knowledge management, and quality initiatives, each of which has been proven effective in health care organizations. The literature has neglected the relationships among these three types of programs, although they are increasingly implemented simultaneously now. This research tests the degree to which knowledge management could act as a mediator of the effects transformational leadership and quality management have on organizational performance for hospitals. Methodology Our survey of U.S. hospitals utilizes validated scales from the literature. By calling and e-mailing quality and other department directors, the data set includes responses from all 50 states in our sample of 370 U.S. hospitals. Statistical tests confirmed acceptable regional distribution, interrater reliability, and control variable characteristics for our sample. Structural equation modeling is used to test the research hypotheses. Findings These preliminary results reveal that transformational leadership and quality management improve knowledge management. In addition, transformational leadership is fully mediated by knowledge responsiveness and quality management is partially mediated by knowledge responsiveness for their effects on organizational performance. Practice implications The unique contribution of this study includes the suggestion that greater transformational leadership skills are important for health care executives to motivate successful knowledge management initiatives. Secondly, continuous improvements in quality management programs have significant positive impacts on knowledge management and organizational outcomes in hospitals. Finally, successful knowledge management initiatives are more closely tied to patient and organizational outcomes through the enhancement of knowledge responsiveness than by knowledge acquisition and dissemination alone. |
| Databáze: | OpenAIRE |
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