知识和文化对护理质量的影响:混合方法

IF 20.1 1区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE
Tiago Gonçalves , Carla Curado , Mírian Oliveira
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引用次数: 0

摘要

最近,在 COVID-19 大流行病的影响下,医疗保健管理文献中重新出现了对为患者提供的医疗保健质量的关注。医疗质量是衡量医疗保健绩效的一个复杂指标,它依赖于医疗保健知识的优化。医疗保健领域的知识管理措施和实践仍然难以实施和发展,这给管理带来了挑战,必须与竞争环境并存。本文旨在研究知识管理系统、知识共享行为和竞争文化对患者医疗质量的贡献。我们采用混合方法,通过两项研究来探索一个研究模型。研究数据来自葡萄牙医疗机构的 323 名医疗专业人员样本。定量结果显示,知识管理系统和竞争文化对医疗质量都有积极影响。结果还显示,知识共享行为对医疗质量有积极影响。作为补充,定性结果显示了导致医疗质量的两种配置。第一种情况强调了知识管理系统本身的作用,认为它足以提供高质量的医疗服务。第二种配置涉及竞争文化和个人知识共享的累积贡献,从而提高护理质量。本文讨论了理论和实践方面的影响,并提供了一个创造护理质量的模型。同时也指出了局限性,并提出了未来的工作方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge and culture influences on quality of care: A mixed methods approach

Concerns about the quality of care provided to patients have been recently revisited in the healthcare management literature, driven by the aftermath of the COVID-19 pandemic. Quality of care is a complex measure of healthcare performance that relies on optimizing healthcare knowledge. Knowledge management initiatives and practices in healthcare remain difficult to implement and develop – presenting a managerial challenge that must coexist in a competitive environment. This paper aims to study the contribution of knowledge-management systems, knowledge-sharing behavior, and competitive culture to the quality of care provided to patients. We use a mixed-methods approach to explore a research model in a sequence of two studies. Research data comes from a sample of 323 healthcare professionals in Portuguese healthcare organizations. Quantitative results show that both knowledge-management systems and a competitive culture positively influence the quality of care. Results also show a positive influence of knowledge-sharing behavior on the quality of care. Complementarily, qualitative results reveal two configurations leading to quality of care. The first highlights the role of knowledge-management systems alone as sufficient to provide quality of care. A second configuration involves cumulative contributions of competitive culture and individual knowledge sharing, leading to quality of care. Theoretical and practical implications are discussed, and a model for quality of care creation is offered. Limitations are acknowledged and future work directions are presented.

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来源期刊
International Journal of Information Management
International Journal of Information Management INFORMATION SCIENCE & LIBRARY SCIENCE-
CiteScore
53.10
自引率
6.20%
发文量
111
审稿时长
24 days
期刊介绍: The International Journal of Information Management (IJIM) is a distinguished, international, and peer-reviewed journal dedicated to providing its readers with top-notch analysis and discussions within the evolving field of information management. Key features of the journal include: Comprehensive Coverage: IJIM keeps readers informed with major papers, reports, and reviews. Topical Relevance: The journal remains current and relevant through Viewpoint articles and regular features like Research Notes, Case Studies, and a Reviews section, ensuring readers are updated on contemporary issues. Focus on Quality: IJIM prioritizes high-quality papers that address contemporary issues in information management.
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