El impacto de la complejidad estructural en los procesos de gestión del conocimiento: Un estudio de caso del Hospital Oftalmológico de la amistad Argelia Cuba en DJELFA
DOI:
https://doi.org/10.5281/zenodo.13363436Palabras clave:
diferenciación horizontal, diferenciación espacial, diferenciación vertical, gestión del conocimiento, hospitalResumen
El hospital es un sistema complejo que incluye varias variables, y el conocimiento representa el insumo más crítico que interactúa para satisfacer eficazmente las necesidades de los pacientes. El estudio buscó probar empíricamente la relación entre la complejidad estructural y sus dimensiones: diferenciación horizontal, diferenciación espacial, diferenciación vertical y procesos de gestión del conocimiento: adquisición, almacenamiento, distribución y aplicación entre una muestra de trabajadores del Hospital Oftalmológico de la Amistad Argelia Cuba en Djelfa. Se diseñó un cuestionario para recolectar datos de la muestra de estudio, y los datos fueron procesados y analizados con base en los programas SPSS 22 y Smart Pls 4. El estudio arrojó resultados, los más importantes son: Existe un efecto significativo de la diferenciación horizontal y espacial en los procesos de gestión del conocimiento en el hospital. El estudio recomienda adoptar tecnologías de la información y la comunicación e integrarlas en diversas operaciones hospitalarias para simplificar las tareas de los profesionales sanitarios.
Descargas
Citas
Lu L, Lin, X, Pan J. Heterogeneous effects of hospital competition on inpatient expenses: an empirical analysis of diseases grouping basing on conditions’ complexity and urgency. BMC Health Services Research, 2021;21(1): 1–16. [consulted 21 june 2024] Available in: https://doi.org/10.1186/s12913-021-07331-1
Segura-García MT, Castro Vida MÁ, García-Martin M, Álvarez-Ossorio-García de Soria R, Cortés-Rodríguez AE, López-Rodríguez MM. Patient Safety Culture in a Tertiary Hospital: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 2023;20(3). [consulted 21 june 2024] Available in: https://doi.org/10.3390/ijerph20032329
van Beers JCAM, van Dun DH, Wilderom CPM. Effective hospital-wide lean implementation: top-down, bottom-up or through co-creative role modeling? International Journal of Lean Six Sigma, 2022;13(1), 46–66. [consulted 21 june 2024] Available in: https://doi.org/10.1108/IJLSS-02-2021-0024
Carini E, Gabutti I., Frisicale EM, Di Pilla A, Pezzullo AM, de Waure C, Cicchetti A, Boccia S, Specchia ML. Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review. BMC Health Services Research, 2020;20(1): 1–13. [consulted 23 june 2024] Available in: https://doi.org/10.1186/s12913-020-05879-y
Wennman I., Jacobson C, Carlström E, Hyltander A, Khorram-Manesh A. Organizational Changes Needed in Disasters and Public Health Emergencies: A Qualitative Study among Managers at a Major Hospital. International Journal of Disaster Risk Science, 2022;13(4): 481–494. [consulted 23 june 2024] Available in: https://doi.org/10.1007/s13753-022-00423-4
Dryden-Palmer KD, Parshuram CS, Berta WB. Context, complexity and process in the implementation of evidence-based innovation: A realist informed review. BMC Health Services Research, 2020;20(1), 1–15. [consulted 23 june 2024] Available in: https://doi.org/10.1186/s12913-020-4935-y
Wahba M. The Impact of Organizational Structure Dimensions ’ on Knowledge Management Processes Comparative Study Between Manufacturing & Service Sectors in Egypt. Proceedings of the Australian Academy of Business and Social Sciences Conference 2, 2014; 1–13.
Oh KH, Kim K, Park SM. The Effects of Organizational Structure on Innovativeness, Pro-activeness, and Risk-taking in the Korean Public Sector. 2020; 1–32. [consulted 25 june 2024] Available in: https://www.ippapublicpolicy.org/file/paper/594ba7238eb1c.pdf
Chen Y, Bretschneider S, Stritch JM, Darnall N, Hsueh L. E-procurement system adoption in local governments: the role of procurement complexity and organizational structure. Public Management Review, 2022;24(6): 903–925. [consulted 25 june 2024] Available in: https://doi.org/10.1080/14719037.2021.1874497
Ben-Ner A, Kong F, Lluis S. (2012). Uncertainty, task environment, and organization design: An empirical investigation. Journal of Economic Behavior and Organization, 2012;82(1): 281–313. [consulted 25 june 2024] Available in: https://doi.org/10.1016/j.jebo.2012.02.009
Zhou YM. Designing for complexity: Using divisions and hierarchy to manage complex tasks. Organization Science, 2013;24(2): 339–355. [consulted 25 june 2024] Available in: https://doi.org/10.1287/orsc.1120.0744
Fredrickson JW. The Strategic Decision Process and Organizational Structure. Academy of Management Review, 1986;11(2), 280–297. [consulted 27 june 2024] Available in: https://doi.org/10.5465/amr.1986.4283101
Alhasani AH, Alkshali SJ. The Impact of Organizational Support on Strategic Vigilance in Ministry of Civil Service in Sultanate Oman. International Journal of Academic Research in Business and Social Sciences, 2021;11(5): 669–683. [consulted 27 june 2024] Available in: https://doi.org/10.6007/ijarbss/v11-i5/8496
Claver-Cortés E, Zaragoza-Sáez P, Pertusa-Ortega E. Organizational structure features supporting knowledge management processes. Journal of Knowledge Management, 2007;11(4): 45–57. [consulted 27 june 2024] Available in: https://doi.org/10.1108/13673270710762701
Johnston MA. (2000). Delegation and Organizational Structure in Small Businesses: Influences of Manager’s Attachment Patterns. Group and Organization Management, 2000; 25(1): 4–21. [consulted 28 june 2024] Available in: https://doi.org/10.1177/1059601100251002
Blau PM. A Formal Theory of Differentiation in Organizations. American Sociological Review, 1970;35(2): 201. [consulted 28 june 2024] Available in: https://doi.org/10.2307/2093199
Dooley K. Organizational Complexity Kevin Dooley Arizona State University. Business, January 2002; 2002: 5013–5022.
Ugbomhe O, Dirisu A. Organizational Structure: Dimensions, Determinants and Managerial Implication. Icidr.Org, 2011;2(2): 10–18. [consulted 28 june 2024] Available in: http://www.icidr.org/ijedri_vol2no2_august2011/Organizational Structure Dimensions, Determinants and Managerial Implication.pdf
Hall RH. Organization and Environment: Managing Differentiation and Integration. Administrative Science Quarterly. Johnson Graduate School of Management, Cornell University; 1968.
Elkabbouri, R. Organizational structures and efficiency of Moroccan professional football clubs. Finance, Auditing, Management and Economics, 2021; 2(4): 61–74. [consulted 28 june 2024] Available in: https://doi.org/10.5281/zenodo.5071098
Hall RH, Johnson NJ, Haas JE. Organizational Size, Complexity, and Formalization. American Sociological Review, 1967;32(6): 903–912. [consulted 28 june 2024] Available in: https://doi.org/https://doi.org/10.2307/2092844
Ashmos DP, Duchon D, McDaniel RR. Organizational responses to complexity: The effect on organizational performance. Journal of Organizational Change Management, 2000;(6); 577–594. [consulted 28 june 2024] Available in: https://doi.org/10.1108/09534810010378597
Damanpour F, Gopalakrishnan S. Theories of organizational structure and innovation adoption: The role of environmental change. Journal of Engineering and Technology Management - JET-M, 1998;15(1):1–24. [consulted 28 june 2024] Available in: https://doi.org/10.1016/S0923-4748(97)00029-5
Porter LW, Lawler EE. Properties of organization structure in relation to job attitudes and job behavior. Psychological Bulletin, 1965;64(1):23–51. [consulted 29 june 2024] Available in: https://doi.org/10.1037/h0022166
Naylor JC, Briggs GE. Effects of task complexity and task organization on the relative efficiency of part and whole training methods. Journal of Experimental Psychology, 1963;65(3): 217–224. [consulted 30 june 2024] Available in: https://doi.org/10.1037/h0041060
Andreis F deA Theoretical Approach to the Effective Decision-Making Process. Open Journal of Applied Sciences, 2020;10(06):287–304. [consulted 2 july 2024] Available in: https://doi.org/10.4236/ojapps.2020.106022
Hage J, Aiken M, Marrett CB. Organization Structure and Communications. American Sociological Review, 1971;36(5): 860. [consulted 2 july 2024] Available in: https://doi.org/10.2307/2093672
Aldrich H, Herker D. Academy of management review. Academy of Management Review, 1977;2(2): 217–230.
Rasmussen J. The Role of Hierarchical Knowledge Representation in Decision making and System Management. IEEE Transactions on Systems, Man and Cybernetics, SMC, 1985;15(2): 234–243. [consulted 4 july 2024] Available in: https://doi.org/10.1109/TSMC.1985.6313353
Lin Z. Environmental determination or organizational design: An exploration of organizational decision making under environmental uncertainty. Simulation Modelling Practice and Theory, 2006;14(4):438–453. [consulted 4 july 2024] Available in: https://doi.org/10.1016/j.simpat.2005.09.007
Almasri A, Talla SA El, Abu-naser SS, Shobaki MJAl, Technology I. The Organizational Structure and its Role in Applying the Information Technology Used In the Palestinian Universities- Comparative Study between Al-Azhar and the Islamic Universities. International Journal of Academic and Applied Research, 2018; 2(6): 1–22.
Moreno‐Luzón Peris FJ. Strategic approaches, organizational design and quality management. International Journal of Quality Science, 1998;3(4): 328–347. [consulted 4 july 2024] Available in: https://doi.org/10.1108/13598539810243667
Dooley RS, Fryxell GE. Attaining decision quality and commitment from dissent: The moderating effects of loyalty and competence in strategic decision-making teams. Academy of Management Journal, 1999;42(4): 389–402. [consulted 5 july 2024] Available in: https://doi.org/10.2307/257010
Oliver D, Roos J. Decision-making in high-velocity environments: The importance of guiding principles. Organization Studies, 2005;26(6): 889–913. [consulted 5 july 2024] Available in: https://doi.org/10.1177/0170840605054609
Paais M, Pattiruhu JR. Effect of Motivation, Leadership, and Organizational Culture on Satisfaction and Employee Performance. Journal of Asian Finance, Economics and Business, 2020;7(8): 577–588. [consulted 1 july 2024] Available in: https://doi.org/10.13106/JAFEB.2020.VOL7.NO8.577
Tierney G, William JE. Culture organizational in higher education. The Journal of Higher Education, 2011;59(1): 2–21. [consulted 3 july 2024] Available in: http://www.jstor.org/stable/1981868 .
Negulescu OH. Complexity and Flexibility in Strategic Management. Review of General Management, 2019;30(2): 55–68.
Anderson P. Complexity Theory and Organization Science. Organization Science, 1999;10(3): 216–232. [consulted 3 july 2024] Available in: https://doi.org/10.1287/orsc.10.3.216
Neill S, Rose GM. The effect of strategic complexity on marketing strategy and organizational performance. Journal of Business Research, 2006:59(1):1–10. [consulted 3 july 2024] Available in: https://doi.org/10.1016/j.jbusres.2004.12.001
Chen CJ, Huang JW. How organizational climate and structure affect knowledge management-The social interaction perspective. International Journal of Information Management, 2007;27(2): 104–118. [consulted 4 july 2024] Available in: https://doi.org/10.1016/j.ijinfomgt.2006.11.001
Quintas P, Lefrere P, Jones G. Knowledge management : A strategic agenda. Long Range Planning, 1997;30(3). [consulted 5 july 2024] Available in: https://doi.org/10.1016/s0024-6301(97)00018-6
Dei DGJ, van der Walt TB. Knowledge management practices in universities: The role of communities of practice. Social Sciences & Humanities Open, 2020;2(1): 100025. [consulted 7 july 2024] Available in: https://doi.org/10.1016/j.ssaho.2020.100025
Mahmoudsalehi M, Moradkhannejad R, Safari K. How knowledge management is affected by organizational structure. Learning Organization, 2012;19(6): 518–528. [consulted 7 july 2024] Available in: https://doi.org/10.1108/09696471211266974
Tang H. A study of the effect of knowledge management on organizational culture and organizational effectiveness in medicine and health sciences. Eurasia Journal of Mathematics, Science and Technology Education, 2017;13(6): 1831–1845. [consulted 7 july 2024] Available in: https://doi.org/10.12973/eurasia.2017.00700a
Bennet A, Bennet D. The Partnership between Organizational Learning and Knowledge Management. Handbook on Knowledge Management 2004;1:439–455. [consulted 7 july 2024] Available in: https://doi.org/10.1007/978-3-540-24746-3_23
Alaarj S, Abidin-Mohamed Z, Bustamam USBA. Mediating Role of Trust on the Effects of Knowledge Management Capabilities on Organizational Performance. Procedia - Social and Behavioral Sciences, 2016;235(October):729–738. [consulted 7 july 2024] Available in: https://doi.org/10.1016/j.sbspro.2016.11.074
Mukhtar M, Sudarmi, S, Wahyudi, M, Burmansah B. The information system development based on knowledge management in higher education institution. International Journal of Higher Education, 2020;9(3): 98–108. [consulted 7 july 2024] Available in: https://doi.org/10.5430/ijhe.v9n3p98
Rahimi H, Arbabisarjou A, Allameh SM, Aghababaei R. Relationship between Knowledge Management process and creativity among faculty members in the University. Interdisciplinary Journal of Information, Knowledge, and Management, 2011;6: 17–33. [consulted 7 july 2024] Available in: https://doi.org/10.28945/1360
Zheng W, Yang B, McLean GN. Linking organizational culture, structure, strategy, and organizational effectiveness: Mediating role of knowledge management. Journal of Business Research, 2010;63(7): 763–771. [consulted 8 july 2024] Available in: https://doi.org/10.1016/j.jbusres.2009.06.005
Wiig KM. Knowledge management: Where did it come from and where will it go? Expert Systems with Applications, 1997;13(1), 1–14. [consulted 8 july 2024] Available in: https://doi.org/10.1016/S0957-4174(97)00018-3
Parikh, M. Knowledge management framework for high-tech research and development. EMJ - Engineering Management Journal, 2001;13(3):27–34. [consulted 8 july 2024] Available in: https://doi.org/10.1080/10429247.2001.11415124
Hedlund G. A model of knowledge management and the N-form corporation - Strategic Management Journal - Wiley Online Library. Strategic Management Journal, 1994;15(February 1991): 73–90. [consulted 6 july 2024] Available in: http://onlinelibrary.wiley.com/doi/10.1002/smj.4250151006/abstract
Prusak L. Where did knowledge management come from? IBM Systems Journal, 2001;40(4): 1002–1007. [consulted 6 july 2024] Available in: https://doi.org/10.1147/sj.404.01002
Gelard P, Emamisaleh K, Hassanabadi M, Shakouri Rad M. Looking into Knowledge Management from Organizational Structure Perspective. International Review of Management and Business Research, 2013;2(2): 518–529. [consulted 7 july 2024] Available in: https://www.irmbrjournal.com
Forcadell FJ, Guadamillas F. A case study on the implementation of a knowledge management strategy oriented to innovation: A knowledge management strategy oriented to innovation. Knowledge and Process Management, 2002;9(3): 162–171. [consulted 8 july 2024] Available in: https://doi.org/10.1002/kpm.143
Magnier-Watanabe R, Senoo D. Organizational characteristics as prescriptive factors of knowledge management initiatives. Journal of Knowledge Management, 2008:12(1): 21–36. [consulted 8 july 2024] Available in: https://doi.org/10.1108/13673270810852368
Seidler-de Alwis R, Hartmann E. The use of tacit knowledge within innovative companies: Knowledge management in innovative enterprises. Journal of Knowledge Management, 2008;12(1): 133–147. [consulted 8 july 2024] Available in: https://doi.org/10.1108/13673270810852449
Ayestarán S, Gómez D, Martínez-Moreno E, Lira EM, Costa SDa. A Model of Knowledge-sharing for the 21st Century Organizations. Revista de Psicologia Del Trabajo y de Las Organizaciones, 2022;38(3): 175–187. [consulted 9 july 2024] Available in: https://doi.org/10.5093/JWOP2022A21
Novak A. Knowledge Management and Organizational Performance – Literature Review. Management, Knowledge and Learning International Conference 2017, 2017; May: 433–440.
Allameh SM, Zare SM, Davoodi SMR. Examining the impact of KM enablers on knowledge management processes. Procedia Computer Science, 2011;3: 1211–1223. [consulted 9 july 2024] Available in: https://doi.org/10.1016/j.procs.2010.12.196
Willem A, Buelens M. Knowledge sharing in public sector organizations: The effect of organizational characteristics on interdepartmental knowledge sharing. Journal of Public Administration Research and Theory, 2007;17(4): 581–606. [consulted 9 july 2024] Available in: https://doi.org/10.1093/jopart/mul021
Shah SI, Afsar B, Shahjehan A. Unique contextual conditions affecting coworker knowledge sharing and employee innovative work behaviors. Revista de Psicologia Del Trabajo y de Las Organizaciones, 2020;36(2): 125–134. [consulted 9 july 2024] Available in: https://doi.org/10.5093/jwop2020a12
Liao C, Chuang SH, To PL. How knowledge management mediates the relationship between environment and organizational structure. Journal of Business Research, 2011;64(7): 728–736. [consulted 10 july 2024] Available in: https://doi.org/10.1016/j.jbusres.2010.08.001
Gold AH, Malhotra A, Segars AH. Knowledge management: An organizational capabilities perspective. Journal of Management Information Systems, 2001;18(1): 185–214. [consulted 10 july 2024] Available in: https://doi.org/10.1080/07421222.2001.11045669
Uit Beijerse RP. Questions in knowledge management: Defining and conceptualising a phenomenon. Journal of Knowledge Management, 1999;3(2): 94–110. [consulted 10 july 2024] Available in: https://doi.org/10.1108/13673279910275512
Bhatt GD. Knowledge management in organizations: Examining the interaction between technologies, techniques, and people. Journal of Knowledge Management, 2001;5(1): 68–75. [consulted 10 july 2024] Available in: https://doi.org/10.1108/13673270110384419
Yusuf N, Metiboba S. Work Environment and Job Attitude among Employees in a Nigerian Work Organization. Journal of Sustainable Society, 2018;1(2): 36–43.
Becerra-Fernandez I, Sabherwal R. Organizational knowledge management: A contingency perspective. Journal of Management Information Systems, 2001;18(1): 23–55. [consulted 10 july 2024] Available in: https://doi.org/10.1080/07421222.2001.11045676
Riege A. Three-dozen knowledge-sharing barriers managers must consider. Journal of Knowledge Management, 2005;9(3): 18–35. [consulted 10 july 2024] Available in: https://doi.org/10.1108/13673270510602746
De Jonge PD, Huyse FJ, Slaets JPJ, Herzog T, Lobo A, Lyons JS, Opmeer BC, Stein B, Arolt V, Balogh N, Cardoso G, Fink P, Rigatelli M, Dijck RVan, Mellenbergh GJ. Care complexity in the general hospital: Results from a European study. Psychosomatics, 2001;42(3): 204–212. [consulted 11 july 2024] Available in: https://doi.org/10.1176/appi.psy.42.3.204
Parand A, Dopson S, Renz A, Vincent, C. The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4; 2014. [consulted 10 july 2024] Available in: https://doi.org/10.1136/bmjopen-2014-005055
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Services Research, 2006;41(4 II):1654–1676. [consulted 11 july 2024] Available in: https://doi.org/10.1111/j.1475-6773.2006.00570.x
Mamédio DF, Meyer V. Managing project complexity: how to cope with multiple dimensions of complex systems. International Journal of Managing Projects in Business, 2020; 13(4): 727–744. [consulted 11 july 2024] Available in: https://doi.org/10.1108/IJMPB-06-2019-0147
Costa PL, Passos AM, Silva SA, Sacadura-Leite E, Tavares SM, Spanu F, Dimitrova E, Basarovska V, Milosevic M, Turk M, Panagopoulou E, Montgomery, A. Overcoming job demands to deliver high quality care in a hospital setting across Europe: The role of teamwork and positivity. Revista de Psicologia Del Trabajo y de Las Organizaciones, 2014; 30(3): 105–112. [consulted 11 july 2024] Available in: https://doi.org/10.1016/j.rpto.2014.11.001
de Zwart L, Koenders N, Steenbruggen R, Nijhuis-van der Sanden R, Hoogeboom TJ. What is complexity of hospital-based physiotherapy from the perspective of physiotherapists themselves? A grounded theory study. BMJ Open, 2023;13(4):e069368. [consulted 11 july 2024] Available in: https://doi.org/10.1136/bmjopen-2022-069368
Lee EJ, Kim HS, Kim HY. Relationships between core factors of knowledge management in hospital nursing organisations and outcomes of nursing performance. Journal of Clinical Nursing, 2014;23(23–24): 3513–3524. [consulted 11 july 2024] Available in: https://doi.org/10.1111/jocn.12603
Hearld LR, Alexander JA, Fraser I, Jiang HJ. How do hospital organizational structure and processes affect quality of care? A critical review of research methods. Medical Care Research and Review, 2008;65: 259-299. [consulted 12 july 2024] Available in: https://doi.org/10.1177/1077558707309613
Wu IL, Hu YP. Examining knowledge management enabled performance for hospital professionals: A dynamic capability view and the mediating role of process capability. Journal of the Association for Information Systems, 2012;13(12): 3. [consulted 12 july 2024] Available in: https://doi.org/10.17705/1jais.00319
Verma S, Gustafsson A. Investigating the emerging COVID-19 research trends in the field of business and management: A bibliometric analysis approach. Journal of business research, 2020;118: 253-261. [consulted 12 july 2024] Available in: https://doi.org/10.1016/j.jbusres.2020.06.057
Dash S, Shakyawar SK, Sharma M, Kaushik S. Big data in healthcare: management, analysis and future prospects. Journal of Big Data, 2019;6: 1-25. [consulted 12 july 2024] Available in: https://doi.org/10.1186/s40537-019-0217-0
Tziner A, Rabenu E, Radomski R, Belkin A. Work stress and turnover intentions among hospital physicians: The mediating role of burnout and work satisfaction. Revista de Psicología del Trabajo y de las Organizaciones, 2015;31(3): 207-213. [consulted 13 july 2024] Available in: https://doi.org/10.1016/j.rpto.2015.05.001
Walters BA, Bhuian SN. Complexity absorption and performance: A structural analysis of acute-care hospitals. Journal of Management, 2004;30(1): 97-121. [consulted 13 july 2024] Available in: https://doi.org/10.1016/j.jm.2003.01.005
Braithwaite J. Changing how we think about healthcare improvement. Bmj, 2018;361. [consulted 14 july 2024] Available in: https://doi.org/10.1136/bmj.k2014
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Mokhtar Rabhi, Ahlam Thamri, Mohammed Said Djoua, Rima Affaf Harizi, Souaad Ben Messaoud
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
-
Atribución — Usted debe dar crédito de manera adecuada, brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
-
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
- No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
scholar.google.com.cu
