Technology-enabled knowledge management for community healthcare workers: The effects of knowledge sharing and knowledge hiding

This study aims to explore the relationship between social capital and the innovation performance of digital firms. In addition, we examine the mediation effect of cross-border knowledge search on this relationship and investigate the serial mediation effect of cross-border knowledge search and absorptive capacity between social capital and innovation performance. Using data collected from 217 Chinese digital companies, we tested the proposed hypotheses by constructing structural equation models through SPSS 22.0 and AMOS 24.0. Based on the results of theoretical deductions and empirical tests, some conclusions can be drawn. First, for digital firms, social capital remains significantly and positively associated with innovation performance during the COVID-19 pandemic. Meanwhile, digital firms with higher social capital are likely to generate higher innovation performance even if they experience a more severe impact of the COVID-19 pandemic. Second, cross-border knowledge search effectively mediates the relationship between social structural capital, social relational capital, and innovation performance, whereas this mediation effect is not significant between social cognitive capital and innovation performance. Finally, the serial mediation effect of cross-border knowledge search and absorptive capacity on the relationship between social capital and innovation performance is confirmed. Some managerial implications are summarized based on our findings. On the one hand, digital firms should still actively build social capital to enhance innovation performance during the pandemic. On the other hand, social capital can help digital firms implement cross-border knowledge search and develop absorptive capacity. Thus, digital firms can effectively utilize heterogeneous knowledge to enhance their innovation performance. 

Social capital and innovation performance of digital firms: Serial mediation effect of cross-border knowledge search and absorptive capacity

This paper aims to propose an integrative and result-driven health-care knowledge management (HKM) model and discuss the findings of a research that examines how the KM initiatives of a major private Brazilian hospital system are linked to its health-care performance outcomes.,Data were collected from a top-level Brazilian private hospital system (Mater Dei Healthcare System – MDHS), which is composed of three large hospitals internationally accredited by ISO 9001/2000, NIAHO and JCI. Multiple qualitative approaches were used to collect data such as 16 in-depth interviews with health professionals and managers, document analysis, participatory observation and benchmarking interviews with two reference hospital networks in Brazil.,The proposed health-oriented KM model is an expansion of the organizational knowing cycle model (Choo, 1996), adding absorptive capacity (ACAP) as a new construct. The paper discusses how ACAP integrates with sense-making, knowledge creation and decision-making processes within the health-care context. Information technology and clinical governance were identified as support factors to the HKM processes.,The paper presents a pragmatic and result-driven knowledge management (KM) model using health-care-welfare key performance indicators, as well as the emergence of KM as an integrative and strategic approach to hospital management.,The present study presents a knowledge-based perspective to clinical staff management, demonstrating the tangible results of KM initiatives that contribute to health and management performance outcomes.

Knowledge management in health care: an integrative and result-driven clinical staff management model

\nPurpose\nCommunities of Practice (CoPs) are increasingly being created to facilitate knowledge mobilization in organizations. This paper aims to elucidate an underexplored aspect of participation in mandated CoPs – identity reconciliation. Specifically, the authors explore how actors reconcile their existing identities with becoming members of new knowledge mobilization CoPs.\n\n\nDesign/methodology/approach\nThe authors conducted a longitudinal qualitative case study over a 12-month period to explore identity reconciliation practices during the formation of the “ED CoP” – mandated by policymakers to mobilize knowledge between process improvement advisors and clinicians from various hospitals. Observation and interviews allowed us to uncover “front stage” and “backstage” practices of identity reconciliation.\n\n\nFindings\nThe findings reveal two key unexpected modes of identity reconciliation – “distancing” and “peripheral lurking”. These modes resulted in different trajectories of participation of two of the key participant groups – “veteran” improvement advisors and “veteran” clinicians.\n\n\nPractical implications\nDifferent modes of identity reconciliation of different participants impact the formation of CoPs and how knowledge mobilization occurs within them. This paper offers a sensitizing lens for practitioners creating CoPs which enhances awareness of hidden identity practices, and recommendations to enable practitioners to effectively facilitate CoP formation.\n\n\nOriginality/value\nThis study suggests that identity reconciliation is an integral aspect of CoP formation, and essential for knowledge mobilization within CoPs. Whereas studies on CoPs in the knowledge management literature have mostly assumed that collaboration produces beneficial knowledge mobilization outcomes, the findings build a more nuanced picture of the processes involved in producing these outcomes.\n

Identity reconciliation and knowledge mobilization in a mandated community of practice

The purpose of this research was to implement the strength-based student guidance among ninth graders by using a Power Zone tool and to analyse what kind of impact the guidance had in students. The...

https://www.tandfonline.com/doi/pdf/10.1080/02673843.2021.1943469

Changes in Finnish ninth graders’ positive psychological capital (PsyCap) in a strength-based student guidance intervention

PurposeThis paper aims to examine the role of information and communication technology (ICT) in the knowledge creation practices adopted by a health care organization The organization is delivering care to patients of a genetic disorder, called the sickle cell, in tribal communities The paper identifies how ICT intermediates knowledge creation practices across the organizational boundaries wherein tribal patients, front-line counselors and expert physicians interact, which then produces context-specific, evidence-based medicine (EBM)Design/methodology/approachThe knowledge-in-practice approach is adopted to conduct an ethnographic study of sickle cell care practices in a non-profit health care organization in Western India The analysis focuses on ICT-mediated interactional practices among the physicians, front-line counselors, tribal patients and their families, for more than a year-long observation These are supplemented with informal and formal interviews, archival records and vignettes based on several episodes to explicate the key knowledge creation practicesFindingsTechnology-mediated informative interactions at organizational boundaries can bridge socio-linguistic and interpretive barriers between actors, while also providing a generative structure that leads to the creation of longitudinal clinical evidence about a rare genetic disorder Three specific ICT-entwined knowledge creation practices emerge, namely, knowing the community, increasing interactional engagement and constructing gradients of socio-clinical history These practices generate organization-wide knowledge about the social and clinical dimensions of the genetic disorder The findings are presented through vignettes and a novel conceptual frameworkResearch limitations/implicationsThis study identifies various useful knowledge creation practices in health care delivery for resource-constrained emerging economy contexts Further, the study suggests that the involvement of local front-line actors and ICT can become important resources in the delivery of health care in these settingsOriginality/valueA novel framework is developed which demonstrates knowledge creation at organizational boundaries wherein the actors use ICT-based practices for effective delivery of health care The proposed framework may be used by health care organizations in similar contexts providing care to marginalized communities

Knowledge creation practices at organizational boundaries: the role of ICT in sickle-cell care for tribal communities

The purpose of this paper is to investigate the role of a second-order state-like construct “psychological capital” (or PsyCap) as an underlying mechanism explaining the personality–academic achievement (AA) relationship in the educational context.,The conceptual model was statistically tested on a sample of 305 post-graduate students at a premier business school in central India using standard measures of personality and PsyCap. AA was measured through cumulative grade point average obtained from the administrative office. Data were collected through multiple sources to minimize common method variance. Analysis was done using macro PROCESS and validated using PLS–SEM.,Results indicated that PsyCap positively influenced AA. Furthermore, PsyCap mediated the relationship between openness to experience, extraversion, agreeableness dimensions of student personality and AA.,Longitudinal research designs with interventions to enhance PsyCap of students may strengthen the findings of this study.,The findings suggest that the curriculum in higher education institutions should include interventions on building the PsyCap of the students as it positively correlates to the AA. Academic administrators may not have control on students’ dispositional traits, but they can design interventions to improve the psychological (state like) resources of the students. Follow-up interviews with academic administrators reinforced these implications.,This study provided initial evidence that positivity, in general, and PsyCap, in particular, have a positive impact on students’ AA. This is one of the first studies to examine the role of PsyCap in personality–AA relation in the higher educational context wherein high levels of stress and burnouts have been reported by students due to high competition in achieving goals.

Swati Ghulyani

Papers

Knowledge creation practices at organizational boundaries: the role of ICT in sickle-cell care for tribal communities

Student Personality and Academic Achievement: Mediating Role of Psychological Capital (PsyCap).