How best practices are copied, transferred, or translated between health care facilities
Autor: | Gustavo Guzman, Kathryn J Hayes, Nerina Vecchio, Arthur Eugene Poropat, Liz Fulop, Ruth McPhail, Rod Peter Gapp, Janna Anneke Fitzgerald, Steve Campbell, Carmel Ann Herington, Ron James Fisher, Mark Avery |
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Rok vydání: | 2015 |
Předmět: |
Knowledge management
Leadership and Management Strategy and Management media_common.quotation_subject Best practice Context (language use) Translational Research Biomedical Knowledge translation Humans Medicine Quality (business) media_common Copying business.industry Health Policy Australia Quality Improvement Conceptual framework Practice Guidelines as Topic Organizational learning The Conceptual Framework Health Facilities Health Services Research Diffusion of Innovation business Delivery of Health Care |
Zdroj: | Health Care Management Review. 40:193-202 |
ISSN: | 0361-6274 |
DOI: | 10.1097/hmr.0000000000000023 |
Popis: | Introduction: In spite of significant investment in quality programs and activities, there is a persistent struggle to achieve quality outcomes and performance improvements within the constraints and support of sociopolitical parsimonies. Equally, such constraints have intensified the need to better understand the best practice methods for achieving quality improvements in health care organizations over time.This study proposes a conceptual framework to assist with strategies for the copying, transferring, and/or translation of best practice between different health care facilities. Purpose: Applying a deductive logic, the conceptual framework was developed by blending selected theoretical lenses drawn from the knowledge management and organizational learning literatures. Findings: The proposed framework highlighted that (a) major constraints need to be addressed to turn best practices into everyday practices and (b) double-loop learning is an adequate learning mode to copy and to transfer best practices and deuteron learning mode is a more suitable learning mode for translating best practice. We also found that, in complex organizations, copying, transferring, and translating new knowledge is more difficult than in smaller, less complex organizations. We also posit that knowledge translation cannot happen without transfer and copy, and transfer cannot happen without copy of best practices. Hence, an integration of all three learning processes is required for knowledge translation (copy best practice-transfer knowledge about best practice-translation of best practice into new context). In addition, the higher the level of complexity of the organization, the more best practice is tacit oriented and, in this case, the higher the level of K&L capabilities are required to successfully copy, transfer, and/or translate best practices between organizations. Practice Implications: The approach provides a framework for assessing organizational context and capabilities to guide copy/transfer/translation of best practices. A roadmap is provided to assist managers and practitioners to select appropriate learning modes for building success and positive systemic change. |
Databáze: | OpenAIRE |
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