Internal versus external knowledge sourcing of organizational rules: an exploratory study of CPGs in a healthcare organization

IF 2.8 4区管理学 Q2 BUSINESS

Industrial and Corporate Change Pub Date : 2023-10-28 DOI:10.1093/icc/dtad055

Kejia Zhu, Martin Schulz

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引用次数: 0

Abstract

Abstract In this study, we examine how organizational rules source knowledge. By knowledge sourcing of a rule, we mean the formation of reference ties from the rule to knowledge sources located outside of the focal rule. Rules can source knowledge from sources within the organization (e.g., other rules) and outside (e.g., research publications, policies, standards, etc.). Our theoretical model proposes that knowledge sourcing of rules is driven by inherent incompleteness of rules as a result of bounded rationality of rule makers and rule making process. Incomplete rules can lead to experiences of insufficient rule knowledge, termed “knowledge gaps,” which are shaped by rule dynamics at the levels of individual rules, the rule system, and rule networks. Our theoretical model leads to several hypotheses that we test with longitudinal archival data of clinical practice guideline (CPG) changes in a Canadian healthcare organization. The findings support our theoretical model of incomplete organizational rules which encounter knowledge gaps and close them through internal and external knowledge sourcing. The theoretical and practical implications of the findings are discussed.

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组织规则的内部与外部知识来源:医疗保健组织CPGs的探索性研究

摘要本研究探讨组织规则如何产生知识。规则的知识来源是指从规则到位于焦点规则之外的知识来源的参考联系的形成。规则可以从组织内部(例如，其他规则)和外部(例如，研究出版物、政策、标准等)获取知识。我们的理论模型提出，规则的知识来源是由规则制定者和规则制定过程的有限理性所导致的规则固有的不完全性所驱动的。不完整的规则可能导致规则知识不足的经验，称为“知识缺口”，这是由单个规则、规则系统和规则网络层面的规则动态形成的。我们的理论模型导致了几个假设，我们测试了纵向档案数据的临床实践指南(CPG)变化在加拿大医疗保健组织。研究结果支持了我们的理论模型，即不完整的组织规则会遇到知识缺口，并通过内部和外部的知识来源来弥补它们。讨论了研究结果的理论和实践意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Industrial and Corporate Change Multiple-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： The journal covers the following: the internal structures of firms; the history of technologies; the evolution of industries; the nature of competition; the decision rules and strategies; the relationship between firms" characteristics and the institutional environment; the sociology of management and of the workforce; the performance of industries over time; the labour process and the organization of production; the relationship between, and boundaries of, organizations and markets; the nature of the learning process underlying technological and organizational change.